Yuan et al reported a nomogram which can help to predict the risk of stroke recurrence in a young adult. The authors are from Nanjing Medical University, University of Science and Technology of China, Jinling Hospital, Southern Medical University and the 80th Group Army Hospital of The People's Liberation Army (Weifang) in China.
Patient selection: adult 18 to 49 years with first-ever ischemic stroke
Parameters:
(1) hypertension
(2) diabetes mellitus
(3) smoking status
(4) years of education
(5) stroke etiology
Parameter
Finding
Points
hypertension
absent
0
present
28
diabetes mellitus
absent
0
present
43.6
smoking status
nonsmoker
0
former smoker
13.7
current smoker
39.8
education
0 to 6
100
6 to 9
44.5
9 to 12
58.5
> 12
0
stroke etiology
small-vessel occlusion
0
large artery atherosclerosis
43.2
cardiac embolism
58.2
other determined disease
18.5
undetermined cause
38.6
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 269.9
• The higher the score the greater the risk of stroke recurrence (the lower the chances of being stroke free).
