Author(s): AlKhaled M, Matthis C, Eggers J
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Abstract BACKGROUND: Transient ischemic attack (TIA) is a marker of stroke, especially in the early phase following this event. The aims of this study are to determine the short-term risk of stroke and to evaluate the independent predictors of stroke in patients with TIA who are hospitalized within 48 hours after symptom onset. METHODS: During a 36-month period (beginning in November 2007), 3554 patients (mean age: 70.5 ± 13 years; 49.9\% female; mean NIHSS score: 1.4 ± 2.5) from 15 hospitals suffering from TIA were prospectively evaluated. RESULTS: Of the 3554 patients, 43 (1.2\%) suffered from stroke during hospitalization (6.5 ± 4.3 days). We identified the following independent predictors for stroke after TIA: male sex (odds ratio [OR], 2.5; 95\% confidence interval [CI], 1.3-5; P=0.008), age ≥65 years (OR, 4.7; 95\% CI, 1.4-15; P=0.01), hyperlipidemia (OR, 2.4; 95\% CI, 1.2-4.8; P=0.015), and dysarthria (OR, 2; 95\% CI, 1.1-5.0; P=0.038). CONCLUSION: Patient characteristics (male sex, age, and hyperlipidemia) and TIA symptom (dysarthria) may be useful in defining stroke after TIA in patients who were hospitalized with TIA. Copyright © 2011 Elsevier B.V. All rights reserved.
This article was published in J Neurol Sci
and referenced in Journal of Addiction Research & Therapy