Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary Attack

Cerebrovascular attack (CVA) and transient ischemic attack (TIA) are major causes of emergency department visits around the globe. A significant number of these patients may experience repeat attacks if left untreated. Several risk stratifying scoring systems have been developed in recent years to...

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Main Authors: Mojtaba Chardoli, Nader H. Firoozabadi, Mohsen Nouri, Vafa Rahimi-Movaghar
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2016-06-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/5130
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spelling doaj-4e23fe48a7fd4035ae567bb007e34dc52020-11-25T02:36:00ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942016-06-015465010Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary AttackMojtaba Chardoli0Nader H. Firoozabadi1Mohsen Nouri2Vafa Rahimi-Movaghar3Department of Emergency Medicine, Haftom-e-Tir Hospital, Iran University of Medical Sciences, Tehran, Iran.Department of Emergency Medicine, Haftom-e-Tir Hospital, Iran University of Medical Sciences, Tehran, Iran.Department of Neurosurgery, Razi Hospital, Zahedan University of Medical Sciences, Zahedan, Iran.Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Cerebrovascular attack (CVA) and transient ischemic attack (TIA) are major causes of emergency department visits around the globe. A significant number of these patients may experience repeat attacks if left untreated. Several risk stratifying scoring systems have been developed in recent years to point out the high risk patients. ABCD2 is based on age, blood pressure, clinical status, diabetes mellitus, and duration of symptoms and is used commonly for this purpose. In this study, we were to enhance its sensitivity and specificity with the addition of another criterion namely atrial fibrillation and making ABCD2-F. A prospective study in two hospitals was performed and 138 patients diagnosed with TIA/CVA were enrolled. Demographic, clinical, and paraclinical data of all patients were registered. All patients were followed for three months for any sign or symptom of a recurrent ischemic attack. Recurrent ischemic attacks happened in 9.4% of the patients. None of the criteria of ABCD2-F was associated with higher chance of ischemic attacks. Similarly, ABCD2-F was not different between patients with or without repeat cerebral ischemia. The addition of atrial fibrillation to ABCD2 did not enhance the accuracy of this scoring system to detect patients high risk for repeat cerebral ischemia. More studies in the future to improve sensitivity and specificity of this test are warranted. https://acta.tums.ac.ir/index.php/acta/article/view/5130ABCD2FABCD2StrokeTransient ischemic attack
collection DOAJ
language English
format Article
sources DOAJ
author Mojtaba Chardoli
Nader H. Firoozabadi
Mohsen Nouri
Vafa Rahimi-Movaghar
spellingShingle Mojtaba Chardoli
Nader H. Firoozabadi
Mohsen Nouri
Vafa Rahimi-Movaghar
Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary Attack
Acta Medica Iranica
ABCD2F
ABCD2
Stroke
Transient ischemic attack
author_facet Mojtaba Chardoli
Nader H. Firoozabadi
Mohsen Nouri
Vafa Rahimi-Movaghar
author_sort Mojtaba Chardoli
title Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary Attack
title_short Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary Attack
title_full Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary Attack
title_fullStr Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary Attack
title_full_unstemmed Value of ABCD2-F in Predicting Cerebral Ischemic Attacks: Three Months Follow-Up after the Primary Attack
title_sort value of abcd2-f in predicting cerebral ischemic attacks: three months follow-up after the primary attack
publisher Tehran University of Medical Sciences
series Acta Medica Iranica
issn 0044-6025
1735-9694
publishDate 2016-06-01
description Cerebrovascular attack (CVA) and transient ischemic attack (TIA) are major causes of emergency department visits around the globe. A significant number of these patients may experience repeat attacks if left untreated. Several risk stratifying scoring systems have been developed in recent years to point out the high risk patients. ABCD2 is based on age, blood pressure, clinical status, diabetes mellitus, and duration of symptoms and is used commonly for this purpose. In this study, we were to enhance its sensitivity and specificity with the addition of another criterion namely atrial fibrillation and making ABCD2-F. A prospective study in two hospitals was performed and 138 patients diagnosed with TIA/CVA were enrolled. Demographic, clinical, and paraclinical data of all patients were registered. All patients were followed for three months for any sign or symptom of a recurrent ischemic attack. Recurrent ischemic attacks happened in 9.4% of the patients. None of the criteria of ABCD2-F was associated with higher chance of ischemic attacks. Similarly, ABCD2-F was not different between patients with or without repeat cerebral ischemia. The addition of atrial fibrillation to ABCD2 did not enhance the accuracy of this scoring system to detect patients high risk for repeat cerebral ischemia. More studies in the future to improve sensitivity and specificity of this test are warranted.
topic ABCD2F
ABCD2
Stroke
Transient ischemic attack
url https://acta.tums.ac.ir/index.php/acta/article/view/5130
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