CAJ | 학술논문

目的探讨用ABCD2量表对中风防治门诊短暂性脑缺血发作(TIA)患者进行危险分层并进行强化治疗对90d脑梗死发生的影响.方法依据ABCD2量表评分将患者分为三组,均在中风防治门诊接受相同标准的治疗,观察TIA患者90d内脑梗死的发生率.结果共有653例患者达到了本研究的入组标准,其中639例完成了90d的随访.低危、中危以及高危组的患者分别占32.7%、47.7%和19.6%.所有患者90d内总的脑梗死发生率为2.5%,而使用ABCD2量表预测的结果为9.2%.结论依据ABCD2量表评分对中风防治门诊TIA患者进行分层并及时治疗,可以降低不同危险分层TIA患者90d内脑梗死的发生率.
목적탐토용ABCD2량표대중풍방치문진단잠성뇌결혈발작(TIA)환자진행위험분층병진행강화치료대90d뇌경사발생적영향.방법의거ABCD2량표평분장환자분위삼조,균재중풍방치문진접수상동표준적치료,관찰TIA환자90d내뇌경사적발생솔.결과공유653례환자체도료본연구적입조표준,기중639례완성료90d적수방.저위、중위이급고위조적환자분별점32.7%、47.7%화19.6%.소유환자90d내총적뇌경사발생솔위2.5%,이사용ABCD2량표예측적결과위9.2%.결론의거ABCD2량표평분대중풍방치문진TIA환자진행분층병급시치료,가이강저불동위험분층TIA환자90d내뇌경사적발생솔.
Objective To explore the effect of stratification with ABCD2 and urgent management to transient ischemic attack(TIA) patients in cerebral infarction(CI) occurrence at stroke prevention clinics(SPC) within 30 days. Methods These patients were divided into 3 strata based on their ACBD2 score, All patients received the same standard of care in the SPC regardless of their risk score. Primary outcome was CI by 90 days of index TIA. Results 653 patients met the inclusion criteria; 639 patients completed 90-day follow-up and comprised the final cohort. After stratification, 32.7%, 47.7%, and 19.6% of patients were categorized as low-, moderate-, or high-risk, respectively. The overall 90-day risk of stroke in all patients was 2.5%, compared with the ABCD2-predicted risk of 9.2%. Conclusion An ABCD2-based SPC triaging tool for TIA with outpatient management would be associated with lower 90-day stroke rate than that predicted by ABCD2.