The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument

Effect of Nursing Care Strategy on the Functional and Physical Abilities of Patients Following Stroke

“…The report mentioned that, when the nurses give more attention for physical and functional disabilities during care of stroke patients in the first months following stroke, this will lead to prevention or elimination or control of physical disabilities, enhance patient's return to normal life as soon as possible, preserve or improve overall health status, and prevent or reduce the incidence of disabilities, with consequent improvement of the QOL. On the same line, Nor et al emphasized that using different nursing care strategies that focus on helping patients to relearn everyday activities can improve the QOL [26]. Other similar successful interventions were also previously reported [27].…”

Identifying blood biomarkers to improve the diagnosis of stroke

“…I found that both scales had similar diagnostic characteristics (FAST vs ROSIER: sensitivity 82% vs 84% p=0.23, specificity 38% vs 41% p=0.42), both performing less well than in their development cohort. 6,7 Each scale appeared to work equally well in patients with different levels of neurological impairment, at different times after symptom onset, and whether performed by a nurse or doctor.…”

“…The most frequent diagnoses in those patients without stroke are focal migraines, focal onset seizures, syncope, sepsis and functional neurological disorders. [5][6][7] Formalised assessment tools, based on easily measured clinical variables can help to identify stroke patients in the emergency department. Two of the best-known scales are the simple 'face arm aBstract Blood biomarkers are useful for the management of many diseases and could be useful for doctors caring for stroke patients, if they accurately predicted a diagnosis or recurrence of stroke.…”

“…The FAST was originally developed for stroke identification by paramedic ambulance crews 8 and the ROSIER for the identification of patients with stroke in emergency departments. 6 For a blood marker to be useful for the diagnosis of stroke, a single marker should perform better than a simple clinical scale when measured in addition to such a simple clinical scale. As a baseline, I measured the performance of the FAST and the ROSIER in patients presenting to an emergency department with suspected stroke.…”

Stroke and the emergency medical services – enhancing performance within the chain of survival

“…The introduction of new stent-retriever thrombectomy techniques has encouraged several study groups to develop a simple stroke scale design to detect LVOs to reroute this patient group directly to comprehensive stroke centers that have neuroradiological intervention capability. These scales have included NIHSS (Brott et al 1989), shortened NIHSS (Tirschwell et al 2002), the Los Angeles Motor Scale (Llanes et al 2004), the 3-Item Stroke Scale (Singer et al 2005), Cincinnati Prehospital Stroke Severity Scale (Katz et al 2015), Recogntion of Stroke in the Emergency Room (Nor et al 2005), Rapid Arterial Occlusion Evaluation Scale (RACE) (de la Ossa et al 2013), Field Assessment Stroke Triage for Emergency Destination (Lima et al 2016) and the Prehospital Acute Stroke Severity Scale (Hastrup et al 2016). The highest accuracy has been reached with NIHSS and RACE, but the suggested cut-off values would still result in a loss of opportunity for over 20% of patients.…”