ABCD2 For TIA to determine the risk of stroke

ABCD2 Score for TIA

(Estimates risk of stroke after a TIA, according to patient risk factors)

Age > 60 Years                                                                     1

BP > 140/90 mm Hg at initial evaluation                    1

Clinical Features of TIA                 

            Unilateral Weakness                                              2

            Speech disturbance (no weakness)                    1

            Other Symptoms                                                      0

Duration of symptoms                                           

            Less than 10 minutes                                              0

            10 – 60 minutes                                                        1

            > 60 minutes                                                             2

Diabetes Mellitus                                                                 1

Total Score

Risk Score	% Stroke Risk 2 days	% Stroke Risk 7 days	% Stroke Risk 90 days
0 – 3 (Low)	1	1.2	2.1
4 – 5 (Moderate)	4.1	5.9	9.8
6 – 7 (High)	8.1	11.7	17.8

Recommendation:

 Scores < 4                             Aspirin and Prevention of secondary sequelae

                                                Neurology Opinion in a week

                                                Imaging within a week

Score > 4                                Aspirin and Prevention of secondary sequelae

                                                Neurology Opinion within 24 hours

                                                Imaging within 24 hours