Key result
The ACTEL score identified first diagnosed atrial fibrillation in patients with ischemic stroke with an area under the curve of 0.80 (95% CI 0.73-0.87).
Why the study?
To assess the probability of undetected AF using cryptogenic stroke patients as the control group, refining a previous scoring system.
Does the ACTEL score predict undetected atrial fibrillation in patients with cryptogenic stroke?
Population
191 ischemic stroke patients (72.5 ± 12.6 years)
Comparison
68 patients with first diagnosed AF vs 123 with cryptogenic stroke
Design
Retrospective study
Authors
Loading...
ACTEL score may aid AF detection after ischemic stroke; leaves open prospective validation in cryptogenic stroke before clinical adoption.
Case-Control (n=191)
Does the ACTEL score predict undetected atrial fibrillation in patients with cryptogenic stroke?
Effect estimate: AUC 0.80 (95% CI 0.73-0.87)
The ACTEL score is a simple 5-item clinical and echocardiographic tool that can help identify patients with cryptogenic stroke who have a high probability of underlying atrial fibrillation.
Muscari et al. (2020) conducted a case-control in Ischemic stroke (n=191). ACTEL score was evaluated on Identification of atrial fibrillation (AUC 0.80, 95% CI 0.73-0.87). The ACTEL score identified first diagnosed atrial fibrillation in patients with ischemic stroke with an area under the curve of 0.80 (95% CI 0.73-0.87).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: