Prognostic value of the ABCD2 score beyond short-term follow-up after transient ischemic attack (TIA) - a cohort study

@article{Holzer2010PrognosticVO,
  title={Prognostic value of the ABCD2 score beyond short-term follow-up after transient ischemic attack (TIA) - a cohort study},
  author={Katrin Holzer and Regina Feurer and Suwad Sadikovic and Lorena Esposito and Angelina Bockelbrink and Dirk Sander and Bernhard Hemmer and Holger Poppert},
  journal={BMC Neurology},
  year={2010},
  volume={10},
  pages={50 - 50}
}
BackgroundTransient ischemic attack (TIA) patients are at a high vascular risk. Recently the ABCD2 score was validated for evaluating short-term stroke risk after TIA. We assessed the value of this score to predict the vascular outcome after TIA during medium- to long-term follow-up.MethodsThe ABCD2 score of 176 TIA patients consecutively admitted to the Stroke Unit was retrospectively calculated and stratified into three categories. TIA was defined as an acute transient focal neurological… 
Prognostic value of the ABCD 2 score on long-term follow-up of transient ischemic attack using the new tissue-based definition
TLDR
Moderate-high ABCD 2 score is associated with an increased general vascular risk in the long-term follow-up after TIA, and may also be used to predict long- term vascular outcome after tissue-based definition of TIA.
Value of ABCD2 in predicting early ischemic stroke in patients diagnosed with transient ischemic attack.
TLDR
Though ABCD2 as an easily applicable tool is very helpful in management of TIA patients at emergency department, but it should not be the only measure to rely on in the authors' decision making, the results show that although patients withABCD2 score greater than 4 were more likely to develop recurrent TIA/CVA in short term, those with lesser score still harbour a considerable risk for TIA.
Long-term cardiovascular prognosis after transient ischemic attack
TLDR
Etiology subgroup was the main factor determining high long-term risk of vascular events in patients with TIA, and large artery atherosclerosis carried the highest vascular risk, both nonstroke and stroke, followed by cardioaortic embolism.
Long-term risk of stroke after transient ischaemic attack: a hospital-based validation of the ABCD2 rule
TLDR
The validation of the ABCD2 rule in a Bulgarian hospital demonstrates that the rule has good predictive and discriminative performance at three years and may serve as a useful tool to assist clinicians in the long-term management of individuals with TIA.
Predictive value of ABCD2 and ABCD3-I scores in TIA and minor stroke in the stroke unit setting
TLDR
Standard ABCD2 and ABCD3-I scores are useful instruments to estimate the probability of early and 3-month stroke in TIA and minor stroke patients treated at specialized stroke units, with C, D, and I being the most important score components in this setting.
Long-Term Stroke Recurrence after Transient Ischemic Attack: Implications of Etiology
TLDR
SR occurred mainly with the same etiology and location as initial TIA, although undetermined TIA was associated with a high proportion of cardioaortic embolism SR, and more than half of the recurrences caused some disability, regardless of etiology.
Clinical Risk Score for Predicting Recurrence Following a Cerebral Ischemic Event
TLDR
The clinical risk scores that currently exist for predicting short-term and long-term risk of recurrent cerebral ischemia are limited in their performance and clinical utilities and there is a need for a better predictive tool which can overcome the limitations of current predictive models.
Clinical Scores for Predicting Recurrence After Transient Ischemic Attack or Stroke: How Good are They?
TLDR
A systematic review of published risk scores that predict recurrence risk after stroke or TIA and found that simple and reliable risk estimation of recurrence might be beneficial to high-risk patients to be admitted and investigated early.
ABCD2 score and secondary stroke prevention
TLDR
The ABCD2 score does not reliably discriminate those at low and high risk of early recurrent stroke, identify patients with carotid stenosis or atrial fibrillation needing urgent intervention, or streamline clinic workload.
Prevalence and Outcomes of Cerebrovascular and Cardiovascular Events Among Transient Ischemic Attack Patients—a Cross-Sectional Study of National Estimate
TLDR
A higher prevalence and risk of vascular events in patients with late TIA among US hospitalizations is found and a thorough clinical investigation and long-term follow-up of TIA patients may mitigate the risk of future vascular events and associated health care burden.
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References

SHOWING 1-10 OF 27 REFERENCES
Validation of the ABCD Score in Identifying Individuals at High Early Risk of Stroke After a Transient Ischemic Attack: A Hospital-Based Case Series Study
TLDR
The findings validate the predictive value of the ABCD score in identifying hospitalized TIA patients with a high risk of early stroke and provide further evidence for its potential applicability in clinical practice.
Rapid Identification of High-Risk Transient Ischemic Attacks: Prospective Validation of the ABCD Score
TLDR
The ABCD score confirmed its prognostic value in this prospective cohort of patients accessing Emergency Departments within 24 hours of a TIA in an area of northern Italy and to acquire preliminary data on CT-based refinement.
An Improved Scoring System for Identifying Patients at High Early Risk of Stroke and Functional Impairment after an Acute Transient Ischemic Attack or Minor Stroke
  • S. Coutts, M. Eliasziw, A. Demchuk
  • Medicine, Psychology
    International journal of stroke : official journal of the International Stroke Society
  • 2008
TLDR
Risk of recurrent stroke and functional impairment after a TIA or minor stroke can be accurately predicted by a scoring system that utilizes both clinical and MRI information.
Post-transient ischemic attack early stroke stratification: the ABCD(2) prognostic aid.
The high risk of stroke immediately after transient ischemic attack
TLDR
Although stroke is common after TIA, the early risk is not predicted by clinical and demographic factors, andidated models to identify which patients require urgent intervention are needed.
Short-term prognosis after emergency department diagnosis of TIA.
TLDR
The results indicate that the short-term risk of stroke and other adverse events among patients who present to an ED with a TIA is substantial and characteristics of the patient and the TIA may be useful for identifying patients who may benefit from expeditious evaluation and treatment.
Prognosis in patients with transient ischaemic attack (TIA) and minor stroke attending TIA services in the North West of England: The NORTHSTAR Study
TLDR
Current provision of TIA services, where delayed presentation to “rapid access” TIA clinics is common, does not appear to provide an appropriate setting for urgent evaluation, risk stratification or timely secondary prevention for those who may be at highest risk of stroke.
Long-Term Outcome after Ischaemic Stroke/Transient Ischaemic Attack
  • G. Hankey
  • Medicine, Psychology
    Cerebrovascular Diseases
  • 2003
TLDR
The clinical implication of these findings is that strategies for optimizing long-term outcome after TIA and stroke should be directed toward reducing the high risk of recurrent stroke and coronary events by removing/recanalizing the symptomatic atherosclerotic plaque, controlling the underlying causal vascular risk factors, and administering long- term, effective antiplatelet therapy.
Early risk of stroke after a transient ischemic attack in patients with internal carotid artery disease
TLDR
Patients who had a hemispheric TIA related to internal carotid artery disease had a high risk of stroke in the first few days after the TIA, and patients with more severe stenosis appeared to be at no greaterrisk of stroke than patients with lesser degrees of stenosis.
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