RT期刊文章SR电子T1的快速货车工具识别大血管闭塞的急性中风(P4.085)摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP P4.085 VO 90 15补充A1 Sanchea Wasyliw A1首页 K。露丝惠兰A1迈克尔·凯利A1金伯利戴维A1加里·亨特年2018 UL //www.ez-admanager.com/content/90/15_Supplemen首页t/P4.085.abstract AB目的:描述不需要大血管闭塞中风筛查工具管理。现在快速货车工具的优势比其他工具。当工具应用前瞻性总结数据。背景:急性中风管理已经被最近的临床试验证明了显著减少发病率和死亡率与血管内血栓切除术对严重中风出现大血管闭塞(LVO)。有一个迫切需要识别潜在LVO病人所以他们可以直接运输到三级中风中心提供血管内治疗。数组筛选工具的开发,往往繁琐,需要培训和不确定特定于大型船舶中风临床特征。我们开发了一个简化的工具需要最小的训练,没有得分,是特定于LVO综合症。这个工具确定了以前的回顾性分析灵敏度高、可接受的特异性。设计/方法:前瞻性评估172例连续中风病例被报道出中心范症状或体征,持续照料的任何成员,没有车训练。然后我们把这比作LVO在CTA的存在与否。结果:八十名患者阳性LVO,而58没有LVO被发现。 There were 11 true false positives after reviewing the cases. The overall positive predicative value was 58% and when including only the true false positives, the PPV rose to 88%.Conclusions: The FAST VAN tool for clinically identifying LVO is easy to implement even without specific training, is sensitive, and has an acceptable PPV. It is reassuring that all false positive patients did need to be assessed at our center (compared to the referring sites), leaving little concern for excessive unnecessary bypass and expense to the system.Disclosure: Dr. Wasyliw has nothing to disclose. Dr. Whelan has nothing to disclose. Dr. Kelly has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Pneumbra and Medtronic. Dr. Davy has nothing to disclose. Dr. Hunter has nothing to disclose.

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