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Studi Literatur Gambaran Akurasi Diagnostik Siriraj Stroke Score Dalam Membedakan Stroke Iskemik Dan Hemoragik


Tri Wahyu Alanda
ABSTRAK
Stroke merupakan penyebab utama kematian dan disabilitas yang membutuhkan diagnosis cepat dan tepat untuk menentukan penatalaksanaan yang sesuai. Perbedaan antara stroke iskemik dan hemoragik sangat penting karena berpengaruh terhadap terapi yang diberikan. Keterbatasan akses terhadap CT scan sebagai standar emas di beberapa fasilitas kesehatan mendorong penggunaan metode klinis seperti Siriraj Stroke Score (SSS). Penelitian ini bertujuan untuk menganalisis akurasi diagnostik SSS dalam membedakan stroke iskemik dan hemoragik melalui studi literatur. Metode yang digunakan adalah literature review dengan penelusuran artikel pada database Google Scholar, PubMed, dan Semantic Scholar dalam rentang tahun 2021-2026. Artikel diseleksi berdasarkan kriteria inklusi dan eksklusi, kemudian dianalisis secara deskriptif. Hasil kajian menunjukkan bahwa SSS memiliki sensitivitas tinggi berkisar antara 71,4%-95,24%, namun spesifisitas bervariasi antara 53,4%-72%. Nilai akurasi berada pada kisaran 61,5%-93%. Temuan ini menunjukkan bahwa SSS cukup efektif sebagai alat skrining awal, terutama pada fasilitas dengan keterbatasan sumber daya. Namun, adanya keterbatasan seperti zona abu-abu dan subjektivitas penilaian klinis menyebabkan SSS belum dapat menggantikan CT scan sebagai metode diagnosis definitif. Disarankan agar penggunaan SSS dikombinasikan dengan pemeriksaan penunjang untuk meningkatkan ketepatan diagnosis.

Kata kunci: Stroke, Siriraj Stroke Score, akurasi diagnostik, stroke iskemik, stroke hemoragik

Literature Review an Overview of Diagnostic Accuracy of Siriraj Stroke Score in Differentiating Ischemic and Hemorrhagic Stroke


Tri Wahyu Alanda
ABSTRACT
Stroke is a leading cause of mortality and disability that requires rapid and accurate diagnosis to determine appropriate management. Differentiating between ischemic and hemorrhagic stroke is essential as it influences treatment decisions. Limited access to CT scan as the gold standard in some healthcare settings has led to the use of clinical tools such as the Siriraj Stroke Score (SSS). This study aims to analyze the diagnostic accuracy of SSS in differentiating ischemic and hemorrhagic stroke through a literature review. The method involved searching articles from Google Scholar, PubMed, and Semantic Scholar published between 2021 and 2026. Articles were selected based on inclusion and exclusion criteria and analyzed descriptively. The results indicate that SSS has high sensitivity ranging from 71.4% to 95.24%, while its specificity varies between 53.4% and 72%. The overall accuracy ranges from 61.5% to 93%. These findings suggest that SSS is effective as an initial screening tool, especially in resource-limited settings. However, limitations such as the gray zone and clinical subjectivity indicate that SSS cannot replace CT scan as the definitive diagnostic method. It is recommended that SSS be used in combination with additional diagnostic examinations to improve accuracy.

Keywords: Stroke, Siriraj Stroke Score, diagnostic accuracy, ischemic stroke, hemorrhagic stroke