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August 8, 2008StrokeOpen Access

Higher ABCD 2 Score Predicts Patients Most Likely to Have True Transient Ischemic Attack

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Why the study?

Does a higher ABCD2 score predict true TIA diagnosis and 90-day stroke risk in patients diagnosed with TIA in the emergency department?

Population

713 patients diagnosed with transient ischemic attack by emergency physicians in 16 hospitals in the…

Design

Cohort

Follow-up

90 days

Authors

SJS. Andrew JosephsonUniversity of California, San FranciscoSSStephen SidneyPreventive CardiologyTPTrinh N. PhamUniversity of California, San Francisco

Discussion

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Implication

ABCD2 may aid ED differentiation of true TIA and 90-day stroke risk; extends prior scores but leaves open prospective validation before practice change.

Structured PICO

Does a higher ABCD2 score predict true TIA diagnosis and 90-day stroke risk in patients diagnosed with TIA in the emergency department?

P
Population
713 patients diagnosed with transient ischemic attack (TIA) by emergency physicians in 16 hospitals in the Kaiser-Permanente Medical Care Plan whose records were reviewed by an expert neurologist
I
Intervention
ABCD2 score calculation
O
Outcome
Confirmation of true TIA by expert neurologist and subsequent stroke within 90 dayshard clinical

Higher ABCD2 scores in emergency department patients diagnosed with TIA predict both the likelihood of a true TIA diagnosis and the subsequent 90-day risk of stroke.

Cite This Study

Josephson et al. (2008) studied this question.

synapsesocial.com/papers/6a7d11fef1daba58ecd5a27dhttps://doi.org/10.1161/strokeaha.108.514562
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