Introduction
Visual problems are a frequent but often under-recognized complication in acute stroke patients. Prompt identification of visual impairments is crucial as they impact rehabilitation outcomes and daily function. However, in pre-hospital and emergency department settings, standardized vision screening tools are rarely implemented. The National Institutes of Health Stroke Scale (NIHSS) is widely used for stroke severity assessment but may not fully capture visual deficits. This study investigates the utility of the Vision-Face-Arm-Speech-Time (V-FAST) checklist as a quick screening tool to detect visual impairment in patients admitted with suspected stroke, comparing its performance to the NIHSS and comprehensive orthoptic assessment.
Methods
Specialty calculators
For clinical reference; use professional judgment.
