Comparison of conventional and modern methods in determining ischemic stroke etiology by general and stroke neurologists

Refik KUNT; Mustafa Kürşad KUTLUK; Bedile İrem TİFTİKCİOĞLU; Nazire Efser Yeşim Afşar FAK; Ali Kemal ERDEMOĞLU; Muhteşem GEDİZLİOĞLU; Vesile ÖZTÜRK

Makale detayları

Comparison of conventional and modern methods in determining ischemic stroke etiology by general and stroke neurologists

Yazarlar:

Refik KUNT | Mustafa Kürşad KUTLUK | Bedile İrem TİFTİKCİOĞLU | Nazire Efser Yeşim Afşar FAK | Ali Kemal ERDEMOĞLU | Muhteşem GEDİZLİOĞLU | Vesile ÖZTÜRK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.170-177

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750314

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

This study aimed to investigate the consistency between stroke and general neurologists in subtype assignment using the Trial of ORG-10172 in Acute Stroke Treatment (TOAST) and Causative Classification of Stroke (CCS) systems.Materials  and  methods:  Fifty  consecutive  acute  ischemic  stroke  patients  admitted  to  the  stroke  unit  were  recruited.  Patients  were  classified by two stroke and two general neurologists, each from different medical centers, according to TOAST followed by the CCS. Each neurologist was assessed for consistency and compliance in pairs. Concordance among all four neurologists was investigated and evaluated using the kappa (ĸ) value.Results: The kappa (ĸ) value of diagnostic compliance between stroke neurologists was 0.61 (95% CI: 0.45-0.77) for TOAST and 0.78 (95% CI: 0.62-0.94) for CSS-5. The kappa (ĸ) value was 0.64 (95% CI: 0.48-0.80) for TOAST and 0.75 (95% CI: 0.60-0.91) for CCS-5 for general neurologists. Compliance was moderate [ĸ: 0.59 (95% CI: 0.52-0.65)] for TOAST and was strong [ĸ: 0.75 (95% CI: 0.68-0.81)] for CCS-5 for all 4 neurologists. Cardioembolism'(91.04%)hadthehighestcompliance∈⊥hsystems.TheequencyofthegroupwithCardioembolism′(91.04%)hadthehighestcompliance∈⊥hsystems.TheequencyofthegroupwithCardioembolism' (91.04%) had the highest compliance in both systems. The frequency of the group with undetermined etiologies' was less in the CCS (26%) compared to TOAST.Conclusion: The CCS system improved compliance in both stroke and general neurologists compared with TOAST. This suggests that the automatic, evidence-based, easily reproducible CCS system was superior to the TOAST system.

Makale detayları

Comparison of conventional and modern methods in determining ischemic stroke etiology by general and stroke neurologists

Yazarlar: Refik KUNT | Mustafa Kürşad KUTLUK | Bedile İrem TİFTİKCİOĞLU | Nazire Efser Yeşim Afşar FAK | Ali Kemal ERDEMOĞLU | Muhteşem GEDİZLİOĞLU | Vesile ÖZTÜRK

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.170-177

Belge Tipi: Makale

Yayın Tarihi: 1/2019

Belge Dili: Türkçe

Document ID (Org No.): 2000750314

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Refik KUNT | Mustafa Kürşad KUTLUK | Bedile İrem TİFTİKCİOĞLU | Nazire Efser Yeşim Afşar FAK | Ali Kemal ERDEMOĞLU | Muhteşem GEDİZLİOĞLU | Vesile ÖZTÜRK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.170-177

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750314

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144