Reliability of Siriraj stroke score to distinguish between hemorrhagic and ischemic stroke

• Published in: Brain hemorrhages Vol. 4; no. 1; pp. 13 - 16
• Main Authors: Athar, Iqra, Malik, Adil Muhammad, Khattak, Neelma Naz, Anis, Anam, Iqbal, Mansoor, Majid, Haris, Badshah, Mazhar
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01.03.2023; KeAi Communications Co., Ltd
• Subjects: Hemorrhagic stroke; Siriraj stroke score; Stroke; Stroke; Hemorrhagic stroke; Siriraj stroke score
• ISSN: 2589-238X; 2589-238X
• DOI: 10.1016/j.hest.2022.07.002

The aim of study was to establish a quick way to differentiate between hemorrhagic and ischemic stroke by using siriraj stroke score and find its specificity and sensitivity by comparing it with CT scan findings. Cross-sectional study. Department of Neurology Pakistan Institute of Medical Sciences Islamabad from Jan 2021 to June 2021. Total 110 patients of acute stroke were included. Any patient of > 20 years old, non-traumatic, focal neurological deficit < 14 days with no obvious reason other than vascular were included. Siriraj stroke score was calculated its findings were compared with a CT scan findings. Data was analyzed by SPSS ver.23.0. The mean age of patients was 66.10 ± 14.58 years. There were 54 (49.10 %) males and 56 (50.90 %) females. Hypertension was the most common disease found in 79 (71.8 %). The sensitivity, specificity, PPV and NPV of Siriraj stroke score was 83.87 %, 66.6 %, 74.2 % and 71.42 % respectively for hemorrhagic stroke and 93.4 %, 80.95 %, 93.4 % and 37.03 % respectively for non-hemorrhagic stroke. It is an easy, cost effective and bed side scoring system which can accurately identify the stroke type without any other radiological investigation. It can be employed in areas where CT scan facility is not available and treatment can be started early which will definitely lower mortality and morbidity of stroke patients.