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Updated: Feb 19, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
12.7K
Stroke Risk Is Low after Urgently Treated Transient Ischemic Attack
Thea Vigen1, Bente Thommessen2, Ole Morten Rønning1
1Department of Neurology, Medical Division, Akershus University Hospital, Lørenskog, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Summary
Urgent assessment for transient ischemic attack (TIA) patients significantly lowers stroke recurrence risk. The ABCD2 score is not effective in identifying high-risk individuals for recurrent stroke.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Public Health
Background:
- Patient management for transient ischemic attack (TIA) evolved towards urgent assessment and immediate preventive treatment for all cases.
- Limited data exist on the impact of this shift on stroke recurrence rates post-TIA.
Purpose of the Study:
- To determine the incidence of stroke recurrence after TIA.
- To evaluate the predictive capability of the ABCD2 score for recurrent stroke.
Main Methods:
- Retrospective study of 261 patients diagnosed with TIA between January 1, 2013, and December 31, 2013.
- Data collected from electronic medical records, with readmission data tracked until December 31, 2015.
Main Results:
- Stroke incidence was 1.5% at 1 month, 3.4% at 1 year, and 4.2% by the end of follow-up.
- Median time to recurrent stroke was 90 days.
- The ABCD2 score demonstrated low predictive ability for recurrent stroke.
Conclusions:
- Urgent admission and management of TIA patients are associated with a low risk of early and late stroke recurrence.
- The ABCD2 score is not a reliable tool for identifying TIA patients at high risk of recurrent stroke.
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