关键词: 脑梗死; A-S-C-O分型; TOAST分型; CISS分型; 信度

Abstract: Objective To assess the reliability of ischemic stroke subtype classification using the A-S-C-Ocriteria, Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria and Chinese IschemicStroke Subclassfication (CISS) criteria.Methods A hundred acute ischemic stroke patients were consecutively recruited into this study.Two raters were invited to assess the etiological subclassification using the A-S-C-O criteria,TOAST criteria and CISS criteria. The data was analyzed by the statistics software of SPSS 17.0.Results The value of Kappa about the A-S-C-O classification’s reliability was 0.504, (P <0.001).The value of Kappa about the TOAST classification’s reliability was 0.769, (P <0.001). The value ofKappa about the CISS classification’s reliability was 0.710, (P <0.001).Conclusion The reliability of the A-S-C-O classification was moderate, the reliability of theTOAST classification and the CISS classification were both good.

Key words: Brain infarction; A-S-C-O classification; Trial of org 10172 in acute stroke treatment classification; Chinese ischemic stroke subclassification classification; Reliability