Effect of the Prognosis with Stratified, Urgent Care for Transient Ischemic Attack at Stroke Prevention Clinic
Objective To explore the effect of stratification with ABCD2 and urgent management to transient ischemic attack(TIA) patients in cerebral infarction(CI) occurrence at stroke prevention clinics(SPC) within 30 days. Methods These patients were divided into 3 strata based on their ACBD2 score, All patients received the same standard of care in the SPC regardless of their risk score. Primary outcome was CI by 90 days of index TIA. Results 653 patients met the inclusion criteria; 639 patients completed 90-day follow-up and comprised the final cohort. After stratification, 32.7%, 47.7%, and 19.6% of patients were categorized as low-, moderate-, or high-risk, respectively. The overall 90-day risk of stroke in all patients was 2.5%, compared with the ABCD2-predicted risk of 9.2%. Conclusion An ABCD2-based SPC triaging tool for TIA with outpatient management would be associated with lower 90-day stroke rate than that predicted by ABCD2.
NETL
NSTL
万方数据
维普
