NameComponentsSensitivity (% [95% CI])Specificity (% [95% CI])LR (95% CI)
Cincinnati Prehospital Stroke Scale15 Facial paralysis; arm drift; abnormal speech≥ 1 item: 85 (80 to 90)8 ≥ 1 item: 79 (73 to 85)8 0 items: 0.39 (0.25 to
0.61)9 ≥ 1 item: 5.5 (3.3 to 9.1)9
Face, Arm, Speech Test16 In patients with Glasgow Coma Scale > 6 and presence of at least one of the following: facial paralysis; arm weakness; speech impairment82 (76 to 88)8 83 (77 to 89)8
Los Angeles Prehospital Stroke ScreenPresence of all six items is positive for stroke: age > 45 years; no seizure history; symptoms present < 24 hours; ambulatory at baseline; serum glucose > 60 mg per dL (3.35 mmol per L) and < 400 mg per dL (22.20 mmol per L); unilateral deficit of one of three items (facial paresis, arm drift, weak handgrip)91 (76 to 98)17 97 (93 to 99)17 LR+ = 31 (13 to 75)17
LR− = 0.09 (0.03 to 0.27)17
Melbourne Ambulance Stroke Screen18 Presence of all six items is positive for stroke: age > 45 years; no seizure history; symptoms present < 24 hours; ambulatory at baseline; serum glucose > 60 and < 400 mg per dL; presence of = one of four items (facial droop, arm drift, weak handgrip, speech impairment)90 (81 to 96)74 (53 to 88)LR+ = 3.49 (1.83 to 6.63)
LR− = 0.13 (0.06 to 0.27)
Recognition of Stroke in the Emergency Room scale8 A score of 1 point or higher is positive for stroke*:
  • History of syncope or loss of consciousness (–1 pt)

  • History of seizure activity (–1 pt)

  • New acute onset of:

    Asymmetric facial weakness (+1 pt)

    Asymmetric arm weakness (+1 pt)

    Asymmetric leg weakness (+1 pt)

    Speech disturbance (+1 pt)

    Visual field defect (+1 pt)

93 (89 to 97)83 (77 to 89)LR+ = 5.49 (3.11 to 9.68)
LR− = 0.083 (0.04 to 0.17)
von Arbin19 All three positive for stroke: acute onset of focal neurologic deficit; onset < seven days prior; no recent head trauma86 (81 to 91)99 (98.5 to 99.4)LR+ = 94 (59 to 152)
LR− = 0.14 (0.095 to 0.20)