Letter by Heldner et al Regarding Article, “Field Assessment Stroke Triage for Emergency Destination: A Simple and Accurate Prehospital Scale to Detect Large Vessel Occlusion Strokes”
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To the Editor:
Lima et al1 assessed the Field Assessment Stroke Triage for Emergency Destination scale (FAST-ED) to identify large vessel occlusion (LVO) in patients with acute ischemic stroke. They compared FAST-ED with other published prehospital scales such as total National Institutes of Health Stroke Scale score (NIHSS), Rapid Arterial Occlusion Evaluation scale (RACE), and Cincinnati Prehospital Stroke Severity Scale (CPSSS). Lima et al1 conclude that FAST-ED is a simple scale, showing similar discrimination capacity as the total NIHSS score and higher discrimination capacity than Rapid Arterial Occlusion Evaluation and Cincinnati Prehospital Stroke Severity scale, successfully validated and applicable in the prehospital setting to identify LVO for rapid patients’ triage.1
We applied the FAST-ED scale to our Bernese Stroke Center cohort (1085 patients with anterior circulation strokes …