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医院前中风识别中的BE-FAST与FAST:一个系统性审查

Matthew Hilditch^1,2, Charles Brand³, Shane Devlin³

¹University of Stavanger, Faculty of Health Sciences, Stavanger, Norway.

British journal of community nursing

|August 27, 2025

概括

在前医院环境中,平衡,眼睛,面部,手臂,言语,时间 (BE-FAST) 尺度可能会比面部,手臂,言语,时间 (FAST) 工具更好地检测急性缺血性中风,尽管需要更多的研究.

科学领域:

神经学
紧急医疗
诊断工具

背景情况:

早期发现急性缺血性中风对于患者的结果至关重要.
面部,手臂,言语,时间 (FAST) 工具是医院前中风查的标准.
平衡,眼睛,面部,手臂,言语,时间 (BE-FAST) 是FAST的提议增强.

研究的目的:

系统地审查和比较FAST和BE-FAST在医院前急性中风检测中的诊断效果.

主要方法:

在MEDLINE,ProQuest,CINAHL和PubMed进行了系统的文献搜索.
包括的研究比较了FAST和BE-FAST的诊断性能,用于紧急医疗服务的缺血性中风识别.
其中包括以英语出版的原始研究.

主要成果:

灵敏度在64%至97%之间,特异性在13%至76.9%之间.
评估BE-FAST的单一研究报告了91%的灵敏度和53%的特异性,而FAST的灵敏度和特异性为76%.

结论:

关于BE-FAST在医院前的表现的数据有限.
无论是FAST还是BE-FAST,都显示出在医院前进行中风识别的合理性能,但其特异性通常较低.
BE-FAST可能为中风检测提供更高的灵敏度,但证据仍然不足.

关键词:

快速的快速的急性中风一个救护车紧急医疗服务在医院前一次中风

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