The value of ABCD3-Ⅰ score in prediction of cerebral infarction after transient ischaemic attack
10.3760/cma.j.issn.0578-1426.2012.06.011
- VernacularTitle:应用ABCD3-Ⅰ评分法预测短暂性脑缺血发作患者早期卒中风险
- Author:
Xiaokai SONG
;
Wenjing WANG
;
Huaiyu LI
;
Mingshan REN
;
Lei WU
;
Junfang MA
- Publication Type:Journal Article
- Keywords:
Transient ischaemic attack;
Cerebral infarction;
ABCD3-I criteria
- From:
Chinese Journal of Internal Medicine
2012;51(6):445-448
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the ability of ABCD3-Ⅰ score in evaluating the early risk of cerebral infarction after transient ischemic attack ( TIA ).Methods A total of 107 TIA patients were evaluated according to ABCD2,ABCD3 and ABCD3-Ⅰ criteria.The occurrences of cerebral infarction within 2 days and 7 days were observed.Results The AUCRoc of ABCD2,ABCD3 and ABCD3-Ⅰ were 0.61,0.66 and 0.71 in predicting the risk of cerebral infarction within 2 days,and were 0.62,0.68 and 0.74 in predicting within 7 days,respectively.Among 107 patients with TIA,13 evolved into cerebral infarction within 2 days,accounting for 12.1%,and 24 within 7 days,accounting for 22.4%.According to ABCD3-Ⅰ criteria,17 patients were of low risk scored 0-3 ; 54 patients were of medium risk scored 4-7 ; and 36 patients were of high risk scored 8-13.The different incidence of cerebral infarction after TIA was related to ABCD3-Ⅰ score:the higher the score was,the higher incidence was.Except for age factor,every score item of ABCD3-Ⅰ display obvious influence to the occurrence of cerebral infarction within 2 days and 7 days after TIA (P < 0.05 ).Conclusion ABCD3-Ⅰ criteria could more effectively predict the occurrence of early risk of cerebral infarction after TIA,which could be used in regular clinical practice for assistance in TIA risk stratification and treatment.