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The ABC-Stroke Scor...
The ABC-Stroke Score Refines Stroke Risk Stratification in Patients With Atrial Fibrillation at the Emergency Department
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- Niederdöckl, Jan (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Oppenauer, Julia (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Schnaubelt, Sebastian (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Cacioppo, Filippo (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Buchtele, Nina (författare)
- Med Univ Vienna, Dept Clin Pharmacol, Vienna, Austria.;Med Univ Vienna, Dept Med 1, Vienna, Austria.
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- Warenits, Alexandra-Maria (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Laggner, Roberta (författare)
- Med Univ Vienna, Dept Orthoped & Trauma Surg, Vienna, Austria.
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- Schütz, Nikola (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Bögl, Magdalena S. (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Ruzicka, Gerhard (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Gupta, Sophie (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Lutnik, Martin (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Rezaei, Safoura Sheikh (författare)
- Med Univ Vienna, Dept Clin Pharmacol, Vienna, Austria.
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- Wolzt, Michael (författare)
- Med Univ Vienna, Dept Clin Pharmacol, Vienna, Austria.
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- Herkner, Harald (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Domanovits, Hans (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Laggner, Anton N. (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Schwameis, Michael (författare)
- Med Univ Vienna, Dept Emergency Med, Vienna, Austria.
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- Hijazi, Ziad (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi
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Med Univ Vienna, Dept Emergency Med, Vienna, Austria Med Univ Vienna, Dept Clin Pharmacol, Vienna, Austria.;Med Univ Vienna, Dept Med 1, Vienna, Austria. (creator_code:org_t)
- 2022-06-27
- 2022
- Engelska.
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Ingår i: Frontiers in Medicine. - : Frontiers Media S.A.. - 2296-858X. ; 9
- Relaterad länk:
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https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Aims: To evaluate the performance of the ABC (Age, Biomarkers, Clinical history) and CHA(2)DS(2)-VASc stroke scores under real-world conditions in an emergency setting.Methods and Results: The performance of the biomarker-based ABC-stroke score and the clinical variable-based CHA(2)DS(2)-VASc score for stroke risk assessment were prospectively evaluated in a consecutive series of 2,108 patients with acute symptomatic atrial fibrillation at a tertiary care emergency department. Performance was assessed according to methods for the development and validation of clinical prediction models by Steyerberg et al. and the Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis. During a cumulative observation period of 3,686 person-years, the stroke incidence rate was 1.66 per 100 person-years. Overall, the ABC-stroke and CHA(2)DS(2)-VASc scores revealed respective c-indices of 0.64 and 0.55 for stroke prediction. Risk-class hazard ratios comparing moderate to low and high to low were 3.51 and 2.56 for the ABC-stroke score and 1.10 and 1.62 for the CHA(2)DS(2)-VASc score. The ABC-stroke score also provided improved risk stratification in patients with moderate stroke risk according to the CHA(2)DS(2)-VASc score, who lack clear recommendations regarding anticoagulation therapy (HR: 4.35, P = 0.001). Decision curve analysis indicated a superior net clinical benefit of using the ABC-stroke score.Conclusion: In a large, real-world cohort of patients with acute atrial fibrillation in the emergency department, the ABC-stroke score was superior to the guideline-recommended CHA(2)DS(2)-VASc score at predicting stroke risk and refined risk stratification of patients labeled moderate risk by the CHA(2)DS(2)-VASc score, potentially easing treatment decision-making.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- symptomatic atrial fibrillation
- stroke
- prediction score
- performance evaluation
- validation
- biomarkers
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Niederdöckl, Jan
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Oppenauer, Julia
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Schnaubelt, Seba ...
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Cacioppo, Filipp ...
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Buchtele, Nina
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Warenits, Alexan ...
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visa fler...
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Laggner, Roberta
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Schütz, Nikola
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Bögl, Magdalena ...
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Ruzicka, Gerhard
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Gupta, Sophie
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Lutnik, Martin
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Rezaei, Safoura ...
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Wolzt, Michael
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Herkner, Harald
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Domanovits, Hans
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Laggner, Anton N ...
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Schwameis, Micha ...
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Hijazi, Ziad
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
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Frontiers in Med ...
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Uppsala universitet