Low positive predictive value of the ABCD2 score in emergency department transient ischaemic attack diagnoses: The South Western Sydney Transient Ischaemic Attack Study

Internal Medicine Journal

Volumn 42, Issue 8, 2012, Pages 913-918

  Ghia, D ^a,b   Thomas, P ^a,b   Cordato, D ^a,b   Epstein, D ^c,d   Beran, R G ^a,b   Cappelen Smith, C ^a,b   Griffith, N ^a,b   Hanna, I ^a,b   Mcdougall, A ^a,b   Hodgkinson, S J ^a,b   Worthington, J M ^a,b  

^a LIVERPOOL HOSPITAL   (Australia)

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

^c BANKSTOWN LIDCOMBE HOSPITAL   (Australia)

^d CHARING CROSS HOSPITAL   (United Kingdom)

Author keywords

Risk assessment; Safety; Stroke; Transient ischaemic attack (TIA)

Indexed keywords

ADULT; AGING; ARTICLE; AUSTRALIA; BLOOD PRESSURE; CLINICAL EFFECTIVENESS; CLINICAL FEATURE; DIABETES MELLITUS; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; EARLY DIAGNOSIS; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; PATIENT SAFETY; PRACTICE GUIDELINE; PREDICTIVE VALUE; PRIORITY JOURNAL; RISK ASSESSMENT; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SPEECH DISORDER; STROKE; TRANSIENT ISCHEMIC ATTACK;

AGED; COHORT STUDIES; DATABASES, FACTUAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; ISCHEMIC ATTACK, TRANSIENT; MALE; MIDDLE AGED; NEW SOUTH WALES; PATIENT ADMISSION; PREDICTIVE VALUE OF TESTS; SEVERITY OF ILLNESS INDEX; STROKE;

EID: 84865382715     PISSN: 14440903     EISSN: 14455994     Source Type: Journal    
DOI: 10.1111/j.1445-5994.2011.02564.x     Document Type: Article

References (18)

1. Johnston SC, Rothwell PM, Nguyen-Huynh MN, Giles MF, Elkins JS, Bernstein AL etal. Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Lancet 2007; 369: 283-92.
2. National Stroke Foundation. Clinical Guidelines for Stroke Management. Melbourne: National Stroke Foundation; 2010 [cited 2011 Aug 6]. Available from URL: http://www.strokefoundation.com.au
3. National Institute for Health and Clinical Excellence. NICE clinical guideline 68. Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). [Cited 2011 Aug 6]. Available from URL: http://www.nice.org.uk/CG068
4. National Stroke Association. National Stroke Association Guidelines for Managing TIA to Prevent Stroke. [Cited 2011 Aug 6]. Available from URL: http://www.stroke.org
5. Kehdi E, Cordato DC, Thomas PR, Beran RG, Cappelen-Smith C, Griffith NC etal. Outcomes of TIA patients following admission to hospital or discharge from ED. Med J Aust 2008; 189: 9-12.
6. Giles MF, Rothwell PM. Risk of early stroke after transient ischaemic attack: a systematic review and meta-analysis. Lancet Neurol 2007; 6: 1063-72.
7. Rothwell PM, Giles MF, Chandratheva A, Marquardt L, Geraghty O, Redgrave JN etal. Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study). Lancet 2007; 370: 1432-42.
8. Lavallée PC, Meseguer E, Abboud H, Cabrejo L, Olivot JM, Simon O etal. A transient ischaemic attack clinic with round the clock access (SOS-TIA): feasibility and effects. Lancet Neurol 2007; 6: 953-60.
9. 2 score for early risk of stroke in patients who have had transient ischaemic attack and who present to an Australian tertiary hospital. Med J Aust 2011; 194: 135-8.
10. Lichtman JH, Jones SB, Watanabe E, Allen NB, Wang Y, Howard VJ etal. Elderly women have lower rates of stroke, cardiovascular events, and mortality after hospitalization for transient ischemic attack. Stroke 2009; 40: 2116-22.
11. Cucchiara BL, Messe SR, Taylor RA, Pacelli J, Maus D, Shah Q etal. Is the ABCD score useful for risk stratification of patients with acute transient ischemic attack? Stroke 2006; 37: 1710-14.
12. Gállego J, Munoz R, Martinez-Villa E. Emergent cerebrovascular disease risk factor weighting: is transient ischemic attack an imminent threat? Cerebrovasc Dis 2009; 27 (Suppl 1): 88-96.
13. Sydney South West Area Health Service, NSW Health. A health profile of Sydney South West: a status report describing the population, their health and the services provided for Sydney South West Area Health Service. Health Service Planning Report No: 01/2005. Sydney: SSWAHS; 2005.
14. Newcombe RG. Two sided confidence intervals for the single proportion: comparison of seven methods. Stat Med 1998; 17: 857-72.
15. 2 score's accuracy for predicting early ischemic stroke in admitted patients with transient ischemic attack. Ann Emerg Med 2010; 55: 201-10.
16. Sheehan OC, Kyne L, Kelly LA, Hannon N, Marnane M, Merwick MB etal. Population-based study of ABCD2 score, carotid stenosis, and atrial fibrillation for early stroke prediction after transient ischemic attack. Stroke 2010; 41: 844-50.
17. 2 score below 4 allow more time to evaluate patients with a transient ischemic attack? Stroke 2009; 40: 3091-5.
18. Ghia D, Thomas P, Cordato D, Worthington JM, Cappelin-Smith C, Griffith N etal. Validation of emergency and final diagnosis coding in transient ischaemic attack (TIA). Neuroepidemiology 2010; 35: 53-8.