Validation of the abcd2 score to identify the patients with high risk of late stroke after a transient ischemic attack or minor ischemic stroke

J. Yang, J.-H. Fu, Xiangyan Chen, Y.-K. Chen, T.W. Leung, V. Mok, Y. Soo, K.-S. Wong

Research output: Journal article publicationJournal articleAcademic researchpeer-review

23 Citations (Scopus)

Abstract

Background and Purpose: The ABCD2 score is able to predict the short-term risk of stroke after a transient ischemic attack/minor stroke. We aimed to explore its predictive value for long-term recurrent stroke. Methods: Consecutive patients with a transient ischemic attack/minor stroke, hospitalized during a 2-year period, were followed up to document any further stroke and death stratified by a 7-point ABCD2 score. RESULT: A total of 490 patients were followed for an average of 40.5 months (SD, 10.7 months). Further stroke were identified in 76 (15.5%) patients and 62 (12.7%) patients died during follow-up. Multivariate Cox regression analysis showed that an ABCD 2 score >4 was found to be an independent risk factor for further stroke (hazard ratio, 2.27; 95% CI, 1.36 to 3.80) and for death (hazard ratio, 1.68; 95% CI, 0.99 to 2.85). Conclusions: In addition to predicting short-term stroke risk, ABCD2 score is a useful tool to predict long-term stroke risk after a transient ischemic attack or minor ischemic stroke. © 2010 American Heart Association, Inc.
Original languageEnglish
Pages (from-to)1298-1300
Number of pages3
JournalStroke
Volume41
Issue number6
DOIs
Publication statusPublished - 1 Jun 2010
Externally publishedYes

Keywords

  • ABCD2 score
  • Minor stroke
  • Prognosis
  • Recurrent stroke
  • Transient ischemic attack

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialised Nursing

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