The validity of a simple clinical classification of acute ischaemic stroke

ISSN:
1432-1459
Keywords:
Stroke ; Brain CT ; Cerebrovascular diseases ; Cerebral infarction ; Stroke scales ; Clinical examination
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract The aim of the study reported here was to test the validity of a simple clinical classification of acute ischaemic stroke (Oxfordshire Community Stroke Project, OCSP) in predicting the site and size of cerebral infarction on computed tomography (CT). Consecutive patients admitted to hospital with acute ischaemic stroke were prospectively identified and classified into one of four clinical syndromes according to the OCSP classification, blind to the result of CT. The CT brain scans were classified blind to the clinical features into those demonstrating: small, medium or large cortical infarcts; small or large subcortical infarcts in the anterior circulation territory; and posterior cerebral circulation territory infarcts. A total of 108 patients were included. A recent infarct was seen. on the CT scan in 91 patients (84%), and the clinical classification correctly predicted the site and size of the cerebral infarct in 80 of these (88%; 95% confidence interval 77–92%). The positive predictive value was best for large cortical infarcts (0.94) and worst for small subcortical infarcts (0.63). The OCSP clinical classification is a reasonably valid way of predicting the site and size of cerebral infarction on CT and can, therefore, be used very early after stroke onset before the infarct appears on the scan.
Type of Medium:
Electronic Resource
URL:
_version_ 1798295732013236225
autor Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
autorsonst Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
book_url http://dx.doi.org/10.1007/BF00868526
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM209009985
issn 1432-1459
journal_name Journal of neurology
materialart 1
notes Abstract The aim of the study reported here was to test the validity of a simple clinical classification of acute ischaemic stroke (Oxfordshire Community Stroke Project, OCSP) in predicting the site and size of cerebral infarction on computed tomography (CT). Consecutive patients admitted to hospital with acute ischaemic stroke were prospectively identified and classified into one of four clinical syndromes according to the OCSP classification, blind to the result of CT. The CT brain scans were classified blind to the clinical features into those demonstrating: small, medium or large cortical infarcts; small or large subcortical infarcts in the anterior circulation territory; and posterior cerebral circulation territory infarcts. A total of 108 patients were included. A recent infarct was seen. on the CT scan in 91 patients (84%), and the clinical classification correctly predicted the site and size of the cerebral infarct in 80 of these (88%; 95% confidence interval 77–92%). The positive predictive value was best for large cortical infarcts (0.94) and worst for small subcortical infarcts (0.63). The OCSP clinical classification is a reasonably valid way of predicting the site and size of cerebral infarction on CT and can, therefore, be used very early after stroke onset before the infarct appears on the scan.
package_name Springer
publikationsjahr_anzeige 1996
publikationsjahr_facette 1996
publikationsjahr_intervall 8004:1995-1999
publikationsjahr_sort 1996
publisher Springer
reference 243 (1996), S. 274-279
schlagwort Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
search_space articles
shingle_author_1 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
shingle_author_2 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
shingle_author_3 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
shingle_author_4 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
shingle_catch_all_1 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
The validity of a simple clinical classification of acute ischaemic stroke
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Abstract The aim of the study reported here was to test the validity of a simple clinical classification of acute ischaemic stroke (Oxfordshire Community Stroke Project, OCSP) in predicting the site and size of cerebral infarction on computed tomography (CT). Consecutive patients admitted to hospital with acute ischaemic stroke were prospectively identified and classified into one of four clinical syndromes according to the OCSP classification, blind to the result of CT. The CT brain scans were classified blind to the clinical features into those demonstrating: small, medium or large cortical infarcts; small or large subcortical infarcts in the anterior circulation territory; and posterior cerebral circulation territory infarcts. A total of 108 patients were included. A recent infarct was seen. on the CT scan in 91 patients (84%), and the clinical classification correctly predicted the site and size of the cerebral infarct in 80 of these (88%; 95% confidence interval 77–92%). The positive predictive value was best for large cortical infarcts (0.94) and worst for small subcortical infarcts (0.63). The OCSP clinical classification is a reasonably valid way of predicting the site and size of cerebral infarction on CT and can, therefore, be used very early after stroke onset before the infarct appears on the scan.
1432-1459
14321459
Springer
shingle_catch_all_2 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
The validity of a simple clinical classification of acute ischaemic stroke
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Abstract The aim of the study reported here was to test the validity of a simple clinical classification of acute ischaemic stroke (Oxfordshire Community Stroke Project, OCSP) in predicting the site and size of cerebral infarction on computed tomography (CT). Consecutive patients admitted to hospital with acute ischaemic stroke were prospectively identified and classified into one of four clinical syndromes according to the OCSP classification, blind to the result of CT. The CT brain scans were classified blind to the clinical features into those demonstrating: small, medium or large cortical infarcts; small or large subcortical infarcts in the anterior circulation territory; and posterior cerebral circulation territory infarcts. A total of 108 patients were included. A recent infarct was seen. on the CT scan in 91 patients (84%), and the clinical classification correctly predicted the site and size of the cerebral infarct in 80 of these (88%; 95% confidence interval 77–92%). The positive predictive value was best for large cortical infarcts (0.94) and worst for small subcortical infarcts (0.63). The OCSP clinical classification is a reasonably valid way of predicting the site and size of cerebral infarction on CT and can, therefore, be used very early after stroke onset before the infarct appears on the scan.
1432-1459
14321459
Springer
shingle_catch_all_3 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
The validity of a simple clinical classification of acute ischaemic stroke
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Abstract The aim of the study reported here was to test the validity of a simple clinical classification of acute ischaemic stroke (Oxfordshire Community Stroke Project, OCSP) in predicting the site and size of cerebral infarction on computed tomography (CT). Consecutive patients admitted to hospital with acute ischaemic stroke were prospectively identified and classified into one of four clinical syndromes according to the OCSP classification, blind to the result of CT. The CT brain scans were classified blind to the clinical features into those demonstrating: small, medium or large cortical infarcts; small or large subcortical infarcts in the anterior circulation territory; and posterior cerebral circulation territory infarcts. A total of 108 patients were included. A recent infarct was seen. on the CT scan in 91 patients (84%), and the clinical classification correctly predicted the site and size of the cerebral infarct in 80 of these (88%; 95% confidence interval 77–92%). The positive predictive value was best for large cortical infarcts (0.94) and worst for small subcortical infarcts (0.63). The OCSP clinical classification is a reasonably valid way of predicting the site and size of cerebral infarction on CT and can, therefore, be used very early after stroke onset before the infarct appears on the scan.
1432-1459
14321459
Springer
shingle_catch_all_4 Wardlaw, J. M.
Dennis, M. S.
Lindley, R. I.
Sellar, R. J.
Wadaw, C. P.
The validity of a simple clinical classification of acute ischaemic stroke
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Stroke
Brain CT
Cerebrovascular diseases
Cerebral infarction
Stroke scales
Clinical examination
Abstract The aim of the study reported here was to test the validity of a simple clinical classification of acute ischaemic stroke (Oxfordshire Community Stroke Project, OCSP) in predicting the site and size of cerebral infarction on computed tomography (CT). Consecutive patients admitted to hospital with acute ischaemic stroke were prospectively identified and classified into one of four clinical syndromes according to the OCSP classification, blind to the result of CT. The CT brain scans were classified blind to the clinical features into those demonstrating: small, medium or large cortical infarcts; small or large subcortical infarcts in the anterior circulation territory; and posterior cerebral circulation territory infarcts. A total of 108 patients were included. A recent infarct was seen. on the CT scan in 91 patients (84%), and the clinical classification correctly predicted the site and size of the cerebral infarct in 80 of these (88%; 95% confidence interval 77–92%). The positive predictive value was best for large cortical infarcts (0.94) and worst for small subcortical infarcts (0.63). The OCSP clinical classification is a reasonably valid way of predicting the site and size of cerebral infarction on CT and can, therefore, be used very early after stroke onset before the infarct appears on the scan.
1432-1459
14321459
Springer
shingle_title_1 The validity of a simple clinical classification of acute ischaemic stroke
shingle_title_2 The validity of a simple clinical classification of acute ischaemic stroke
shingle_title_3 The validity of a simple clinical classification of acute ischaemic stroke
shingle_title_4 The validity of a simple clinical classification of acute ischaemic stroke
sigel_instance_filter dkfz
geomar
wilbert
ipn
albert
fhp
source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T09:40:52.833Z
titel The validity of a simple clinical classification of acute ischaemic stroke
titel_suche The validity of a simple clinical classification of acute ischaemic stroke
topic WW-YZ
uid nat_lic_papers_NLM209009985