Sajjad Ali Khan, Umar Hayat, Rabia Basri.
Accuracy of Siriraj Scoring System in Detection of Ischemic Stroke Confirmed by Computed Tomography.
Ophthalmol Update Jan ;15(3):284-7.

Background: Stroke is the leading cause of death and long-term disability for middle to old age patients. The clinical and radiological distinction of ischemic from haemorrhagic stroke is important from management and prognosis perspective. The Siriraj score is an important development for effective differentiation between the two entities of stroke. Objective: The aim of this study was to determine the accuracy of Siriraj scoring system in the detection of ischemic stroke as confirmed by computed tomography. Methods: A prospective observational study conducted at the department of General Medicine, between December 2012 and June 2013 (6 months). Patients suspected of suffering from acute ischemic stroke were evaluated using the Siriraj scoring system followed by CT scan of the brain. Both of the findings were compared and accuracy of the Siriraj scoring as compared to findings of CT scan was evaluated. Results: Mean patient age was 63.65 � 10.2 years with 61.6% males and 38.4% females. Majority were older patients of which 82% were above the age of 55 years. 80.5% (132) patients of ischemic stroke were correctly diagnosed using the Siriraj scoring system. Conclusion: Siriraj scoring system is a simple and useful tool in identifying acute ischemic stroke.

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