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Application of the ABCD2 score

Dipankar Dutta
BACKGROUND: The diagnosis of Transient Ischaemic Attack (TIA) can be difficult and 50-60% of patients seen in TIA clinics turn out to be mimics. Many of these mimics have high ABCD2 scores and fill urgent TIA clinic slots inappropriately. A TIA diagnostic tool may help non-specialists make the diagnosis with greater accuracy and improve TIA clinic triage. The only available diagnostic score (Dawson et al) is limited in scope and not widely used. The Diagnosis of TIA (DOT) Score is a new and internally validated web and mobile app based diagnostic tool which encompasses both brain and retinal TIA...
February 9, 2016: BMC Neurology
Mojtaba Chardoli, Alireza Khajavi, Mohsen Nouri, Vafa Rahimi-Movaghar
As a significant number of patients diagnosed with transient ischemic attack (TIA) at emergency department are at risk to develop TIA or cerebral vascular accident (CVA), several attempts have been made to figure out a predictive method to detect those at higher risk of such attacks. We aimed to evaluate the role of ABCD2 scoring which includes age, blood pressure, clinical symptoms, diabetes mellitus, and duration of symptoms in predicting short term outcome of the patients presenting with TIA. One hundred consecutive patients visited between 2009 and 2010 in Hazrat Rasoul Akram Hospital and diagnosed with TIA were enrolled and their ABCD2 scores were registered...
2013: Acta Medica Iranica
Anastasios Chatzikonstantinou, Marc E Wolf, Anke Schaefer, Michael G Hennerici
BACKGROUND: Prognostic clinical scores (ABCD2 and ABCD3-I), as well as specific clinical signs and symptoms (e.g. fluctuations) have been used to predict early stroke risk in patients admitted to hospital after transient ischemic attacks (TIAs). We compared the utility of these scores and signs for prognosis and outcome. METHODS: 235 patients with TIAs admitted to our Comprehensive Stroke Center entered the study. Patients were monitored over 3 days with detailed brain imaging [diffusion-weighted imaging (DWI) was performed either directly on admission or within 24 h from admission and was repeated in cases of stroke recurrence], vascular ultrasound imaging, repeated neurological scoring and continuous ECG monitoring...
2013: Cerebrovascular Diseases
Babak B Navi, Hooman Kamel, Maulik P Shah, Aaron W Grossman, Christine Wong, Sharon N Poisson, William D Whetstone, S Andrew Josephson, S Claiborne Johnston, Anthony S Kim
BACKGROUND AND PURPOSE: Dizziness can herald a cerebrovascular event. The ABCD(2) score predicts the risk of stroke after transient ischemic attack partly by distinguishing transient ischemic attack from mimics. We evaluated whether this score would also identify cerebrovascular events among emergency department patients with dizziness. METHODS: We retrospectively identified consecutive adults presenting to a university emergency department with a primary symptom of dizziness, vertigo, or imbalance...
June 2012: Stroke; a Journal of Cerebral Circulation
Archit Bhatt, Vishal Jani
The California, ABCD, and ABCD2 risk scores (ABCD system) were developed to help stratify short-term stroke risk in patients with TIA (transient ischemic attack). Beyond this scope, the ABCD system has been extensively used to study other prognostic information such as DWI (diffusion-weighted imaging) abnormalities, large artery stenosis, atrial fibrillation and its diagnostic accuracy in TIA patients, which are independent predictors of subsequent stroke in TIA patients. Our comprehensive paper suggested that all scores have and equivalent prognostic value in predicting short-term risk of stroke; however, the ABCD2 score is being predominantly used at most centers...
2011: ISRN Neurology
J N Chabwine, A R Rossetti, L Hirt, T Kuntzer, M Schluep, P Michel, J F Démonet, R A du Pasquier, F G Vingerhoets
In 2011, new oral anticoagulants for atrial fibrillation are available and the ABCD3-I score predicting stroke after TIA updates the ABCD2 score. New McDonald criteria allow faster MS diagnosis and the first oral treatment (fingolimod) for MS can be prescribed. A new anti-antiepileptic drug (retigabine) is available and sodium valproate has long term neurological adverse effects after in utero exposure. Among Parkinson disease treatments, deep brain stimulation is extending applications and dopamine agonists with extended release are as efficient and well tolerated as standard forms at long term scale...
January 11, 2012: Revue Médicale Suisse
Qi Bi, Li-Feng Wang, Zhe Song
OBJECTIVE: To assess the incidence, types and risk factors of atherothrombotic events (AT) within 7 days after transient ischemic attack (TIA) with ABCD2 Score in Chinese patients. METHODS: With ABCD2 Score, we retrospectively reviewed the medical records of 198 TIA patients, which met the inclusion criteria of our study. They were divided into a low risk group (ABCD2 < or = 3) and a moderate-high risk group (ABCD2 > or = 4) and the incidence, types and risk factors of AT within 7 days after TIA were evaluated and compared respectively with chi(2) test between the two groups...
March 2009: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
Andrew W Asimos, Anna M Johnson, Wayne D Rosamond, Marlow F Price, Kathryn M Rose, Diane Catellier, Carol V Murphy, Sam Singh, Charles H Tegeler, Ana Felix
STUDY OBJECTIVE: We evaluate, in admitted patients with transient ischemic attack, the accuracy of the ABCD(2) (age [A], blood pressure [B], clinical features [weakness/speech disturbance] [C], transient ischemic attack duration [D], and diabetes history [D]) score in predicting ischemic stroke within 7 days. METHODS: At 16 North Carolina hospitals, we enrolled a prospective, nonconsecutive sample of admitted patients with transient ischemic attack and with no stroke history, presenting within 24 hours of transient ischemic attack symptom onset...
February 2010: Annals of Emergency Medicine
Terence J Quinn, Alan C Cameron, Jesse Dawson, Kennedy R Lees, Matthew R Walters
BACKGROUND AND PURPOSE: Among patients with transient ischemic attack, the ABCD2 score predicts short-term stroke risk. Use of the ABCD2 score assumes the underlying diagnosis to be transient ischemic attack; however, most transient ischemic attack services assess a variety of diagnoses. We hypothesized that patients with low ABCD2 score predominantly have noncerebrovascular diagnoses. METHODS: Our transient ischemic attack clinics assess all suspected cerebrovascular events referred...
March 2009: Stroke; a Journal of Cerebral Circulation
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