Unified Score Enhances Early Stroke Prediction After TIA

The ABCD² score proved more predictive than either the California score or the ABCD score alone.

Transient ischemic attack (TIA) is an undertreated problem. It confers a high risk for subsequent ischemic stroke, with the highest risk (up to 5%) occurring within the first 2 days following the initial event. Barriers to optimal treatment include underrecognition, as the symptoms are transient and may be difficult to distinguish from symptoms of other neurologic disorders (e.g., migraines and seizures). Underrecognition and the difficulty of identifying the TIA patients at highest risk for early stroke have led to inconsistent approaches to TIA management.

These researchers integrated two TIA prognostic scores — the California score and the ABCD score — to produce a unified score, the ABCD². The purpose of the combined score was to inform …

Reviewing Author

Bruce Ovbiagele, MD

Unified Score Enhances Early Stroke Prediction After TIA

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Reviewing Author