ABCD score

ABCD score

A clinical testing instrument used outside of a hospital setting for people at high risk of stroke after a transient ischaemic attack.

ABCD score calculation
A: Age (≥ 60 years, 1 point);
B: Blood pressure at presentation (≥ 140/90 mmHg, 1 point);
C: Clinical features (unilateral weakness, 2 points; speech disturbance without weakness, 1 point);
D: Duration of symptoms (≥ 60 minutes, 2 points; 10— 59 minutes, 1 point).

Total scores range from 0 (low) risk to 7 (high risk).

ABCD score

A clinical prediction value that estimates the likelihood of stroke in a patient who has had a transient ischemic attack. Its elements include: A (age greater than or less than 60); B (blood pressure above 140 mm Hg systolic or 90 diastolic); C (clinical features such as one-sided body weakness or speech disturbance); and D (duration of symptoms: 60 min, 10-60 min, or less than 10 min).
Synonym: ABCD prediction rule; ABCD rule
References in periodicals archive ?
These are the DiaRem score, DSS score, and ABCD score [1, 2, 7].
Preoperative Prediction of Type 2 Diabetes Remission After Gastric Bypass Surgery: a Comparison of DiaRem Scores and ABCD Scores. Obes Surg 2016; 26: 2418-24.
Validation of the ABCD score in identifying individuals at high early risk of stroke after a transient ischemic attack; a hospital-based case series study.
The ABCD score, which comprise age, BMI, C-peptide level, and duration of T2DM (years) was reported as useful in predicting the success of T2DM treatment using metabolic surgery.
Cucchiara BL, Messe SR, Taylor RA, Pacelli J, Maus D, Shah Q, et al.Is the ABCD score useful for risk stratification of patients with acute transient ischemic attack?
Can the ABCD score be dichotomised to identify high-risk patients with transient ischemic attack in the emergency department?
The ABCD score also can help the general public and first responders learn which specific traits signal high stroke risk, since awareness of the need for urgent medical attention with TIA is so poor, according to Peter M.
The ABCD score was highly predictive of imminent stroke in all three study cohorts.
The patient's stroke risk rose with every 1-point increase in the ABCD score.
These predictive factors have been combined to create an ABCD score as a way of quantifying this risk.
The ABCD score, determined by using clinical factors previously tested on other populations, appears to reliably predict the risk of stroke in the 30 days following hospitalization for transient ischemic attack (TIA).