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    Rosier

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    YunitaHandayani
    The ROSIER Scale is a stroke assessment tool used by medical and nursing staff to differentiate patients having experienced a stroke from those with stroke mimics. It involves checking for symptoms such as facial weakness, arm weakness, leg weakness, speech problems, and visual impairments. A score above 0 makes a stroke diagnosis likely, while a score at or below 0 means stroke is unlikely but not excluded. The tool provides guidance on admitting patients and contacting stroke specialists depending on the score and time since symptom onset.

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    Rosier

    Uploaded by

    YunitaHandayani
    150 views3 pages
    The ROSIER Scale is a stroke assessment tool used by medical and nursing staff to differentiate patients having experienced a stroke from those with stroke mimics. It involves checking for symptoms such as facial weakness, arm weakness, leg weakness, speech problems, and visual impairments. A score above 0 makes a stroke diagnosis likely, while a score at or below 0 means stroke is unlikely but not excluded. The tool provides guidance on admitting patients and contacting stroke specialists depending on the score and time since symptom onset.

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    rosier

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    The ROSIER Scale is a stroke assessment tool used by medical and nursing staff to differentiate patients having experienced a stroke from those with stroke mimics. It involves checking for symptoms such as facial weakness, arm weakness, leg weakness, speech problems, and visual impairments. A score above 0 makes a stroke diagnosis likely, while a score at or below 0 means stroke is unlikely but not excluded. The tool provides guidance on admitting patients and contacting stroke specialists depending on the score and time since symptom onset.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    150 views3 pages

    Rosier

    Uploaded by

    YunitaHandayani
    The ROSIER Scale is a stroke assessment tool used by medical and nursing staff to differentiate patients having experienced a stroke from those with stroke mimics. It involves checking for symptoms such as facial weakness, arm weakness, leg weakness, speech problems, and visual impairments. A score above 0 makes a stroke diagnosis likely, while a score at or below 0 means stroke is unlikely but not excluded. The tool provides guidance on admitting patients and contacting stroke specialists depending on the score and time since symptom onset.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    ROSIER Scale

    Stroke Assessment
    The aim of this assessment tool is to enable medical and nursing
    staff to differentiate patients with stroke and stroke mimics.

    Assessment Date Time

    Symptom onset Date Time

    GGS E= M= V= BP *BM

    * If BM < 3.5 mmol/l treat urgently and reassess once blood glucose normal
    Has there been loss of consciousness or syncope?
    Y (-1) N (0)
    Has there been seizure activity?
    Y (-1) N (0)
    Is there a NEW ACUTE onset (or on awakening from sleep)?

    I. Asymmetric facial weakness Y (+1) N (0)


    II. Asymmetric arm weakness Y (+1) N (0)
    III. Asymmetric leg weakness Y (+1) N (0)
    IV. Speech disturbance Y (+1) N (0)
    V. Visual field defect Y (+1) N (0)

    *Total Score (-2 to +5)

    Provisional diagnosis: Stroke Non-stroke (specify)


    * Stroke is likely if total scores are > 0. Scores of </= 0 have a low possibility of stroke but not
    completely excluded.

    A&E / EAU Stroke Instrument Guidelines


    1. If total score > 0 (1 to 6) a diagnosis of acute stroke is likely. If total scores 0, -1 or -2 stroke
    unlikely but is not excluded and patient should be discussed with the stroke team. DECT
    phone 21616 Stroke Specialist Nurse 9-5. Medical SpR Out of hours.
    2. All patients admitted with a suspected stroke, irrespective of score should be admitted to the
    Emergency Admissions Unit ( EAU) at the RVI. Patients with a score of 0, -1 or -2 should be
    admitted to the EAU at the RVI.

    3. If symptom onset within 3 hours and score >0 contact acute stroke team IMMEDIATELY for
    potential thrombolysis treatment and arrange urgent CT scan. Monday to Friday discuss with
    Stroke SpR or Consultant. Out of hours contact on call Stroke Consultant.
    Filepath: Gary Ford H:\ROSIER Scale v1.5.doc 1
    PTO

    Filepath: Gary Ford H:\ROSIER Scale v1.5.doc 2


    2
    ABCD Scale
    TIA Assessment
    The ROSIER scale is not suitable for patients with suspected TIA with no neurological signs when
    2
    seen. Please use the ABCD assessment for patients with suspected TIA. This assessment
    assists in the identification of patients with a high or low risk of early disabling stroke.
    2
    Please circle the appropriate point on the ABCD assessment:
    Age is 60 years or older 1 point

    Blood pressure >140/90mmHg 1 point

    Clinical features:
    Unilateral weakness 2 points
    Speech disturbance without weakness 1 point Note, maximum score of 2 points
    Other 0 points

    Duration:
    > 60 mins 2 points
    10 60 mins 1 point
    < 10 mins 0 points

    Diabetes 1 point

    2
    ABCD Score points (Total score 0-7)

    Note: High risk patients (six to seven points) have an 8.1% two-day recurrent stroke risk.

    2
    High risk TIA patients (scoring 5 or more on ABCD score) should be:-

    Seen within 24 hours of the event at the TIA clinic (patients referred to the TIA clinic at the RVI
    need a TIA clinic referral form completed)

    or

    Out of hours (e.g. at weekends), contact the on-call Stroke Consultant and admit for review,
    urgent investigation and initiation of secondary prevention.

    Any patient with more than one episode in the last week is at a greater than 30% risk of stroke within
    a week and should be admitted to EAU for investigation and review by a Consultant Stroke
    Physician.

    2
    This ABCD scale is not a substitute for a full medical assessment.

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