Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
May 8, 2026European Stroke JournalOpen Access

Abstract Number: Esoc2026a1382 Prehospital Performance of Fast and Nihss in Acute Vertigo Patients With Suspected Stroke—subgroup Analysis From the Norwegian Acute Stroke Prehospital Project (Paranaspp) Trial

View Full Paper
Ask AI
Bookmark
Share

Authors

HBHanna Marie Otterholt BekkesethVMVilde Teigene MaloyHBHelge Fagerheim Bugge

Discussion

Loading...

Member takes

Overview

Register-based analysis evaluates FAST and NIHSS effectiveness in diagnosing stroke among vertigo patients, suggesting need for improved tools.

Key Points

  • This analysis aims to assess the effectiveness of FAST and NIHSS in diagnosing stroke among patients presenting with acute vertigo in a prehospital setting.
  • Post-hoc subgroup analysis of data from the ParaNASPP trial at Oslo University Hospital.
  • Included patients displayed acute vertigo with suspected stroke criteria; their ambulance and hospital records were reviewed.
  • Comparison of FAST and NIHSS scores in vertigo patients with stroke versus stroke mimics.
  • Of 801 suspected stroke patients, 247 (31%) had vertigo; among them, 82 (33%) were diagnosed with stroke or TIA.
  • FAST had a positive predictive value (PPV) of 44% for stroke, while NIHSS had a PPV of 38%.
  • Stroke patients with vertigo were generally older and had more vascular risk factors compared to stroke mimics.

Cite This Study

Bekkeseth et al. (2026) studied this question.

synapsesocial.com/papers/69fd7e42bfa21ec5bbf06690https://doi.org/10.1093/esj/aakag023.094
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ABSTRACT NUMBER: ESOC2026A1377 REAL-WORLD AGREEMENT OF NIHSS SCORES BETWEEN PARAMEDICS AND STROKE PHYSICIANS IN SUSPECTED STROKE: SECONDARY ANALYSIS FROM THE PARANASPP TRIAL2026
  2. 2ABSTRACT NUMBER: ESOC2026A1391 VALIDATION OF THE VISION IMPAIRMENT SCREENING ASSESSMENT (VISA) IN ACUTE STROKE CARE2026
  3. 3Presenting symptoms and diagnostic accuracy of prehospital stroke scales for patients with suspected mild minor stroke2026 · 1 citations
  4. 4ABSTRACT NUMBER: ESOC2026A2342 DIFFERENCES IN THE SENSITIVITY OF PREHOSPITAL STROKE SCALES FOR PREDICTION OF LARGE, MEDIUM AND DISTAL VESSEL OCCLUSIONS2026
  5. 5Abstract DP079: Stroke in patients with neuro-vestibular presentation: experience from AVERT trial2026