Wednesday, January 31, 2007
Should you admit that TIA?
Practices vary greatly from one community to another with regional variations in malpractice risk guiding decisions. Evidence based medicine has now come to the rescue. The ABCD-squared stroke risk score can help stratify patients presenting with or soon after TIA into high, intermediate and low risk categories. The score takes into account clinical features, blood pressure, history of diabetes and duration of symptoms. This should help standardize decision making when patients present with TIA. The validation study was published in Lancet and is linked here via Medscape.