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April 1, 2001Journal of Neuroimaging

Who Should Be Screened for Asymptomatic Carotid Artery Stenosis? Experience From the Western New York Stroke Screening Program

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Why the study?

Can a simple scoring system based on routinely available clinical information identify persons at high risk for asymptomatic carotid artery stenosis in a community screening setting?

Population

1331 unselected volunteers without previous stroke, transient ischemic attack, or carotid artery surgery…

Design

Cross-sectional

Authors

AQAdnan I. QureshiVJVallabh JanardhanSBSusan E. Bennett

Discussion

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Overview

May support targeted ACAS screening via routine factors; leaves open prospective validation for outcomes or efficiency.

Structured PICO

Can a simple scoring system based on routinely available clinical information identify persons at high risk for asymptomatic carotid artery stenosis in a community screening setting?

P
Population
1331 unselected volunteers without previous stroke, transient ischemic attack, or carotid artery surgery, evaluated during a community health screening program at various sites in western New York.
I
Intervention
Risk scoring system based on routinely available information (age > 65 years, current smoking, coronary artery disease, and hypercholesterolemia)
O
Outcome
Carotid artery stenosis > 60% by duplex ultrasoundsurrogate

A simple clinical scoring system can effectively stratify community volunteers to identify those at high risk for asymptomatic carotid artery stenosis, potentially optimizing the cost-effectiveness of Doppler ultrasound screening.

Cite This Study

Qureshi et al. (2001) studied this question.

synapsesocial.com/papers/6a770956c5ab23c76cec59fahttps://doi.org/10.1111/j.1552-6569.2001.tb00019.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Medical Compared with Surgical Treatment of Asymptomatic Carotid Artery Stenosis1995 · 42 citations
  2. 2An Approach for the Use of Doppler Ultrasound as a Screening Tool for Hemodynamically Significant Stenosis (Despite Heterogeneity of Doppler Performance)1996 · 93 citations
  3. 3Carotid Stenosis in Patients With Atrial Fibrillation1994 · 93 citations
  4. 4When and How to Study the Carotid Arteries1988 · 72 citations
  5. 5Prevalence of extracranial carotid artery disease detectable by echo-Doppler in an elderly population.1992 · 101 citations