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Recognition of Stroke in the Emergency Room (ROSIER) Scale. Distinguishes between acute stroke and stroke mimics. When to Use. Loss of consciousness or syncope. No 0. Yes -1. Seizure activity. No 0. Yes -1. New, acute onset (or on awakening from sleep) finding of any of the following: Asymmetric facial weakness. No 0. Yes +1.
The Recognition of Stroke in the Emergency Room (ROSIER) scale was created by Nor et al in 2005, first published in Lancet Neurology. It was created to aid first-line ER providers in determining which patients were likely experiencing a stroke, thus expediting referral to an acute stroke team.
Oct 5, 2023 · A score of +1 or higher indicates a positive diagnosis of stroke or transient ischemic attack (TIA). The scale encompasses assessment criteria such as loss of consciousness, seizure activity, asymmetric facial, arm, and leg weakness, speech disturbance, and visual field defect (6).
Aug 18, 2020 · The ROSIER scale is a 7-item tool to recognize stroke in the emergency department based on clinical history and neurological signs. This study evaluates its diagnostic accuracy and clinical applicability in different settings and populations.
Oct 11, 2005 · A seven-item (total score from 2 to 5) stroke recognition instrument was constructed on the basis of clinical history (loss of consciousness, convulsive fits) and neurological signs (face, arm, or leg weakness, speech disturbance, visual field defect).
Oct 11, 2005 · The ROSIER scale was effective in the initial differentiation of acute stroke from stroke mimics in the ER. Introduction of the instrument improved the appropriateness of referrals to the stroke team.
Aug 18, 2020 · ROSIER is a 7-item recognition instrument (ranging from − 2 to + 5) that based on the clinical history and neurological signs. A score of + 1 or above was considered positive of stroke or transient ischemic attack .
