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Table 2 Performance of the triage SOP and modelled conventional care assessed via geocoding in patients with LVO and with LVO or ICHa

From: Effects of state-wide implementation of the Los Angeles Motor Scale for triage of stroke patients in clinical practice

 

Triage SOP (n = 968)

Modelled conventional careb (n = 968)

LVO, n/total n (%)

 Sensitivity

54/78 (69.2; 59.0–79.5)

14/78 (17.9; 9.4–26.5)

 Specificity

756/890 (84.9; 82.6–87.3)

890/890 (100; 100–100)

 Positive Predictive Value

54/188 (28.7; 22.3–35.2)

14/14 (100; 100–100)

 Negative Predictive Value

756/780 (96.9; 95.7–98.1)

890/954 (93.3; 91.7–94.9)

LVO or ICH, n/total n (%)

 Sensitivity

82/162 (50.6; 42.9–58.3)

38/162 (23.5; 16.9–30.0)

 Specificity

700/806 (86.8; 84.5–89.2)

806/806 (100; 100–100)

 Positive Predictive Value

82/188 (43.6; 36.5–50.7)

38/38 (100; 100–100)

 Negative Predictive Value

700/780 (89.7; 87.6–91.9)

806/930 (86.7; 84.5–88.9)

  1. SOP Standard operating procedure, LVO Large-vessel occlusion, ICH Intracranial haemorrhage
  2. a 60 of 1123 (5.3%) patients had no documented LAMS score, and 155 of 644 (24.1%) ischaemic stroke patients did not undergo vascular imaging; b Conventional care was the guideline-recommended transfer to the nearest stroke centre, as calculated via geocoding in each patient. CSCs served as PSCs if they were the nearest stroke centre
  3. 95% confidence intervals are reported in brackets