Predictive value of brain and vascular imaging including intracranial vessels in transient ischaemic attack patients: external validation of the <scp>ABCD</scp>3‐I score

Purroy, Francisco; Jiménez-Caballero, P E; Mauri-Capdevila, Gerard; Torres, María José; Gorospe, A A; Moreno, Juan Mozas; Ossa, Natàlia Pérez de la; Cánovas, David; Arenillas, Juan F.; Álvarez-Sabín, José; Martínez-Sánchez, Patricia; Fuentes, Blanca; Delgado‐Mederos, Raquel; Martí‐Fàbregas, Joan; Rodríguez-Campello, Ana; Masjuán, Jaime

doi:10.1111/ene.12141

Cited by 31 publications

(25 citation statements)

References 29 publications

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“…Furthermore, several studies attempting to validate the score's use in emergency care settings have shown inconsistent or discouraging results. [40][41][42] Therefore, although the ABCD2 score may supplement the evaluation of suspected TIA, the utility of this tool in decision making has not been systematically studied and it is not sufficient for triaging patients. Other scores have been more recently developed that may have a better predictive value than the ABCD2 score 43,44 because they include imaging parameters (MRI and vessel imaging) and dual symptoms (ie, similar symptoms in the past week).…”

Section: Triage and Dispositionmentioning

confidence: 99%

Transient Ischemic Attacks Presenting with Dizziness or Vertigo

Blum

Kasner

2015

Neurologic Clinics

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Section: Triage and Dispositionmentioning

confidence: 99%

Transient Ischemic Attacks Presenting with Dizziness or Vertigo

Blum

Kasner

2015

Neurologic Clinics

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“…Several scores have been derived using retrospective cohorts to predict the early risk of stroke after TIA; the most widely used is the ABCD 2 score. 3,5 Subsequently developed scores have incorporated vascular and parenchymal imaging. 6–9 Moreover, recent studies have challenged the value of the ABCD 2 score for predicting stroke recurrence risk.…”

mentioning

confidence: 99%

Imaging Parameters and Recurrent Cerebrovascular Events in Patients With Minor Stroke or Transient Ischemic Attack

et al. 2016

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“…Several scores have been derived using retrospective data to predict the early risk of stroke after a TIA (table); the most widely used is the ABCD2 score, with more contemporary scores also including parenchymal and vascular imaging. 12 Incorporating vascular imaging into prediction of stroke after TIA provides the most important information that can be used to alter initial clinical management. The data on risk of recurrent stroke after a minor stroke are more sparse, though it is notable that the Stenting vs Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial excluded patients with major disabling strokes.…”

Section: Outcome In Minor Strokementioning

confidence: 99%

Minor ischemic stroke

2016

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Background: Two-thirds of patients with stroke have mild deficits. The optimal triaging of these patients remains unclear. It is crucial to stratify patients based on who needs inpatient vs outpatient evaluation in a cost-effective manner. Methods: We reviewed the current literature (randomized trials, retrospective studies, case series, and case reports) on minor ischemic stroke and extrapolated evidence-based opinions and future directions on the management of minor ischemic stroke. Results:We provide evidence-based opinions and future directions on the approach to triaging patients with mild deficits based on the early risk of stroke recurrence, feasibility of outpatient diagnostic evaluation, and disabling deficits needing inpatient evaluation by physical and occupational therapy.Conclusions: Outpatient evaluation of patients with nondisabling minor stroke is potentially cost-effective after excluding large artery atherosclerosis and ensuring a rapid access outpatient evaluation. Larger studies on the cost-effectiveness and safety of this approach are necessary. Neurol Clin Pract 2016;6:157-163 I n population-and hospital-based studies, approximately two-thirds of ischemic stroke patients are found to have mild deficits.1 With the exception of being younger, patients with minor stroke have similar demographic characteristics as patients with moderate to severe stroke.1 On the other hand, the prevalence of TIA increases with age, ranging from 0.4% in adults between the ages of 45 and 64 years to 4.1% in those between 75 and 79 years. While the age, blood pressure, clinical, diabetes, duration (ABCD2) score is used to prognosticate risk of subsequent stroke and thereby triage patients with TIAs, the use of this score and others to triage patients with minor ischemic stroke is not validated. This review aims to provide an overview on the definition and outcome of patients with minor ischemic stroke with a focus on triaging and disposition.

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Predictive value of brain and vascular imaging including intracranial vessels in transient ischaemic attack patients: external validation of the ABCD3‐I score

Abstract: The inclusion of vascular and neuroimaging information to clinical scales (ABCD3-I score) provides important prognostic information and also helps management decisions, although it cannot give a complete distinction between high-risk and low-risk groups.

Cited by 31 publications

References 29 publications

Transient Ischemic Attacks Presenting with Dizziness or Vertigo

Transient Ischemic Attacks Presenting with Dizziness or Vertigo

Imaging Parameters and Recurrent Cerebrovascular Events in Patients With Minor Stroke or Transient Ischemic Attack

Minor ischemic stroke

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