An Evaluation of ABCD² Scores, Atrial Fibrillation, Serum CRP, Fibrinogen and DDimer Levels as Diagnostic Predictors for Stroke In Patients Admitted to Emergency Department with the Diagnosis of Transient Ischemic Attack
Yazarlar (6)
Dr. Öğr. Üyesi Miraç KOÇ Ankara Numune Education And Research Hospital, Türkiye
Yücel Yüzbaşioğlu Ankara Numune Education And Research Hospital, Türkiye
Emine Akinci Ankara Numune Education And Research Hospital, Türkiye
Ceren Tanrikulu Ankara Numune Education And Research Hospital, Türkiye
Refik Kunt Aydin State Hospital, Türkiye
Figen Coşkun Ankara Numune Education And Research Hospital, Türkiye
| Makale Türü | Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale) | ||
| Dergi Adı | Journal of Neurological Sciences (Q4) | ||
| Dergi ISSN | 1300-1817 | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 09-2016 |
| Cilt / Sayı / Sayfa | 33 / 3 / 473–481 | DOI | – |
| Makale Linki | http://www.jns.dergisi.org/text.php3?id=993 | ||
| UAK Araştırma Alanları |
Fen Bilimleri ve Matematik
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| Özet |
| Introduction: This study aimed to define the roles of ABCD² score as well as other diagnostic parameters such as the presence of AF, serum fibrinogen, D-dimer and CRP levels as diagnostic predictors to determine the risk of stroke in patients diagnosed with TIA. Materials and Methods: We performed a prospective study of 70 patients who were admitted to the emergency department at Ankara Training and Research Hospital with a diagnosis of TIA. Patients demographic data and vital signs were calculated and scores with ABCD². The blood samples for measuring CRP, D dimer and fibrinogen levels were collected. Patients were interviewed by telephone and stroke prognosis was learned after 3 months. Results: Dysphasia (45%) and weakness (40%) were the most common presenting symptom. 52.9% of patients had moderate risk, and 12.9% had high stroke recurrence risk. 14.3% of patients have had a stroke within 3 months. AF has been detected of 10% (n:7) of all the patients and five of the seven (71.4%) patients with AF developed stroke (p<0.05). Only the CRP was targeted as possible blood predictors of stroke recurrence in TIA (p=0.008). Conclusion: Our findings provide evidence that the ABCD² score may predict the recurrence of TIA and likelihood of having stroke after the diagnosis of TIA. Although the presence of AF, CRP, fibrinogen and D-dimer levels may be used in the diagnosis of stroke or TIA, combining the presence of AF and high-CRP levels can enhance the predictive value of ABCD² score to determine the risk of stroke. |
| Anahtar Kelimeler |
| ABCD² | CRP | D-Dimer | Fibrinogen | TIA |
