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Updated: Jan 28, 2026

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在工作时间和非工作时间的RACE临床诊断分数的表现
Hisham Salahuddin1,2,3, Alicia C Castonguay1,2, Emi Hitomi2
1Department of Neurology ProMedica Neurosciences Institute Toledo OH.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
快速动脉阻塞评估 (RACE) 评分有效地识别了24/7的大血管阻塞 (LVOs). 它在非工作时间检测急性神经血管综合征时更准确,因为中风模仿者较少.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 脑卒中研究 脑卒中研究
背景情况:
- 在紧急情况下,医院前分类得分对于识别大血管封闭 (LVOs) 是至关重要的.
- 包括非工作时间在内的24小时时间内,这些得分的真实准确性尚未得到充分证实.
- 快速动脉阻塞评估 (RACE) 评分是医院前LVO检测的关键工具.
研究的目的:
- 为了比较RACE得分的积极预测值 (PPV) 在工作时间和非工作时间检测LVO.
- 评估RACE得分在识别急性神经血管综合征方面的准确性及其对治疗时间和结果的影响.
主要方法:
- 在两个医院 (从2015年7月至2019年12月) 进行了687名RACE分数≥5的患者的回顾性评估.
- 患者被分为"工作时间" (周日,上午7点至下午6点) 和"非工作时间" (晚上,晚上,周末).
- 主要结局:LVO诊断. 在LVO诊断. 二级结局:急性神经血管综合征诊断,门到治疗时间和修改的兰金度量 (mRS) 评分.
主要成果:
- 在工作时间 (34.6%) 和非工作时间 (36.3%) 之间,LVO诊断率没有显著差异.
- 在非工作时间内,RACE得分显示急性神经血管综合征的PPV有所改善 (76.3%对67.8%).
- 机械血栓切除术患者的良好临床结果 (mRS ≤2) 与机械血栓切除术患者相似,尽管工作时间内的治疗时间较短.
结论:
- 雷斯得分在所有小时内都保持了对LVO检测的一致准确性.
- 在非工作时间内,神经血管综合征的准确性增加归因于中风模仿者的减少.
- 这些发现支持RACE得分在医院前中风评估中的可靠使用,无论时间如何.
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