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Use of ABCD2 risk scoring system to determine the short-term stroke risk in patients presenting to emergency department with transient ischaemic attack.
Author(s):
1. Cigdem Ozpolat: Marmara University Pendik Education and Research Hospital, Istanbul, Turkey
2. Arzu Denizbasi: Marmara University Pendik Education and Research Hospital, Istanbul, Turkey
3. Haldun Akoglu: Ataturk State Hospital, Zonguldak, Turkey
4. Ozge Onur: Marmara University Pendik Education and Research Hospital, Istanbul, Turkey
5. Serkan Emre Eroglu: Marmara University Pendik Education and Research Hospital, Istanbul, Turkey
6. Hasan Demir: Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey
Abstract:
Objective: To determine the 3-day stroke risk of patients presenting to emergency department with transient ischaemic attack, and to evaluate the predictive value of ABCD2 (Age, Blood pressure, Clinical features, Duration of symptoms and Diabetes) score for these patients. Methods: The prospective study was conducted on patients with diagnosis of transient ischaemic attack who were divided into low (0-3 points), medium (4-5 points) and high (6-7 points) risk groups according to their ABCD2 scores. The sensitivity of the scoring system on estimation of the risk of stroke in 3 days was evaluated through receiver operating characteristic curve. SPSS 15 was used for data analysis. Results: Of the 64 patients in the study, none of the low-risk group had stroke. Stroke was present in 4 of 33 (12.12%) medium-risk patients, while there were 4 in 18 (22.22%) in the high-risk group. Sensitivity and specificity of each ABCD2 score for 3rd day stroke risk was calculated. In the receiver operating curve generated by these calculations, the c statistics was etermined as 0.76 (95% CI: 0.64, 0.86; p
Page(s): 1142-1146
DOI: DOI not available
Published: Journal: Journal of Pakistan Medical Association, Volume: 63, Issue: 9, Year: 2013
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