The Cincinnati Stroke Scale - Oren Zarif - Cincinnati Stroke Scale
First responders use the Cincinnati stroke scale to evaluate the likelihood of a patient having a stroke. The test involves asking a patient to smile, while the medical professional evaluates whether one side of the face droops more than the other. If one side droops more than the other, this may be a sign of facial droop or arm drift. In such cases, a stroke is more likely than a normal stroke.
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CPSS results may be influenced by the health care provider's level of expertise, training, and education. During the CPSS assessment, patients may be asked to "show their teeth" instead of "smile." These factors could lead to a less accurate result. A person may also misunderstand the terms "smile" and "show teeth" when asking a patient to answer the question. Regardless of the underlying cause of the stroke, the CPSS test can make the difference between a normal outcome and an abnormal one.
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CPSS is used to diagnose a stroke during prehospital care. It is used to rate the severity of stroke and the likelihood of LVOS. The scores range from 0 to 3. Each symptom is assigned one point. The CPSS does not consider the extent of the patient's slurred speech or arm drift. For a stroke patient, 80% of the time, symptoms and deficits will be present.
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The early recognition of a suspected stroke is essential to minimizing mortality and morbidity. This is because a patient who meets one or more of the 3 criteria is more likely to have an ischemic stroke. Furthermore, in prehospital care, patients who meet one or more criteria may be at increased risk of a stroke. This is important to remember in the event of a stroke, since it is crucial to make the correct decisions for the patient's care.
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The Cincinnati Prehospital Stroke Scale (CPSS) is widely recommended for use by emergency medical services for identifying people with a stroke. However, there is limited data on the use of CPSS, and most studies have involved laypersons or on-scene healthcare professionals. However, a few recent studies have focused on EMS dispatchers. This scale is highly recommended for use in prehospital settings, as it is easy to administer and improves patient safety.
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The Cincinnati Prehospital Stroke Scale (CPSS) can be used to identify large vessel occlusion stroke in patients undergoing EMS. Currently, CPSS is widely used in hospitals and is the gold standard for the diagnosis of large vessel occlusion stroke. However, its sensitivity and specificity is not optimal. Despite this, it is still widely used and routinely performed by EMS clinicians.
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The CPSS measures the patient's ability to speak and reproduce facial expressions. Depending on the severity of the stroke, it can determine the level of a patient's mental state. The first assessment checks for symptoms like facial drooping and decreased speech. The second assessment is performed by assessing the patient's ability to hold arms in front of their chest. If both arms remain in the same position, this may indicate a stroke.
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The CPSS was performed using the statistical package SPSS in order to determine the sensitivity and specificity of the test. The sensitivity and specificity of the test were calculated using the CPSS and summary receiver operating characteristic curves. In addition, the diagnostic odds ratio and pooled positive likelihood ratio were calculated for each stroke severity category. The C-STAT is useful for detecting a stroke in the prehospital setting, and should be used as a primary tool.
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The CPSS is widely used in prehospital settings and is included in many national and international guidelines for stroke care. Compared with other tools, it has improved the early recognition of a stroke and significantly decreased the door-to-needle time. Nevertheless, the CPSS is the only one of these tools that has a high level of sensitivity and specificity. However, more studies are needed to determine the accuracy of this scale.
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