An evaluation of ABCD² scores,atrial fibrillation,serum CRP,fibrinogen and D-dimer levels as diagnostic predictors for stroke in patients admitted to emergency department with the diagnosis of transient ischemic attack [Acil servise başvuran geçici iskemik atak (GIA) tanısı alan hastalarda ABCD² skorları ile kan CRP,fibrinojen,D-dimer düzeylerinin inme gelişme riski açısından karşılaştırılması]

Introduction: this study aimed to define the roles of abcd² score as well as other diagnostic parameters such as the presence of af,serum fibrinogen,d-dimer and crp levels as diagnostic predictors to determine the risk of stroke in patients diagnosed with tia. materials and methods: we performed a prospective study of 70 patients who were admitted to the emergency department at ankara training and research hospital with a diagnosis of tia. patients demographic data and vital signs were calculated and scores with abcd². the blood samples for measuring crp,d dimer and fibrinogen levels were collected. patients were interviewed by telephone and stroke prognosis was learned after 3 months. results: dysphasia (45%) and weakness (40%) were the most common presenting symptom. 52.9% of patients had moderate risk,and 12.9% had high stroke recurrence risk. 14.3% of patients have had a stroke within 3 months. af has been detected of 10% (n:7) of all the patients and five of the seven (71.4%) patients with af developed stroke (p<0.05). only the crp was targeted as possible blood predictors of stroke recurrence in tia (p=0.008). conclusion: our findings provide evidence that the abcd² score may predict the recurrence of tia and likelihood of having stroke after the diagnosis of tia. although the presence of af,crp,fibrinogen and d-dimer levels may be used in the diagnosis of stroke or tia,combining the presence of af and high-crp levels can enhance the predictive value of abcd² score to determine the risk of stroke. © 2016,ege university press. all rights reserved.