Prediction of infarct topography using the Oxfordshire Community Stroke Project classification of stroke subtypes

Al-Buhairi, Amira R.; Phillips, Stephen J.; Llewellyn, Grant; Jan, Mohammed M.

doi:10.1016/s1052-3057(98)80052-9

Cited by 31 publications

(26 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, Tei et al 7 reported that the frequency of clinical deterioration differed significantly among the TACI, PACI, LACI, and POCI subgroups in a hospitalized cohort from Tokyo. The clinical subgroups also accurately predict infarction topography on CT. 5,8,9 This study extends the usefulness of this clinical subtype classification. Besides being predictive of cause, functional outcome, clinical deterioration, mortality, risk of recurrent stroke, and site of infarction, we have demonstrated that both TACI and PACI are associated with a high incidence of vascular occlusion.…”

Section: Discussionsupporting

confidence: 60%

Clinical Predictors of Cerebrovascular Occlusion for Patients Presenting With Acute Stroke

Slivka

Notestine

et al. 2006

Journal of Stroke and Cerebrovascular Diseases

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 60%

Clinical Predictors of Cerebrovascular Occlusion for Patients Presenting With Acute Stroke

Slivka

Notestine

et al. 2006

Journal of Stroke and Cerebrovascular Diseases

View full text Add to dashboard Cite

“…Conversely, the OCSP clinical classification is a simple and reliable method of categorizing acute ischemic stroke patients at the bedside. Several studies indicated that the OCSP classification correlated well with the infarct size and topography on CT whether the strokes were first-ever or recurrent [13,14,32,33]. A study also demonstrated that patients presenting with TACI always had non-lacunar infarction on DWI [34].…”

Section: Discussionmentioning

confidence: 97%

Oxfordshire Community Stroke Project classification but not NIHSS predicts symptomatic intracerebral hemorrhage following thrombolysis

Sung

Hsu

et al. 2013

Journal of the Neurological Sciences

View full text Add to dashboard Cite

“…The OCSP classification system defines 4 distinct syndromes of CI with identifiable patterns of acute mortality, risk of recurrence, and dependency. 11 The classification has been shown to predict the site of infarction with reasonable precision 18,19 and to provide some indication of the likely mechanisms of stroke. 20 -22 The classification has acceptable interrater reliability.…”

Section: Methodsmentioning

confidence: 99%

Handicap After Stroke: How Does It Relate to Disability, Perception of Recovery, and Stroke Subtype?

Sturm

Dewey

Donnan

et al. 2002

Stroke

151

109

View full text Add to dashboard Cite

Background and Purpose-Knowledge of patterns of handicap after stroke and of the relationship among handicap, disability, perception of recovery, and stroke subtype is limited. The aim of this study was to assess handicap 3 and 12 months after first-ever stroke in a community-based study. Methods-All strokes occurring in a population of 133 816 people were found and assessed. Patients were classified as having cerebral infarction (CI) or intracerebral hemorrhage (ICH) according to imaging or autopsy findings. Cases of CI were categorized using the Oxfordshire stroke classification. Handicap, disability, and perception of recovery were assessed 3 and 12 months after stroke using the London Handicap Scale, Barthel Index, and the question "Have you made a complete recovery from your stroke?" The association between disability and handicap was examined using Pearson's correlation. Differences in handicap among subtypes of CI were evaluated using one-way ANOVA. Results-There were 264 cases of CI or ICH. Of surviving patients, 113 (59%) were assessed at 3 months and 107 (64%) at 12 months. The domains of handicap most affected were physical independence and occupation. Only half the variance in handicap was due to disability. Of patients without disability, those who claimed complete recovery were less handicapped than those who claimed incomplete recovery. Patients with total anterior circulation infarction were more handicapped at 3 and 12 months than those with other subtypes of CI. Conclusions-Stroke patients were handicapped across many domains. Handicap is only partly explained by disability.Stroke subtype should be considered in the interpretation of outcome data. Key Words: cerebral infarction Ⅲ cerebrovascular disorders Ⅲ incidence Ⅲ outcome S troke is a common disease with high mortality and high levels of disability and handicap among survivors. 1,2 Handicap is the disadvantage for an individual resulting from an impairment or disability that limits or prevents the fulfillment of a role (depending on age, sex, and social and cultural factors) that is normal for that individual. Disability is the lack of ability to perform an activity or task in the range considered normal for a human being. 3 While poststroke disability has been the subject of much discussion in the literature, handicap has received little attention. Handicap is likely to be more important to the patient than disability 3,4 and is an important target of rehabilitation. 5 Some domains of handicap are potentially modifiable, 6 but knowledge of which aspects of handicap are most affected in stroke survivors is limited. A better understanding of patterns of handicap after stroke and the relationship of disability, handicap, and patients' overall perception of recovery may help in the planning of rational and cost-effective interventions in the setting of limited resources.Stroke has usually been regarded as a global entity when the outcome of survivors has been assessed. 7-10 However, mortality patterns differ with stroke subtype, and there is ...

show abstract

Prediction of infarct topography using the Oxfordshire Community Stroke Project classification of stroke subtypes

Cited by 31 publications

References 16 publications

Clinical Predictors of Cerebrovascular Occlusion for Patients Presenting With Acute Stroke

Clinical Predictors of Cerebrovascular Occlusion for Patients Presenting With Acute Stroke

Oxfordshire Community Stroke Project classification but not NIHSS predicts symptomatic intracerebral hemorrhage following thrombolysis

Handicap After Stroke: How Does It Relate to Disability, Perception of Recovery, and Stroke Subtype?

Contact Info

Product

Resources

About