The ABCD2 score: a poor predictor of stroke risk in the emergency department.
نویسندگان
چکیده
CLINICAL QUESTION In patients presenting with transient ischemic attack in the emergency department, what is the accuracy of the ABCD2 score for predicting stroke? ARTICLE CHOSEN Perry JJ, Sharma M, Sivilotti ML, et al. Prospective validation of the ABCD2 score for patients in the emergency department with TIA. CMAJ 2011;183:1137-45. OBJECTIVE The study collaborators sought to externally validate the ABCD2 score as a tool for identifying patients seen in the emergency department with transient ischemic attack who are at high risk for stroke within 7 (primary outcome) and 90 (one of the secondary outcomes) days.
منابع مشابه
A Comparative Study of hs-CRP Diagnostic Value and ABCD2 Criteria in Predicting the Future Incidence of Acute Cerebrovascular Events during Follow-up in TIA Patients
Background and purpose: Stroke is the most common and the most deadly neurological disease that is accompanied with many complications. The aim of this study was to compare the diagnostic value of hs-CRP and ABCD2 criteria in predicting the future incidence of acute cerebrovascular events during follow-up in patients with transient ischemic attack (TIA). Materials and methods: This cohort stud...
متن کاملHigher ABCD2 score predicts patients most likely to have true transient ischemic attack.
BACKGROUND AND PURPOSE Some patients diagnosed with transient ischemic attack (TIA) in the emergency department may actually have alternative diagnoses such as seizure, migraine, or other nonvascular spells. The ABCD2 score has been shown to predict subsequent risk of stroke in patients with TIA diagnosed by emergency physicians, but perhaps high ABCD2 scores simply separate those patients with...
متن کاملCan the ABCD2 risk score predict positive diagnostic testing for emergency department patients admitted for transient ischemic attack?
BACKGROUND AND PURPOSE We sought to determine if the ABCD2 score, typically used for risk stratification, could predict having a positive diagnostic test in patients evaluated acutely for transient ischemic attack. METHODS We performed a retrospective cohort study for patients admitted from our emergency department with a new diagnosis of transient ischemic attack confirmed by a neurologist. ...
متن کاملComparison of ABCD2 scoring between first healthcare-contact and stroke-specialist physicians for transient ischaemic attack in a rapid-access clinic.
SIR—The ABCD2 stroke risk scoring system based on clinical features found to be independently predictive of stroke following TIA is now in widespread use [1–4]. The Department of Health for England (DoH) aims for 60% of patients with ABCD2 scores of ≥4 at presentation to complete specialist assessment within 24 h of first healthcare-contact and those scoring <4 within 7 days [5]. A systematic r...
متن کاملStratified, urgent care for transient ischemic attack results in low stroke rates.
BACKGROUND AND PURPOSE Transient ischemic attack (TIA) is a marker for early risk of stroke. No previous studies have assessed the use of urgent stroke prevention clinics for emergency department (ED) patients with TIA. We hypothesized that an ABCD2-based ED triaging tool for TIA with outpatient management would be associated with lower 90-day stroke rate than that predicted by ABCD2. METHODS...
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ورودعنوان ژورنال:
- CJEM
دوره 16 1 شماره
صفحات -
تاریخ انتشار 2014