ABCD3-Ⅰ评分在短暂性脑缺血发作后30天内发生脑梗死的预测价值

Predictive value of ABCD3-Ⅰ score for cerebral infarction within 30 days after transient ischemic attack

目的评估ABCD3-Ⅰ评分法对短暂性脑缺血发作(TIA)后30天内发生卒中的预测价值。方法对2016—2018年在本院住院的200例TIA患者进行ABCD3和ABCD3-Ⅰ评分,记录确诊30天内的情况,采用ROC曲线方法比较两种评分的预测价值。结果 ABCD3-Ⅰ评分(AUC=0.971,95%CI:0.952～0.989,P=0.000)的预测价值高于ABCD3评分(AUC=0. 971,95%CI:0. 952～0. 989,P=0. 025)。结论ABD3-Ⅰ及ABCD3评分均可作为TIA后30天内发生脑梗死风险的预测方法,前者具有临床价值,能更大可能的筛选出高危患者,采取积极的预防措施,避免脑梗死的发生。

Objective To assess the predictive value of ABCD3-Ⅰ score for stroke within 30 days after transient ischemic attack( TIA).Methods 200 TIA patients admitted to Kaiping Central Hospital from 2016 to2018 were assessed with ABCD3 and ABCD3-Ⅰ scores. Information within 30 days after diagnosed was recorded.The predictive value of the two scores was compared by ROC curve. Results The predictive value of ABCD3-Ⅰ score( AUC = 0.971,95% CI: 0.952-0.989,P = 0.000) was higher than that of ABCD3 score( AUC = 0.971,95%CI: 0.952-0.989,P = 0.025).Conclusions Both ABD3-Ⅰ and ABCD3 scores can be used to predict the risk of cerebral infarction within 30 days after TIA. The former has clinical value and is more likely to screen high-risk patients and take active preventive measures to avoid the occurrence of cerebral infarction.