ABCD score

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The ABCD2 score is a clinical score to determine the risk for stroke within the first two days following a transient ischemic attack (TIA, a condition in which temporary brain dysfunction results from oxygen shortage in the brain).[1] The score has recently been proposed to be equally useful to predict the risk of recurrent stroke during the first hours following TIA or minor stroke.[2] The ABCD2 score is based on five parameters: age, blood pressure, clinical features, duration of TIA, and presence of diabetes.[1] Each item is scored and the results are added to a result ranging between zero and seven. The ABCD2 score is a modified version of the ABCD score (which covers the same parameters but without diabetes).[3]
Contents
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1 Scoring system 2 Interpretation 3 See also 4 Footnotes

[edit]Scoring

system
ABCD2 score

Age

Blood Pressure

Clinical Features

Duration

Diabetes

0 points

<60 years

normal

other than those specified

less than 10 minutes

no diabetes

1 points

60 years

raised (blood pressure 140/90)

speech disturbance without weakness

10 to 59 minutes

diabetes present

2 points [edit]Interpretation

unilateral (one-sided) weakness

60 minutes

The risk for stroke can be estimated from the ABCD2 score as follows:

Score 1-3 (low)

2 day risk = 1.0% 7 day risk = 1.2%

Score 4-5 (moderate)

2 day risk = 4.1% 7 day risk = 5.9%

Score 67 (high)

2 day risk = 8.1% 7 day risk = 11.7%