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Validaty of Siriraj Stroke Scoring
Farid Ullah Shah1, Muhammad Salih, Muhammad Azhar Saeed
1Department of Medicine, F. G. Services Hospital, Islamabad.
Summary
The Siriraj Stroke Scoring (SSS) system accurately diagnoses acute supratentorial strokes, showing high sensitivity and specificity for cerebral infarction and hemorrhage when compared to CT scans.
Area of Science:
- Neurology
- Medical Diagnostics
- Stroke Syndromes
Background:
- Acute supratentorial strokes require accurate and timely diagnosis.
- The Siriraj Stroke Scoring (SSS) is a clinical tool developed for this purpose.
- Validation of SSS against neuroimaging is crucial for clinical practice.
Purpose of the Study:
- To evaluate the sensitivity and specificity of the Siriraj Stroke Scoring (SSS).
- To validate the diagnostic accuracy of SSS for acute supratentorial stroke syndromes.
- To compare SSS findings with computed tomography (CT) brain scans.
Main Methods:
- A noninterventional descriptive study involving 100 consecutive patients with acute supratentorial strokes.
- Siriraj Stroke Scoring (SSS) was applied to all patients.
- SSS results were compared against CT brain scans as the gold standard for diagnosing cerebral infarction and hemorrhage.
Main Results:
- SSS demonstrated a sensitivity of 71% and specificity of 85% for cerebral infarction.
- For intracerebral hemorrhage, SSS showed a sensitivity of 73% and specificity of 90%.
- Positive predictive values for SSS were 87% for infarction and 83% for hemorrhage.
Conclusions:
- The Siriraj Stroke Scoring (SSS) system is a valid and specific tool for diagnosing acute supratentorial strokes.
- SSS is effective in differentiating between cerebral infarction and intracerebral hemorrhage.
- The scoring system aids in the clinical diagnosis of stroke subtypes.