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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
Dr. Öğr. Üyesi Miraç KOÇ Dr. Öğr. Üyesi Miraç KOÇ
Kastamonu Üniversitesi, Türkiye
Yücel Yüzbaşıoğlu
Sağlık Bilimleri Üniversitesi, Türkiye
Emine Emektar
Sağlık Bilimleri Üniversitesi, Türkiye
Ceren Şen Tanrıkulu
Türkiye
Refik Kunt
Türkiye
Figen Çoşkun
Dokuz Eylül Üniversitesi, Türkiye
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
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Journal of Neurological Sciences
Dergi ISSN 1302-1664
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 09-2016
Cilt No 33
Sayı 3
Sayfalar 264 / 272
Makale Linki http://www.jns.dergisi.org/text.php3?id=993
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
SCOPUS 1

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