Emergency Med Medical News about ABCD2 score, carotid stenosis, stroke

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Use of Antiemetic Agents in Acute Gastroenteritis

3. 2008 Exclusive Survey—Earnings: Good news for primary care income

4. Medicare pay-for-reporting effort draws fire from frustrated doctors

5. Debunking Myths in the US Healthcare System

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Can the ABCD2 risk score predict positive diagnostic testing for emergency department patients admitted for transient ischemic attack?
Stroke, 07/28/09

Schrock JW et al. – An elevated ABCD2 score may help predict pts with severe carotid occlusive disease but does not predict positive outcome in other commonly ordered tests for pts evaluated for transient ischemic attack. An elevated ABCD2 score cannot be recommended as a tool to guide diagnostic testing in pts presenting acutely with transient ischemic attack.

Methods

Study to determine if the ABCD2 score, typically used for risk stratification, could predict positive diagnostic test in pts evaluated acutely for transient ischemic attack
Retrospective cohort study for pts admitted from emergency department with a new diagnosis of transient ischemic attack confirmed by a neurologist
Calculation of ABCD2 scores
High-risk cohort: pts with score of ≥4
Tests evaluated: electrocardiogram, CT, MRI, MR angiography, carotid ultrasonography, echocardiography
A priori determination of specific test findings considered to signify positive diagnostic tests

Results

Inclusion of 256 pts with transient ischemic attack: 167 (61%) female; median age 60 yrs; 162 (63%) pts had ABCD2 score ≥4
Rates of completion of diagnostic testing: electrocardiogram, 270 (100%); CT, 224 (88%); MRI, 89 (35%); MR angiography, 68 (27%); carotid ultrasonography, 125 (49%); echocardiography, 135 (53%)
On univariate analysis, significant association only with elevated ABCD2 score and carotid duplex testing

<< Previous
The Levonorgestrel Intrauterine System is an Effective Treatment...

Next >>
Clinical features of autoimmune hepatitis diagnosed based on...

Doppler Embolic Signals in Cerebrovascular Disease and Prediction of Stroke Risk. A Systematic Review and Meta-Analysis
Stroke, 10/27/09 Relevance Score: 82%

Multiple Biological Predictors for Vulnerable Carotid Lesions
Cerebrovascular Diseases, 11/02/09 Relevance Score: 81%

Carotid endarterectomy for carotid stenosis in patients selected for coronary artery bypass graft surgery
Cochrane Reviews, 10/26/09 Relevance Score: 81%

Retinal Vascular Caliber and Extracranial Carotid Disease in Patients With Acute Ischemic Stroke. The Multi-Centre Retinal Stroke (MCRS) Study
Stroke, 10/13/09 Relevance Score: 81%

Effect of carotid stenosis on the prognostic value of admission blood pressure in patients with acute ischemic stroke
Atherosclerosis, 10/12/09 Relevance Score: 81%