Predictive value of ABCD2 score for stroke risk following anterior or posterior circulation transient ische-mic attack
10.16571/j.cnki.1008-8199.2015.11.006
- VernacularTitle:ABCD2评分对前后循环短暂性脑缺血发作患者卒中风险的预测价值
- Author:
Qiliang DAI
;
Wen SUN
;
Min LI
- Publication Type:Journal Article
- Keywords:
Transient ischemic attack;
Stroke risk;
Prediction;
ABCD2
- From:
Journal of Medical Postgraduates
2015;(11):1143-1147
- CountryChina
- Language:Chinese
-
Abstract:
Objective Many studies have proved that the ABCD 2 score can be used to predict early stroke risk after transient ischemic attack ( TIA) , but few reports are seen on its predictive value for early stroke risk after TIA in different types of circulation . This article aimed to evaluate the ABCD 2 score in predicting early stroke risk following anterior or posterior circulation TIA . Methods Patients with definitely diagnosed TIA consecutively included in Nanjing Stroke Registration System from September 2011 to December 2012 were classified into anterior and posterior circulation TIAs .Various risk factors were collected and a 90-day follow-up was conduc-ted.The ABCD2 score was obtained from each patient and its predictive value assessed using the receiver operating characteristic curve. Results A total of 204 patients were analyzed in the study , including 59 (28.9%) females, 143 with anterior and 61 with posterior circulation TIA, aged 63.7 ±11.2 years.There were no statistically significant differences in the incidence rate of stroke within 90 days between the anterior and posterior circulation TIAs (11.2% vs 9.8%, P=0.776).The mean ABCD2 score was re-markably higher in the anterior than in the posterior circulation TIA (3.7 ±1.5 vs 2.5 ±1.3, P<0.001).The area under the curve (AUC) in predicting stroke risk was 0.711 for the former (95%CI:0.575-0.847, P=0.006) and 0.555 for the latter (0.298-0.820, P=0.637). Conclusion The ABCD2 score can predict early stroke risk in anterior but not in posterior circulation TIA .
