Higher ABCD 2 Score Predicts Patients Most Likely to Have True Transient Ischemic Attack | Zendy

S. Andrew Josephson | Zendy; Stephen Sidney | Zendy; Trinh N. Pham | Zendy; Allan Bernstein | Zendy; S. Claiborne Johnston | Zendy

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Higher ABCD ² Score Predicts Patients Most Likely to Have True Transient Ischemic Attack

Author(s) -

S. Andrew Josephson,

Stephen Sidney,

Trinh N. Pham,

Allan Bernstein,

S. Claiborne Johnston

Publication year - 2008

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.108.514562

Subject(s) - medicine , emergency department , medical diagnosis , medical record , stroke (engine) , diagnosis code , emergency medicine , cohort , retrospective cohort study , pediatrics , psychiatry , population , mechanical engineering , environmental health , pathology , engineering

Some patients diagnosed with transient ischemic attack (TIA) in the emergency department may actually have alternative diagnoses such as seizure, migraine, or other nonvascular spells. The ABCD2 score has been shown to predict subsequent risk of stroke in patients with TIA diagnosed by emergency physicians, but perhaps high ABCD2 scores simply separate those patients with true TIA from those with alternative diagnoses. We investigated this hypothesis in a cohort of patients with TIA identified in the emergency department whose records were reviewed by an expert neurologist.

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