Age but not ABCD2 score predicts any level of carotid stenosis in either symptomatic or asymptomatic side in transient ischaemic attack

@article{Mannu2015AgeBN,
  title={Age but not ABCD2 score predicts any level of carotid stenosis in either symptomatic or asymptomatic side in transient ischaemic attack},
  author={Gurdeep S. Mannu and M. M. Kyu and Joao H. Bettencourt-Silva and Y. K. Loke and Allan B Clark and Anthony Kneale Metcalf and John F. Potter and Pk Myint},
  journal={International Journal of Clinical Practice},
  year={2015},
  volume={69}
}
The ABCD2 score is routinely used in assessment of transient ischaemic attack (TIA) to assess the risk of developing stroke. There remains uncertainty regarding whether the ABCD2 score could be used to help predict extent of carotid artery stenosis (CAS). 

How useful is the ABCD 2 TIA score in predicting and preventing stroke ? ¿

An ABCD2 score of < 4 has a good negative predictive value for stroke development within the first 7 days, however, the low positive predictive value of the ABCD1 score fails to predict with a high level of confidence the future occurrence of a stroke.

Prevalence and risk factors of symptomatic carotid stenosis in patients with recent transient ischaemic attack or ischaemic stroke in the Netherlands

It was found that higher age, male sex, White ethnicity, retinal ischaemia and current smoking were important risk factors for symptomatic internal carotid artery stenosis.

Analysis of Carotid Ultrasound Screening of High-Risk Groups of Stroke Based on Big Data Technology

Logistic regression analysis shows that age, diabetes, and low-density lipoprotein cholesterol are independent risk factors for CAS in the high-risk population of stroke in this area.

Visualisation of Integrated Patient-Centric Data as Pathways: Enhancing Electronic Medical Records in Clinical Practice

A methodology to integrate patient-centric data from different EMR systems into clinical pathways that represent the history of all patient interactions with the hospital during the course of a disease and beyond is created.

References

SHOWING 1-10 OF 19 REFERENCES

Performance of the ABCD and ABCD2 Scores in TIA Patients with Carotid Stenosis and Atrial Fibrillation

The ABCD and ABCD2 risk scores appear to identify patients with ≧50% carotid stenosis or AF who are at high risk of stroke, and these findings should be interpreted with caution due to the small number of outcomes among these subgroups.

Population-Based Study of ABCD2 Score, Carotid Stenosis, and Atrial Fibrillation for Early Stroke Prediction After Transient Ischemic Attack: The North Dublin TIA Study

The ABCD2 score had predictive utility in patients with TIA suspected by nonspecialists, and low scores occurred in several patients with stroke recurrences, suggesting that caution is needed before using the score in isolation.

Contributions Population-Based Study of ABCD 2 Score , Carotid Stenosis , and Atrial Fibrillation for Early Stroke Prediction After Transient Ischemic Attack The North Dublin TIA Study

The ABCD score had predictive utility in patients with TIA suspected by nonspecialist-suspected TIA cases, and in a population-based TIA cohort, significant predictive information was provided by carotid stenosis.

ABCD2 Score and Large-Artery Atherosclerosis

Compared to patients in the low- risk ABCD2 scores, the patients with medium- to high-risk ABCD1 scores are more likely to have symptomatic and asymptomatic vascular stenotic lesions, however, 1 in 5 patients with low-riskABCD2 score has symptomatic stenosis, indicating ABCD 2 score does not identify all patients with symptomaticstenotic lesions.

Triaging TIA/minor stroke patients using the ABCD2 score does not predict those with significant carotid disease.

Guidelines for the Primary Prevention of Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

Evidence-based recommendations are included for the control of risk factors, interventional approaches to atherosclerotic disease of the cervicocephalic circulation, and antithrombotic treatments for preventing thrombosis and thromboembolic stroke.

Screening for carotid artery stenosis: U.S. Preventive Services Task Force recommendation statement.

The U.S. Preventive Services Task Force examined the evidence on the natural history of CAS, systematic reviews of the accuracy of screening tests, observational studies of the harms of screening and treatment of asymptomatic CAS, and randomized, controlled trials of the benefits of treatment for CAS with carotid endarterectomy.