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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Historic Stroke Motor Severity Score Predicts Progression in TIA/Minor Stroke
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Historic Stroke Motor Severity Score Predicts Progression in TIA/Minor Stroke

机译：历史性卒中运动严重度评分可预测TIA /轻微卒中的进展

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Background: Transient ischemic attack (TA) and minor stroke have a high risk of early neurological deterioration, and patients who experience early improvement are at risk of deterioration. We generated a score for quantifying the worst reported motor and speech deficits and assessed whether this predicted outcome. Methods: 510 TIA or minor stroke (NIHSS<4) patients were included. The Historical Stroke Severity Score (HSSS) prospectively quantified the patient's description of the worst motor or speech deficits. The HSSS was rated at the time of first assessment with more severe deficits scoring higher. Motor HSSS included assessments of arm and leg motor power (score total 0-5). Speech HSSS assessed severity of dysarthria and aphasia (total 0-3). The association between motor and speech HISSS and symptom progression was assessed during the 90-day follow-up period. Results: The proportion of patients in each category of the motor HSSS was 0: 43% (216/510), 1: 22%(110/510), 2: 17% (89/510), 3: 7% (371510), 4: 5% (28/510) and 5: 6% (30/510). Motor HSSS was associated with symptom progression (p=0.004) but not recurrent stroke. Speech HSSS was not associated with either progression or recurrent stroke. Motor HSSS predicted disability (p=0.002) and intracranial occlusion (p=0.012). Disability increased with increasing motor HSSS. Conclusions: Taking a detailed history about the severity of motor deficits, but not speech, predicted outcome in TIA and minor stroke patients. A score based on the patient's description of the severity of motor symptoms predicted symptom progression, intracranial occlusion and functional outcome, but not recurrent stroke in a TIA and minor stroke population.
机译：背景：短暂性脑缺血发作（TA）和轻度中风具有早期神经系统恶化的高风险，经历早期康复的患者有恶化的风险。我们生成了一个分数，用于量化报告的最严重的运动和言语缺陷，并评估该预测结果是否。方法：纳入510例TIA或轻度卒中（NIHSS <4）患者。历史中风严重度评分（HSSS）可以量化患者对最严重运动或言语缺陷的描述。在初次评估时对HSSS进行了评分，严重缺陷的得分更高。电机HSSS包括对手臂和腿部电机功率的评估（总分0-5）。言语HSSS评估了构音障碍和失语症的严重程度（总计0-3）。在90天的随访期内评估了运动和言语HISSS与症状进展之间的关联。结果：运动HSSS的每个类别的患者比例为0：43％（216/510），1：22％（110/510），2：17％（89/510），3：7％（371510） ），4：5％（28/510）和5：6％（30/510）。运动HSSS与症状进展相关（p = 0.004），但与卒中复发无关。言语HSSS与进展性或复发性中风无关。运动HSSS预测残疾（p = 0.002）和颅内闭塞（p = 0.012）。残疾随着运动HSSS的增加而增加。结论：详细了解运动障碍严重程度（而非言语）的历史，可预测TIA和轻度中风患者的预后。根据患者对运动症状严重程度的描述得出的分数可预测症状进展，颅内闭塞和功能结局，但不能预测TIA和轻度卒中人群的卒中复发。

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