MSH Emergency Critical Care

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2009 MSH ED Critical Care Conference

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ABCD2 Score for TIA

posted Jul 22, 2008 6:54 AM by Phillip Andrus   [ updated Jul 22, 2008 7:03 AM ]
The ABCD2 Score is being promulgated by the National Stroke Association as a clinical prediction rule to help dispo your TIA patients.

The Score

A = Age => 60 years                        1 point
B = BP => 140mmHg or DBP => 90 mmHg        1 point
C = Clinical Features of TIA
     - Unilat Weak w/o speech impairment   2 points
     - Speech impairment w/o unilat weak   1 point
D = TIA Duration
     - 10-59 min                           2 points
     - => 60 min                           1 point
D2 = Diabetes                              1 point

Prognostication:
Score      2d CVA      Dispo
 0-3         1%         Admit for other considerations
 4-5         4%         Admit
 6-7         8%         Admit

Reference: Johnston SC, et al, "Validation and refinement of scores to predict very early stroke risk after transient ischemic attack" Lancet 369:283-292, 2007.