کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2912956 1575478 2012 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Triaging TIA/Minor Stroke Patients using the ABCD2 Score Does Not Predict those with Significant Carotid Disease
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Triaging TIA/Minor Stroke Patients using the ABCD2 Score Does Not Predict those with Significant Carotid Disease
چکیده انگلیسی

Background‘Rapid Access’ TIA Clinics use the ABCD2 score to triage patients as it is not possible to see everyone with a suspected TIA <24 h. Those scoring 0–3 are seen within seven days, while patients scoring 4–7 are seen as soon as possible (preferably <24 h). It was hypothesized that patients scoring 4–7 would have a higher yield of significant carotid disease.MethodsProspective study of correlation between Family Doctor (FD) or Emergency Department (ED) ABCD2 score and specialist consultant Stroke Physician measured ABCD2 score and prevalence of ≥50% ipsilateral carotid stenosis or occlusion in patients presenting with ‘any territory’ TIA/minor stroke or ‘carotid territory’ TIA/minor stroke.ResultsBetween 1.10.2008 and 31.04.2011, 2452 patients were referred to the Leicester Rapid Access TIA Service. After Stroke Physician review, 1273 (52%) were thought to have suffered a minor stroke/TIA. Of these, both FD/ED referrer and Specialist Stroke Consultant ABCD2 scores and carotid Duplex ultrasound studies were available for 843 (66%). The yield for identifying a ≥50% stenosis or carotid occlusion was 109/843 (12.9%) in patients with ‘any territory’ TIA/minor stroke and 101/740 (13.6%) in those with a clinical diagnosis of ‘carotid territory’ TIA/minor stroke. There was no association between ABCD2 score and the likelihood of encountering significant carotid disease and analyses of the area under the receiver operating characteristic curve (AUC) for FD/ED referrer and stroke specialist ABCD2 scores showed no prediction of carotid stenosis (FD/ED: AUC 0.50 (95%CI 0.44–0.55, p = 0.9), Specialist: AUC 0.51 (95%CI 0.45–0.57, p = 0.78).ConclusionsThe ABCD2 score was unable to identify TIA/minor stroke patients with a higher prevalence of clinically important ipsilateral carotid disease.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 43, Issue 5, May 2012, Pages 495–498
نویسندگان
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