A prospective study using the ABCD2 score in screening for minor stroke or transient ischaemic attack in referrals to a fast track clinic.
نویسندگان
چکیده
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منابع مشابه
Prognosis in patients with transient ischaemic attack (TIA) and minor stroke attending TIA services in the North West of England: the NORTHSTAR Study.
BACKGROUND The ABCD2 score predicts stroke risk within a few days of transient ischaemic attack (TIA). It is not clear whether the predictive value of the ABCD2 score can be generalised to UK TIA services, where delayed presentation of TIA and minor stroke are common. We investigated prognosis, and the use of the ABCD2 score, in patients attending TIA services in the North West of England with ...
متن کاملReducing time-to-unit among patients referred to an outpatient stroke assessment unit with a novel triage process: a prospective cohort study.
BACKGROUND To evaluate the performance of a novel triage system for Transient Ischemic Attack (TIA) units built upon an existent clinical prediction rule (CPR) to reduce time to unit arrival, relative to the time of symptom onset, for true TIA and minor stroke patients. Differentiating between true and false TIA/minor stroke cases (mimics) is necessary for effective triage as medical interventi...
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 کاملAn assessment of the cost-effectiveness of magnetic resonance, including diffusion-weighted imaging, in patients with transient ischaemic attack and minor stroke: a systematic review, meta-analysis and economic evaluation.
BACKGROUND Patients with transient ischaemic attack (TIA) or minor stroke need rapid treatment of risk factors to prevent recurrent stroke. ABCD2 score or magnetic resonance diffusion-weighted brain imaging (MR DWI) may help assessment and treatment. OBJECTIVES Is MR with DWI cost-effective in stroke prevention compared with computed tomography (CT) brain scanning in all patients, in specific...
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:
- Stroke
دوره 40 6 شماره
صفحات -
تاریخ انتشار 2009