Wadhwani Jyoti, Hussain Riaz, Raman P G
Department of Medicine, MGM Medical College and MY Hospital, Indore.
J Assoc Physicians India. 2002 Jun;50:777-81.
To differentiate between cerebral infarct and intracerebral haemorrhage on the basis of clinical stroke score (Siriraj Stroke Score and Guy's Hospital Score) and to find out the sensitivity and overall accuracy of these scoring systems by comparing it with CT scan findings.
Two hundred patients with acute stroke were analysed by Siriraj and Guy's Hospital Score simultaneously CT scan was performed and patients with subarachnoid haemorrhage, tuberculoma, tumours and trauma were excluded.
CT scan revealed cerebral infarction in 152 (76%) patients and cerebral haemorrhage in 48 (24%) patients. The sensitivity of Siriraj Stroke Score was 92.54% for infarction and 87% for haemorrhage (equivocal and infratentorial cases were excluded) and it's overall accuracy was 91.11%. The Guy's Hospital Score had a sensitivity of 93.42% for infarction, 66.66% for haemorrhage and overall accuracy was 87%.
Siriraj Stroke Score is easier to use at bed side and has a greater accuracy (especially in diagnosis of haemorrhage) than the Guy's Hospital Score.
基于临床卒中评分（诗里拉吉医院卒中评分和盖伊医院评分）鉴别脑梗死和脑出血，并通过与CT扫描结果比较，找出这些评分系统的敏感性和总体准确性。
对200例急性卒中患者同时采用诗里拉吉医院评分和盖伊医院评分进行分析，并行CT扫描，排除蛛网膜下腔出血、结核瘤、肿瘤和外伤患者。
CT扫描显示152例（76%）患者为脑梗死，48例（24%）患者为脑出血。诗里拉吉医院卒中评分对梗死的敏感性为92.54%，对出血的敏感性为87%（排除可疑和幕下病例），其总体准确性为91.11%。盖伊医院评分对梗死的敏感性为93.42%，对出血的敏感性为66.66%，总体准确性为87%。
诗里拉吉医院卒中评分在床边更易于使用，且比盖伊医院评分具有更高的准确性（尤其是在诊断出血方面）。
