| A recognition tool for transient ischaemic attack. | |
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MedLine Citation:
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PMID: 18922827 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. CONCLUSION: This simple scoring system performs well and could be used to facilitate accurate detection of TIA. |
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Authors:
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J Dawson; K E Lamb; T J Quinn; K R Lees; M Horvers; M J Verrijth; M R Walters |
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Publication Detail:
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Type: Journal Article Date: 2008-10-15 |
Journal Detail:
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Title: QJM : monthly journal of the Association of Physicians Volume: 102 ISSN: 1460-2393 ISO Abbreviation: QJM Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-19 Completed Date: 2009-04-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9438285 Medline TA: QJM Country: England |
Other Details:
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Languages: eng Pagination: 43-9 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular and Medical Sciences, Western Infirmary Hospital, Dumbarton Road, Glasgow G116NT, UK. j.dawson@clinmed.gla.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Algorithms* Cohort Studies Female Humans Ischemic Attack, Transient / diagnosis*, physiopathology Logistic Models Male Middle Aged Predictive Value of Tests Recurrence |
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