Sumi et al reported a modified Essen Stroke Risk Score for the prediction of recurrent stroke.
Difference from original ESRS: addition of stroke subtype, waist circumference and sex
Parameters:
(1) age in years
(2) hypertension
(3) diabetes mellitus
(4) previous myocardial infarction
(5) other cardiovascular disease (excluding MI and atrial fibrillation)
(6) peripheral artery disease
(7) smoking
(8) TIA or ischemic stroke in addition to qualifying event
(9) stroke subtype
(10) waist circumference in cm
(11) sex
|
Parameters |
Findings |
Points |
|
age in years |
< 65 years |
0 |
|
|
65 to 75 years |
1 |
|
|
> 75 years |
2 |
|
hypertension |
no |
0 |
|
|
yes |
1 |
|
diabetes mellitus |
no |
0 |
|
|
yes |
1 |
|
previous myocardial infarction |
no |
0 |
|
|
yes |
1 |
|
other cardiovascular disease |
no |
0 |
|
|
yes |
1 |
|
peripheral arterial disease |
no |
0 |
|
|
yes |
1 |
|
smoking |
no |
0 |
|
|
yes |
1 |
|
additional TIA or stroke |
no |
0 |
|
|
yes |
1 |
|
stroke subtype |
small artery occlusion |
0 |
|
|
other |
1 |
|
waist circumference |
< 90 cm |
0 |
|
|
>= 90 cm |
1 |
|
sex |
female |
0 |
|
|
male |
1 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
• For males, the high-risk group had a score >= 6.
• For females, the high-risk group had a score >= 5.
Performance:
• The area under the ROC curve for ischemic stroke is 0.632.
Specialty: Neurology
