ESSEN卒中风险量表和卒中预测工具Ⅱ量表对小卒中和短暂性脑缺血发作后短期再发缺血事件的预测作用

被引：8

作者：

刘敬

刘俊艳

机构：

[1] 河北医科大学附属第三医院神经内科

来源：

中国脑血管病杂志 | 2013年 / 10卷 / 03期

关键词：

小卒中; 脑缺血发作,短暂性; 危险性评估; 再发; ESSEN卒中风险量表; 卒中预测工具Ⅱ量表;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

1002 ;

摘要：

目的评价ESSEN卒中风险量表(ESRS)、卒中预测工具Ⅱ(SPI-Ⅱ)量表对小卒中和短暂性脑缺血发作(TIA)患者短期心、脑缺血事件再发风险的预测价值。方法前瞻性连续纳入2009年3月—2011年10月,在河北医科大学附属第三医院神经内科就诊的小卒中(美国国立卫生院卒中量表评分≤3分;111例)和TIA(56例)患者167例。随访发病后90 d内,心、脑缺血事件再发的情况,并观察再发缺血事件与病程的关系。依据ROC曲线下面积评价ESRS、SPI-Ⅱ量表对小卒中和TIA后短期再发心、脑缺血事件的预测作用。结果①167例患者90 d内的随访期间,21例(12.6%)发生心、脑缺血事件,其中1例为心肌梗死,20例为脑缺血事件。小卒中患者缺血事件再发率为7.2%(8/111),TIA患者再发率为23.2%(13/56)。小卒中、TIA后7 d内,缺血事件再发率最高,为7.8%。②21例再发缺血事件的患者中,ESRS≥3分、SPI-Ⅱ≥4分的患者均有17例(81%)。ESRS量表预测再发缺血事件的ROC曲线下面积为0.677(0.557～0.797),SPI-Ⅱ量表的ROC曲线下面积为0.553(0.413～0.694)。结论作为卒中再发初筛评估的ESRS、SPI-Ⅱ量表,对小卒中和TIA患者短期再发心、脑缺血事件均具有预测价值,其中ESRS量表的预测价值可能更高。

引用

页码：125 / 129

页数：5

共 16 条

[1] Higher ABCD2 Score Predicts Patients Most Likely to Have True Transient Ischemic Attack [J].

Josephson, S. Andrew ;

Sidney, Stephen ;

Pham, Trinh N. ;

Bernstein, Allan L. ;

Johnston, S. Claiborne .

STROKE, 2008, 39 (11) :3096-3098

[2]

Recurrent Events in Transient Ischemic Attack and Minor Stroke: What Events Are Happening and to Which Patients?[J] . Shelagh B. Coutts,Michael D. Hill,Cynthia R. Campos,Young B. Choi,Suresh Subramaniam,Jayme C. Kosior,Andrew M. Demchuk. &nbspStroke . 2008 (9)

[3] Factors associated with a high risk of recurrence in patients with transient ischemic attack or minor stroke [J].

Ois, Angel ;

Gomis, Meritxell ;

Rodriguez-Campello, Ana ;

Cuadrado-Godia, Elisa ;

Jimenez-Conde, Jordi ;

Pont-Sunyer, Claustre ;

Cuccurella, Gracia ;

Roquer, Jaume .

STROKE, 2008, 39 (06) :1717-1721

[4]

Poorperformance of current prognostic scores for earlyrisk of recurrence after minor stroke. Chandratheva A,Geraghty OC,Rothwell PM. Stroke . 2 0 1 1

[5]

Higher ABCD2score predicts patients most likely to have true transientischemic attack. Josephson SA,Sidney S,Pham TN,et al. Stroke . 2008

[6]

Reducing the risk of stroke in type2 diabetes:pathophysiological and therapeutic perspec-tives. Sander D,Kearney MT. Journal of Neurology . 2009

[7]

Association ofcirculating inflammatory markers with recurrent vascularevents after stroke:a prospective cohort study. Whiteley W,Jackson C,Lewis S,et al. Stroke . 2011

[8]

Definition and evaluation of transient ischemic attack:a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council;Council on Cardiovascular Surgery and Anesthesia;Council on Cardiovas. Easton JD,Saver JL,Albers GW,et al. Stroke . 2009

[9]

Population based study of early risk of stroke after transient ischaemic attack or minor stroke: implications for public education and organisation of services. Coull AJ,Lovett JK,Rothwell PM. British Medical Journal . 2004

[10]

A randomized, blinded trial of clopidogrel versus aspirin in patients at risk of ischemic events (CAPRIE). CAPRIE Steering Committee. The Lancet . 1996

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