The Value of ABCD2F Scoring System (ABCD2 Combined with Atrial Fibrillation) to Predict 90-Day Recurrent Brain Stroke

Background. The ABCD2 score is now identified as a useful clinical prediction rule to determine the risk for stroke in the days following brain ischemic attacks. Aim. The present study aimed to introduce a new scoring system named "ABCD2F" and compare its value with the previous ABCD2 system to predict recurrent ischemic stroke within 90 days of the initial cerebrovascular accident (CVA). Methods. 138 consecutive patients with the final diagnosis of ischemic CVA or TIAs who referred to emergency ward of Rasoul-e-Akram general hospital in Tehran from September 2012 to December 2013 were eligible. By adding a new score in the presence of atrial fibrillation to ABCD2 system, the new scoring system as ABCD2F was introduced and the risk stratification was done again on this new system. Results. The area under the curve for ABCD2 was 0.434 and for ABCD2F it was 0.452 indicating low value of both systems for assessing recurrence of stroke within 90 days of primary event. Multivariable logistic regression analysis showed that none of the baseline factors could predict 90-day recurrent stroke. Conclusion. ABCD2 and/or atrial fibrillation are not good scoring candidates for assessing the risk of recurrent stroke within first 90 days. © 2016 Mostafa Almasi et al

COVID-19 crisis: a time for practical assessment of hygienic principles observance

Simultaneously with COVID-19 pandemic, numerous protocols have been developed to prevent the infection. COVID-19 can be more fatal in the bone marrow transplant ward because patients admitted to these wards have a weakened immune system. Assessment of the protocol specified for this wards and practical evaluation of the hygienic principles observance by the medical staff during COVID-19 pandemic can be a step towards saving the lives of the patients. Coinciding with COVID-19 pandemic, 40 patients underwent bone marrow transplantation at Imam Reza Hospital of Kermanshah, Iran from February 2020 to June 2022. A follow-up program was performed to evaluate the possibility of COVID-19 transmission and the rate of hygiene practice by medical staff. The principles of hygienic protocols were scored as a questionnaire in which the observance/non-observance method were applied. Real time-polymerase chain reaction (RT-PCR) based on three genes of the virus was used to diagnose the COVID-19 patients. The results of RT-PCR tests were negative in all patients who were hospitalised during the study. The rate of observance of the hygienic principles by the staff in the studied ward was 100%.The obtained result in the present study was a reflection of the step-by-step implementation of the hygienic protocol specified for bone marrow transplantation ward by the staff. The protocol specified for the bone marrow transplantation ward was highly overlapped with COVID-19 general hygienic guidelines