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The Cincinnati Stroke Scale and Glasgow Coma Scale - Oren Zarif - Cincinnati Stroke Scale

Writer's picture: Oren ZarifOren Zarif

First responders use the Cincinnati Prehospital Stroke Scale (CPHSS) to assess a patient suffering from a stroke. A patient is asked to smile and then to hold both arms and hands out in front of the body. If one of the arms or both of the face do not move, the patient is likely suffering from facial droop. Another way to check for stroke is to observe the patient's arm drift.

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The Cincinnati scale includes three variables that are associated with the likelihood of a stroke. Patients were enrolled in the study if they presented with any of the symptoms. Facial numbness, dysarthria, and upper extremity weakness are three of the factors that contribute to a positive prediction of a stroke. The scale was validated by researchers at the Guilan University of Medical Sciences. The researchers followed the Declaration of Helsinki to develop and evaluate the scale.

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The most important step in the treatment of stroke is early recognition and activation of the emergency response system. The Cincinnati Prehospital Stoke Scale and the Glasgow Coma Scale will help determine the next steps in a suspected stroke algorithm. To learn more about this stroke-prevention method, you can watch the video below or enroll in a Cincinnati PALS class. The training is free, so don't wait until you need it to use it.

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EMS personnel should consider using the Cincinnati Prehospital Stroke Scale (CPSS) to identify stroke and TIA patients, as it is recommended for this practice. However, research into CPSS's reproducibility is limited. One study evaluated the impact of CPSS training on the identification of stroke/TIA patients by paramedics. It compared paramedics' identification of stroke/TIA patients to data from a hospital prospective stroke registry.

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To compare the sensitivity and specificity of the CPSS, two authors used standardized forms to extract data from the included studies. These variables included first author's last name, year of publication, and type of study. Categorical variables were analyzed as counts and percentages. Using STATA 13.0 or Cochrane RevMan 5.3, the statistical software was used to calculate the sensitivity and specificity of different cut-off values. The study also calculated overall sensitivity and specificity, as well as accuracy and 95% confidence intervals.

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The Cincinnati Prehospital Stroke Scale is a simplified version of the National Institutes of Health Stroke Scale. This scale assesses the severity of stroke-related symptoms, including facial palsy, arm weakness, and speech abnormalities. EMS has long relied on the CPSS to evaluate stroke patients. However, the CPSS has some limitations. Despite the CPSS' low sensitivity, it's still an effective tool to identify stroke patients in the prehospital setting.

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EMS personnel should consider using the Cincinnati Prehospital Stroke Scale (CPSS) to identify stroke and TIA patients, as it is recommended for this practice. However, research into CPSS's reproducibility is limited. One study evaluated the impact of CPSS training on the identification of stroke/TIA patients by paramedics. It compared paramedics' identification of stroke/TIA patients to data from a hospital prospective stroke registry.

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Oren Zarif tbi medical


To compare the sensitivity and specificity of the CPSS, two authors used standardized forms to extract data from the included studies. These variables included first author's last name, year of publication, and type of study. Categorical variables were analyzed as counts and percentages. Using STATA 13.0 or Cochrane RevMan 5.3, the statistical software was used to calculate the sensitivity and specificity of different cut-off values. The study also calculated overall sensitivity and specificity, as well as accuracy and 95% confidence intervals.

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The Cincinnati Prehospital Stroke Scale is a simplified version of the National Institutes of Health Stroke Scale. This scale assesses the severity of stroke-related symptoms, including facial palsy, arm weakness, and speech abnormalities. EMS has long relied on the CPSS to evaluate stroke patients. However, the CPSS has some limitations. Despite the CPSS' low sensitivity, it's still an effective tool to identify stroke patients in the prehospital setting.

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