Síguenos en Twitter     Síguenos en Facebook     Síguenos en YouTube     Siguenos en Linkedin     Correo Salutsantjoan     Gmail     Dropbox     Instagram     Google Drive     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon


My photo
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Thursday, March 11, 2021

Canadian TIA Score vs ABCD2

REBEL EM - March 11, 2021 - By Salim Rezaie 
Paper: Perry JJ et al. Prospective Validation of Canadian TIA Score and Comparison with ABCD2 and ABCD2i for Subsequent Stroke Risk After Transient Ischaemic Attack: Multicentre Prospective Cohort Study. BMJ 2021. [Link is HERE][Access on Read by QxMD]
“Clinical Question: Does the Canadian TIA Score perform better than the ABCD2 score in stratifying subsequent stroke risk in patients with TIAs?
Author Conclusion: “The Canadian TIA Score stratifies patients’ seven day risk for stroke, with or without carotid endarterectomy/carotid artery stenting, and is now ready for clinical use. Incorporating this validated risk estimate into management plans should improve early decision making at the index emergency visit regarding benefits of hospital admission, timing of investigations, and prioritization of specialist referral.”
Clinical Take Home Point: As they always do, Perry and colleagues have done an amazing job deriving and validating the Canadian TIA Score. This score is certainly better than ABCD2 and ABCD2i in risk stratification of patients with suspected TIAs. However, risk stratification is one thing, and the resources available, follow up available, and the health system in which one works may make risk stratification a moot point.”