Validation of the use of the ROSIER stroke recognition instrument in an Irish emergency department

  • A. Jackson
  • , C. Deasy
  • , U. M. Geary
  • , P. K. Plunkett
  • , J. Harbison

Research output: Contribution to journalArticlepeer-review

Abstract

Background: A study was performed to determine the utility of the 8-point recognition of stroke in the emergency room (ROSIER) instrument as a diagnostic tool in a large Irish emergency department. Methods: Fifty patients had ROSIER scores completed by doctors. Diagnoses achieved using the score were compared with discharge diagnoses. Relations between ROSIER score, impairment and length of stay were assessed. Results: Forty-seven patients (94%) had a ROSIER Score ≥1 indicating a stroke, 44 (94%) of these had stroke confirmed on investigation. Two patients with stroke were missed and three were wrongly identified. Positive predictive value for the ROSIER was 94%. ROSIER correlated with Scandinavian neurological stroke score. (r = -0.414, p = 0.003) and was associated with increasing length of stay in survivors (p = 0.16, one-way ANOVA. F = 3.116, df = 6). Conclusion: The ROSIER is a suitable and useful adjunct in the assessment of stroke patients in Ireland.

Original languageEnglish
Pages (from-to)189-192
Number of pages4
JournalIrish Journal of Medical Science
Volume177
Issue number3
DOIs
Publication statusPublished - Sep 2008
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Diagnostic instrument
  • Emergency department
  • Stroke

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