A recognition tool for transient ischaemic attack

Dawson, J. , Lamb, K.E., Quinn, T.J., Lees, K.R., Horvers, M., Verrijth, M.J. and Walters, M. (2009) A recognition tool for transient ischaemic attack. QJM: An International Journal of Medicine, 102(1), pp. 43-49. (doi: 10.1093/qjmed/hcn139)

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Background: Scoring systems exist to assist rapid identification of acute stroke but not for the more challenging diagnosis of transient ischaemic attack (TIA). Aim: To develop a clinical scoring system to assist with diagnosis of TIA. Methods: We developed and validated a clinical scoring system for identification of TIA patients. Logistic regression analysis was employed. Results: Our development cohort comprised 3216 patients. The scoring system included nine clinically useful predictive variables. After adjustment to reflect the greater seriousness of missing true TIA patients (a 2:1 cost ratio), 97% of TIA and 24% of non-TIA patients were accurately identified. Our results were confirmed during prospective validation. Conclusions: This simple scoring system performs well and could be used to facilitate accurate detection of TIA.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Lees, Professor Kennedy and Dawson, Professor Jesse and Walters, Professor Matthew and Quinn, Dr Terry
Authors: Dawson, J., Lamb, K.E., Quinn, T.J., Lees, K.R., Horvers, M., Verrijth, M.J., and Walters, M.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Journal Name:QJM: An International Journal of Medicine
Publisher:Oxford University Press
Published Online:15 October 2008

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