Comparación de la escala RACE con otras escalas de valoración de oclusiones arteriales de gran vaso en el medio extrahospitalario: una revisión rápida / Comparison of RACE scale to other assessment scales for large vessel arterial occlusions in the out-of-hospital level: a rapid review

Una proporción significativa de las enfermedadescerebrovasculares isquémicas se deben a oclusionesarteriales de grandes vasos (OAGV). Algunos serviciosde emergencias emplean escalas para detectar OAGV ydeterminar tanto el tratamiento como el centro médicomás adecuados para el paciente. El objetivo de esta re-visión fue comparar el valor predictivo para reconocerla presencia de una OAGV con la escala RACE frente aotras escalas destinadas al ámbito extrahospitalario.Se realizó una revisión rápida aplicando la meto-dología PRISMA en PubMed. Se seleccionaron veinteartículos enfocados en el entorno prehospitalario. Losinstrumentos evaluados con mayor frecuencia fueronNIHSS, CPSSS, LAMS y RACE. Las escalas evaluadas de-mostraron una precisión adecuada en la identificaciónde dicho evento, sin pretender reemplazar las pruebaspor imagen. RACE mostró un rendimiento predictivocomparable al resto de escalas, aunque inferior a la es-cala hospitalaria NIHSS, por lo que puede ser un instru-mento útil a nivel extrahospitalario.(AU)

A significant proportion of ischemic cerebrovascu-lar diseases are due to large vessel arterial occlusions(LVAO). Some emergency services utilize scales to de-tect LVAO and determine the most appropriate treat-ment and medical center for the patient. The aim of thisreview was to compare the predictive value of the RACEscale for recognizing the presence of a LVAO with otherscales used in the out-of-hospital setting.A rapid review was performed by applying the PRIS-MA methodology in PubMed. Twenty articles focusedon the prehospital setting were retained. The mostfrequently evaluated instruments were NIHSS, CPSSS,LAMS and RACE. The scales evaluated demonstrat-ed adequate precision in the identification of such anevent, without aiming to replace imaging tests. TheRACE showed a predictive performance comparable tothe other scales, although lower than the NIHSS hospi-tal scale, it may therefore be a useful instrument in theout-of-hospital setting.(AU)

[Comparison of RACE scale to other assessment scales for large vessel arterial occlusions in the out-of-hospital level: a rapid review].

A significant proportion of ischemic cerebrovascular diseases are due to large vessel arterial occlusions (LVAO). Some emergency services utilize scales to detect LVAO and determine the most appropriate treatment and medical center for the patient. The aim of this review was to compare the predictive value of the RACE scale for recognizing the presence of a LVAO with other scales used in the out-of-hospital setting. A rapid review was performed by applying the PRISMA methodology in PubMed. Twenty articles focused on the pre-hospital setting were retained. The most frequently evaluated instruments were NIHSS, CPSSS, LAMS and RACE. The scales evaluated demonstrated adequate precision in the identification of such an event, without aiming to replace imag-ing tests. The RACE showed a predictive performance comparable to the other scales, although lower than the NIHSS hospital scale, it may therefore be a useful instrument in the out-of-hospital setting.