ABCD² score


The ABCD2 score is a clinical prediction rule used to determine the risk for stroke in the days following a transient ischemic attack. Its usefulness was questioned in a 2015 review as it was not found to separate those who are at low from those who are at high risk of future problems. A high score correctly predicted 87% of the people who did have a stroke in the following 7 days but also many people who did not have problems.
The ABCD2 score is based on five parameters ; scores for each item are added together to produce an overall result ranging between zero and seven. People found to have a high score are often sent to a specialist sooner. Other clinical risk factors, such as atrial fibrillation and anticoagulation treatment, as well as ongoing or recurrent TIA, are also relevant.
The ABCD2 score was proposed in 2007 as a modified version of the ABCD score of 2005. In the largest study based on emergency department testing of the ABCD2 score in an acute setting, the score performed poorly in both high-risk and low-risk patients. The study found the score to be 31.6% sensitive in high-risk patients and only 12.5% specific in low-risk patients.

Scoring system

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