There are so many stroke risk assessment scales, which one should I choose?

Brain stroke incidence, high recurrence rate, high mortality morbidity, heavy burden of disease, has risen to the national cause of death of the first
.

Early prevention is the best way to reduce the burden of stroke disease.

Brain stroke incidence, high recurrence rate, high mortality morbidity, heavy burden of disease, has risen to the national cause of death of the first

Risk factors of stroke and prevention and treatment of stroke risk factors and prevention and treatment

Stroke is a disease caused by multiple factors such as life>
.

A large number of clinical studies and practice have proved that stroke is preventable and treatable

Stroke is a disease caused by multiple factors such as life>

The risk factors of stroke are divided into two categories: non-intervention and intervention

Quickly identify strokes Quickly identify strokes

" Stroke 120" is a domestic strategy for rapid identification of stroke and immediate action:

" Stroke 120" is a domestic strategy for rapid identification of stroke and immediate action:

"1" on behalf of " seeing 1 Zhang asymmetrical face " ;

"1" on behalf of " seeing 1 Zhang asymmetrical face " ;

"2" on behalf of " check whether there are two arms of unilateral weakness " ;

"2" on behalf of " check whether there are two arms of unilateral weakness " ;

"0" stands for " listen (zero) whether the speech is clear or not "
.

"0" stands for " listen (zero) whether the speech is clear or not "
.

If you suspect that the patient has a stroke through these three steps, you can call the emergency number 120 immediately
.

If you suspect that the patient has a stroke through these three steps, you can call the emergency number 120 immediately
.

Of course, there are some tools for evaluating the risk of ischemic stroke occurrence and recurrence at home and abroad, but there is still a lack of standardized recommendations on how to choose a variety of tools in clinic
.

In response to this problem, Chinese experts have comprehensively reviewed domestic and foreign literature, and after repeated discussions, reached consensus recommendations on the selection of commonly used risk assessment tools to facilitate clinical application

Of course, there are some tools for evaluating the risk of ischemic stroke occurrence and recurrence at home and abroad, but there is still a lack of standardized recommendations on how to choose a variety of tools in clinic

Ischemic Stroke Primary Prevention Risk Assessment Scale Ischemic Stroke Primary Prevention Risk Assessment Scale Ischemic Stroke Primary Prevention Risk Assessment Scale

1 , a modified Framingham Stroke Scale ( the Framingham Stroke Profile ) was first proposed and is widelysimple stroke risk assessment tool Pan applications, used to predict the next 10 risk of stroke onset
.

2011 US guidelines recommend primary prevention of stroke for stroke risk factors in each case with a violentuse of individuals exposed risk assessment scale ( such as a modified Framingham StrokeScale ) were stroke risk assessment

1 , a modified Framingham Stroke Scale ( the Framingham Stroke Profile 1 , the modified Framingham Stroke Scale ( the Framingham Stroke Profile ) was the first to propose and wide ) extensive application simple stroke risk assessment tool used to predict the future 10 Annual risk of stroke

2 , a collection of queue equation ( Pooled Cohort the Equations ) is a collection of online calculators or queue equation using mobile softwareto evaluate individual next 10 years artery atherosclerotic heart vascular disease( ASCVD ) risk (fatal and non-fatal cardiovascular disease and Stroke)
.

The 2014 U.
S.
Cholesterol Treatment Guidelines recommended that this tool be used to assess the risk of ASCVD in the next 10 years, and to guide the timing and intensity of statin therapy
.
Similar: 10-year risk assessment of ischemic cardiovascular disease in Chinese

2 , a collection of queue equation ( Pooled Cohort the Equations 2 , a collection of queue equation ( Pooled Cohort the Equations ) is a collection of online calculators queue equation using a mobile phone or software ) to evaluate the individual next 10 years artery atherosclerotic heart vascular disease heart blood vessels ( ASCVD ) occurs Risk (fatal and non-fatal cardiovascular disease and stroke)
.
The 2014 U.
S.
Cholesterol Treatment Guidelines recommends that the cholesterol can be used for the 10-year risk assessment of ischemic cardiovascular disease in Chinese

3 , Stroke Risk Calculator ( Stroke Riskometer ) is a stroke risk calculator by the New Zealand AUT university academics in 2014 made years, can be used to operate mobile phone software, used to predict the 20 or more people aged 5 years and 10 the risk of stroke, At the same time, it has the function of stroke education
.

3 , Stroke Risk Calculator ( Stroke Riskometer 3 , Stroke Risk Calculator ( Stroke Riskometer ) is a stroke risk calculator New Zealand ) AUT university academics in 2014 made years, can be used to operate mobile phone software, used to predict the 20 or more years of age The risk of stroke in 5 years and 10 years, and also has the function of stroke education
.

4 , CHADS2 Scale is the most widely used to predict patients with non-valvular atrial fibrillation, ischemic stroke risk rating scale
.
2006 Nian the ACC / AHA / the ESC Atrial Fibrillation Guidelines and 2011 Nian the ACCF / AHA / HRS atrial fibrillation and other guidelines recommend the use of CHADS2 scale score on the risk of stroke in patients with non-valvular atrial fibrillation stratified
.

4 , CHADS2 4 , CHADS2 scale is currently the most widely used scale for predicting the risk of ischemic stroke in patients with nonvalvular atrial fibrillation
.
Scale 2006 Nian the ACC / AHA / the ESC Atrial Fibrillation Guidelines and 2011 Nian the ACCF / AHA / HRS atrial fibrillation and other guidelines recommend the use of CHADS2 scale score on the risk of stroke in patients with non-valvular atrial fibrillation stratified
.

Online use: CHADS2 score for atrial fibrillation stroke risk

Online use: CHADS2 score for atrial fibrillation stroke risk

The consensus recommendations of our country’s experts are:

(1) It is recommended to choose any of the tools such as the modified Framingham stroke scale, pooled cohort equation, stroke risk calculator, etc.
to assess the risk of stroke
.

(2) It is recommended that patients with non-valvular atrial fibrillation use CHADS2 or CHA2DS2-VASc scale to assess the risk of ischemic stroke
.
The CHA2DS2-VASc scale is more conducive to the identification of truly low-risk patients than the CHADS2 scale
.

CHA2DS2-VASc scale

(3) It is recommended to use the HAS-BLED bleeding risk score to evaluate the bleeding risk of anticoagulant therapy in patients with atrial fibrillation
.
(4) The risk assessment tool for primary prevention of ischemic stroke should be further established and perfected
.

HAS-BLED bleeding risk score

Ischemic Stroke and Transient Ischemic Attack ( TIA ) Secondary Prevention Risk Assessment Scale

Ischemic Stroke and Transient Ischemic Attack ( TIA ) Secondary Prevention Risk Assessment Scale Ischemic Stroke and Transient Ischemic Attack ( TIA ) Secondary Prevention Risk Assessment Scale Ischemic Stroke and Transient Ischemic Attack(TIA) Secondary Prevention Risk Assessment Scale

The risk of recurrence of ischemic stroke and stroke after TIA is high, and early identification of high-risk patients will help to carry out secondary stroke prevention as soon as possible
.
Commonly used recurrence risk assessment tools include ABCD scoring system, Essen scale and stroke prediction tool -Ⅱ
.

The risk of recurrence of ischemic stroke and stroke after TIA is high, and early identification of high-risk patients will help to carry out secondary stroke prevention as soon as possible
.
Commonly used recurrence risk assessment tools include ABCD scoring system, Essen Essen scale and stroke prediction tool scale stroke prediction tool - Ⅱ -Ⅱ
.

1 , ABCD scoring system of the total score 6 points for predicting the TIA after 7 risk of stroke days
.
In addition, some researchers added TIA history on the basis of the scale , and proposed the ABCD3 scoring method, which has a higher predictive value than the ABCD2 scoring method ; after that, ipsilateral carotid artery stenosis ≥50% and high signal on DWI were added , and ABCD3-I was added Scoring method, but the scoring method has higher requirements for images
.

1 , ABCD 1 , ABCD scoring system of the total score scoring system of the 6 points for predicting TIA after 7 risk of stroke days
.
In addition, some researchers added TIA history on the basis of this scale , and proposed the ABCD3 scoring method, which has a higher predictive value than the ABCD2 ABCD2 scoring method ; after that, the ipsilateral carotid artery stenosis scoring method ≥50% and the high signal on DWI were added.
ABCD3-I scoring method, but the scoring method has higher requirements for images
.

2 , Essen scale is a simple, easy-clinical bed operation 9 subscales, the scale from clopidogrel and Aspirin aspirin comparative international multicenter, randomized, double-blind study for patients at high risk of ischemic events
.

2 , Essen Scale 2 , Essen scale Essen Essen scale is a simple, easy-clinical bed operation 9 subscales, the scale from clopidogrel and Aspirin aspirin for international comparison of patients at high risk of ischemic events Multicenter randomized double-blind trial
.

3 , the SPI-the I scale is a 1991 put forward the long-term risk of recurrent stroke patients to assess, 2000 Adjustment various risk factors in the original scale on the basis of separation of powers assigned weight, and an increase in congestive heart failure and a history of stroke Two risk factors, the SPI-II scale was proposed .

3 , the SPI the I- scale Shi , the SPI-the I scale the SPI the I- 1991 put forward the long-term risk of recurrent stroke patients to assess, 2000 Adjustment of the separation of powers assigned each risk factor based on the weight of the original scale, and increase The two risk factors of congestive heart failure and stroke history were proposed, and the SPI-II scale was proposed .

The consensus recommendations of our country’s experts are:

(1) It is recommended to use the ABCD2 scoring method or the ABCD3-I scoring method to assess the risk of stroke in patients with TIA; due to higher imaging requirements, the ABCD3-I scoring method is more suitable for the risk stratification of TIA patients by hospital neurologists
.

(2) Essen scale or SPI is recommended for clinical use.
The 1I scale assesses the long-term risk of recurrence in patients with ischemic stroke, but the two have limited predictive effects
.

(3) It is necessary to further establish and improve the ischemic stroke/TIA secondary prevention risk assessment scale suitable for Chinese people
.

references

references

1 , the Chinese Medical Association credits will neuropathy Chinese Medical Association credits will neuropathy Cerebrovascular Disease Study Group .
China ischemic stroke risk assessment scale use of expert consensus .
Journal of Neurology .
2016 years 7 Yue

1 , the Chinese Medical Association credits will neuropathy Chinese Medical Association credits will neuropathy Cerebrovascular Disease Study Group .
China ischemic stroke risk assessment scale use of expert consensus .
Journal of Neurology .
2016 years 7 Yue

2.
"Healthy China Action ( 2019-2030 )" by the Bureau of Disease Control and Prevention of the National Health Commission http:// class="s1">2.
"Healthy China Action ( 2019-2030 )" by the Bureau of Disease Control and Prevention of the National Health Commission http:// Leave a message here