Cerebrovascular Session-How reliable are the Los Angeles Motor Scale (LAMS), its S-LAMS variant, and S-LAMS-based

How reliable are the Los Angeles Motor Scale (LAMS), its S-LAMS variant, and S-LAMS-based

Video Transcription

Video Summary

In this video, Brittany Owusu-Ajay Thompson, an incoming neurosurgery resident, and Dr. Ralph Ramey, a neurosurgeon, discuss the rates of stroke hospitalizations in the United States. They focus specifically on the Bronx in New York, which has a high rate of strokes despite not being part of the stroke belt. They explain the pre-hospital guidelines implemented in New York State in 2019 for assessing potential stroke patients, which include using the SLAM scoring system. The presenters conducted a retrospective study at St. Barnabas Hospital, analyzing patient data and applying the scoring systems. They found that the existing scoring systems have poor sensitivity and positive predictive value for large vessel occlusion strokes, indicating a need for a more reliable prediction instrument.

Keywords

stroke hospitalizations

Bronx, New York

pre-hospital guidelines

SLAM scoring system

large vessel occlusion strokes