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ABCD评分和ESSEN评分预测TIA发生脑梗死的比较

李建平 赵中 程庆璋 方琪 赵合庆

江苏大学学报(医学版)2011,Vol.21Issue(2):159-162,4.
江苏大学学报(医学版)2011,Vol.21Issue(2):159-162,4.

ABCD评分和ESSEN评分预测TIA发生脑梗死的比较

Comparison of the application of ABCD and ESSEN score in prediction of cerebral infarction developed by transient ischemic attack

李建平 1赵中 1程庆璋 2方琪 3赵合庆4

作者信息

  • 1. 南京医科大学附属苏州医院神经内科,江苏,苏州,215001
  • 2. 苏州市立医院本部神经内科,江苏,苏州,215007
  • 3. 苏州大学附属第一医院神经内科,江苏,苏州,215006
  • 4. 苏州大学附属第二医院神经内科,江苏,苏州,215007
  • 折叠

摘要

Abstract

Objective : To explore the application value of ABCD and ABCD2 and ABCDI and ESSEN score in patients with transient ischemic attack. Methods: One hundred seventy four TIA patients were evaluated according to ABCD and ABCD2 and ABCDI and ESSEN criteria in 7,90 and 180 days, the occurrences of cerebral infarction were observed and the positive predictive values of 4 criteria were compared .Results : The 7-day risk of stroke was 12. 64% , the 90-day risk of stroke was 13. 22% and the 180-day risk of stroke was 14. 37% in 174 patients. When the occurrences of cerebral infarction were observed in 7 days , the area under the curve ( AUCs) of ABCD , ABCD2 , ABCDI and ESSEN were 0. 692 ,0. 695 ,0. 760 and 0. 862 ;in 90 days the AUCs were 0. 681 ,0. 684 ,0. 754 and 0. 844 ;in 180 days the AUCs were 0. 703 , 0. 696 ,0. 779 and 0. 862. The 7-day positive predictive values of ABCD , ABCD2 and ABCDI and ESSEN criteria were 28. 6% ,27 . 8% ,28. 6% , 44. 4% ; the 90-day ones were 28. 6% ,27 . 8% ,28. 6% ,44. 4% ; the 180-day ones were 35. 7% ,27. 8% ,33. 3% ,51. 9% . Conclusion : The predictive accuracy of the ESSEN criteria is evidently superior to the others .

关键词

短暂性脑缺血发作/脑梗死/ESSEN评分法/ABCD评分法/ABCD2评分法/ABCDI评分法

分类

医药卫生

引用本文复制引用

李建平,赵中,程庆璋,方琪,赵合庆..ABCD评分和ESSEN评分预测TIA发生脑梗死的比较[J].江苏大学学报(医学版),2011,21(2):159-162,4.

江苏大学学报(医学版)

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