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Titolo:
SELF-REPORTED TRANSIENT ISCHEMIC ATTACK AND STROKE SYMPTOMS - METHODSAND BASE-LINE PREVALENCE - THE ARIC STUDY, 1987-1989
Autore:
TOOLE JF; LEFKOWITZ DS; CHAMBLESS LE; WIJNBERG L; PATON CC; HEISS G;
Indirizzi:
WAKE FOREST UNIV,BOWMAN GRAY SCH MED,CTR STROKE RES,MED CTR BLVD WINSTON SALEM NC 27157 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT PUBL HLTH SCI WINSTON SALEMNC 27157 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT NEUROL WINSTON SALEM NC 27157 UNIV N CAROLINA,SCH PUBL HLTH,DEPT EPIDEMIOL CHAPEL HILL NC 00000
Titolo Testata:
American journal of epidemiology
fascicolo: 9, volume: 144, anno: 1996,
pagine: 849 - 856
SICI:
0002-9262(1996)144:9<849:STIAAS>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTEROBSERVER AGREEMENT; DIAGNOSIS; COMMUNITY; UMBRIA; BLACKS; TIA;
Keywords:
ALGORITHMS; CEREBRAL ISCHEMIA, TRANSIENT; CEREBROVASCULAR DISORDERS; PREVALENCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
J.F. Toole et al., "SELF-REPORTED TRANSIENT ISCHEMIC ATTACK AND STROKE SYMPTOMS - METHODSAND BASE-LINE PREVALENCE - THE ARIC STUDY, 1987-1989", American journal of epidemiology, 144(9), 1996, pp. 849-856

Abstract

As part of the Atherosclerosis Risk in Communities (ARIC) Study assessment of the etiology and sequelae of atherosclerosis, a standardized questionnaire on transient ischemic attack (TIA) and nonfatal stroke and a computerized diagnostic algorithm simulating clinical reasoning were developed and tested at the four ARIC field centers: Forsyth County, North Carolina; Minneapolis, Minnesota; Jackson, Mississippi; and Washington County, Maryland. The diagnostic algorithm used participant responses to a series of questions about six neurologic trigger symptoms to identify symptoms of TIA or stroke and their vascular distribution, Among 12,205 ARIC participants reporting their lifetime occurrenceof one or more symptoms probably due to cerebrovascular causes, nearly half (47%) reported the sudden onset of at least one symptom sometime prior to their ARIC examination, Of those with at least one symptom,only 12.9% were classified by the computer algorithm as having symptoms of TIA or stroke. Dizziness/loss of balance was the most frequentlyreported symptom (36%); 1.2% of these persons were classified by the algorithm as having a TIA/stroke event. Positive symptoms of speech dysfunction were classified most often (77%) as being symptoms of TIA orstroke. Symptoms suggesting TIA were reported more frequently than symptoms suggesting stroke by both sexes. TIA or stroke-like phenomena were more frequent (p < 0.001) in females (7%) than in males (5%) and increased with age in both sexes (p = 0.13 for females; p = 0.02 for males). In Forsyth County, TIA and stroke symptoms were greater in African Americans than in Caucasians (p = 0.05, controlling for sex). The association of algorithmically defined symptoms of TIA or stroke with traditional cerebrovascular risk factors is the subject of a companion paper.

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Documento generato il 27/11/20 alle ore 02:19:00