Can ABCD2 score predict the need for in-hospital intervention in patients with transient ischemic attacks?

• DOI: 10.1007/s12245-010-0176-x
• Publication Date: 2010-05-17T12:40:36Z
• Authors: Min Lou; Adnan Safdar; Jonathan A. Edlow; Louis Caplan; Sandeep Kumar; Gottfried Schlaug; D. Eric Searls; Richard P. Goddeau; Magdy Selim
• Keywords: Angiology; Triage; Hyperlipidemia

The ABCD(2) score is increasingly being used to triage patients with transient ischemic attack (TIA). Whether the can predict need for in-hospital intervention (IHI), other than initiation of antiplatelets and statins, unknown.The ability IHI would strengthen rationale use it as a decision-making tool. We thus conducted this study investigate relationship between IHI.We analyzed prospectively collected data from consecutive TIA over 12 months. determined upon admission results evaluation, treatments initiated during hospitalization, follow-up status. defined arterial revascularization or anticoagulation required admission. chi-square trend examine association studied 121 patients. Fourteen (12%) had small infarcts on diffusion magnetic resonance imaging; 38 (31%) new risk factor recognized [hyperlipidemia (n = 9), hypertension (1), diabetes carotid stenosis >/= 50% (16), occlusive lesions (7), potential cardioembolic source (4)]. Their percentages increased higher scores. However, among (10%) IHI, categories were equally distributed (10% in 0-3, 9% 4-5, 10% 6-7; p 0.8). One patient (0.8%) worsened hospitalization; none stroke follow-up.Patients an </= 3 equal chance requiring those 4-7. decision admit based alone not supported by our experience requires further study.