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Stroke TIA Public Triage Tool (ABCD2 community adaptation)

: Explanation and Clinical Context The ABCD2 score estimates early stroke risk after a transient ischemic attack (TIA) based on five clinical variables: age ≥ 60 years (1), blood pressure ≥ 140/90 mmHg (1), clinical features (unilateral weakness 2; speech disturbance without weakness 1), symptom duration (≥ 60 minutes 2; 10–59 minutes 1), and diabetes (1). Total 0–7. Risk stratification: Low (0–3), Moderate (4–5), Hi

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Stroke TIA Public Triage Tool (ABCD2 community adaptation): Explanation and Clinical Context The ABCD2 score estimates early stroke risk after a transient ischemic attack (TIA) based on five clinical variables: age ≥ 60 years (1), blood pressure ≥ 140/90 mmHg (1), clinical features (unilateral weakness 2; speech disturbance without weakness 1), symptom duration (≥ 60 minutes 2; 10–59 minutes 1), and diabetes (1). Total 0–7. Risk stratification: Low (0–3), Moderate (4–5), High (6–7).

Approximate risks: 2-day 1.0–8.1%; 7-day 1.2–11.7%; 90-day 3.1–17.8%. Community adaptation: This version adds triage guidance. Ongoing symptoms or onset ≤ 24h → emergency.

High score → urgent evaluation; low score → early clinic follow-up.

Evidence & references2 primary sources mapped
  1. Source 1

    Rothwell PM, Giles MF, Flossmann E, et al. Lancet. 2005;366:29–36. Johnston SC, Rothwell PM, Nguyen-Huynh MN, et al. Lancet. 2007;369:283–292. NICE NG128,

  2. Source 2

    AHA/ASA Guidelines on TIA Management.

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Clinical structure and calculation context point directly to Source 1; additional primary references remain listed for auditability.