Comparación de la escala RACE con otras escalas de valoración de oclusiones arteriales de gran vaso en el medio extrahospitalario: una revisión rápida
DOI:
https://doi.org/10.23938/ASSN.0964Palabras clave:
Enfermedad cerebrovascular, Escalas, Precisión diagnóstica, Vasos sanguíneos, Servicios médicos de urgenciaResumen
Una proporción significativa de las enfermedades cerebrovasculares isquémicas se deben a oclusiones arteriales de grandes vasos (OAGV). Algunos servicios de emergencias emplean escalas para detectar OAGV y determinar tanto el tratamiento como el centro médico más adecuados para el paciente. El objetivo de esta revisión fue comparar el valor predictivo para reconocer la presencia de una OAGV con la escala RACE frente a otras escalas destinadas al ámbito extrahospitalario.
Se realizó una revisión rápida aplicando la metodología PRISMA en PubMed. Se seleccionaron veinte artículos enfocados en el entorno prehospitalario. Los instrumentos evaluados con mayor frecuencia fueron NIHSS, CPSSS, LAMS y RACE. Las escalas evaluadas demostraron una precisión adecuada en la identificación de dicho evento, sin pretender reemplazar las pruebas por imagen. RACE mostró un rendimiento predictivo comparable al resto de escalas, aunque inferior a la escala hospitalaria NIHSS, por lo que puede ser un instrumento útil a nivel extrahospitalario.
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