CAJ | 학술논문

目的：探讨ABCD3‐I评分预测短暂性脑缺血发作（T IA ）后早期脑卒中复发风险的价值。方法选择162例TIA患者，分别用ABCD2、ABCD3‐I和Essen卒中风险分层量表（ESRS）评分进行危险分层，ABCD3‐I评分中，低危24例、中危97例、高危41例，发病7 d、随访90 d观察脑卒中复发情况，通过ROC曲线下面积（AUC）比较3种评分的预测价值。结果发病7 d有13例（8．0％）患者脑卒中复发；90 d随访有26例（16．0％）脑卒中复发。ABCD3‐I评分中，与低危患者比较，中危和高危患者随访90 d脑卒中复发率明显升高（14．4％ vs 0，P＝0．037，29.3％ vs 0，P＝0．002，）。ABCD3‐I评分预测发病7 d脑卒中复发的AUC为0．73（95％ CI：0．62～0．82），随访90 d脑卒中复发的AUC为0．71（95％ CI：0．60～0．79），高于ABCD2、ESRS评分预测发病7 d、随访90 d脑卒中复发风险的AUC。结论 ABCD3‐I评分预测TIA后早期脑卒中复发风险的价值优于ABCD2和ESRS评分。
목적：탐토ABCD3‐I평분예측단잠성뇌결혈발작（T IA ）후조기뇌졸중복발풍험적개치。방법선택162례TIA환자，분별용ABCD2、ABCD3‐I화Essen졸중풍험분층량표（ESRS）평분진행위험분층，ABCD3‐I평분중，저위24례、중위97례、고위41례，발병7 d、수방90 d관찰뇌졸중복발정황，통과ROC곡선하면적（AUC）비교3충평분적예측개치。결과발병7 d유13례（8．0％）환자뇌졸중복발；90 d수방유26례（16．0％）뇌졸중복발。ABCD3‐I평분중，여저위환자비교，중위화고위환자수방90 d뇌졸중복발솔명현승고（14．4％ vs 0，P＝0．037，29.3％ vs 0，P＝0．002，）。ABCD3‐I평분예측발병7 d뇌졸중복발적AUC위0．73（95％ CI：0．62～0．82），수방90 d뇌졸중복발적AUC위0．71（95％ CI：0．60～0．79），고우ABCD2、ESRS평분예측발병7 d、수방90 d뇌졸중복발풍험적AUC。결론 ABCD3‐I평분예측TIA후조기뇌졸중복발풍험적개치우우ABCD2화ESRS평분。
Objective To study the value of ABCD3‐I score in predicting the recurrent risk of early ischemic stroke following transient ischemic attack (TIA) .Methods One hundred and sixty‐two TIA patients were divided into low recurrent risk group (n=24) ,moderate recurrent risk group (n=97) and high recurrent risk group (n= 41) according to their ABCD3‐I score .The patients were followed up for 90 days during which the incidence of recurrent ischemic stroke was ob‐served .T he values of ABCD2 ,ABCD3‐I and ESRS score in predicting the recurrent risk of early is‐chemic stroke were assessed by measuring the area under the ROC curve .Results Ischemic stroke reoccurred in 13 (8 .0% ) out of the 162 patients on day 7 after TIA and in 26 (16 .0% ) out of the 162 patients during the 90‐day follow‐up period .T he incidence of recurrent ischemic stroke was significantly higher in moderate and high recurrent risk groups than in low recurrent risk group during the 90‐day follow‐up period (14 .4% vs 0% ,P=0 .037 ,29 .3% vs 0% ,P=0 .002) . The area under the ROC curve of ABCD3‐I was 0 .73 on day 7 after TIA (95% CI:0 .62 -0 .82) and was 0 .71 during the 90‐day follow‐up period (95% CI:0 .60 -0 .79) ,which were higher than that of ABCD2 and ESRS score in predicting the recurrent risk of early ischemic stroke .Conclusion The value of ABCD3‐I score is higher than that of ABCD2 and ESRS score in predicting the re‐current risk of early ischemic stroke following TIA .