Surgery News

RRE-90 score: A new web-based tool to predict recurrent stroke risk

March 13, 2016

Scientists developed a new tool known as the "Recurrence Risk Estimator at 90 days" or "RRE-90 score" to calculate a person's risk of having another stroke within three months by looking at risk factors of stroke, such as history of mini-stroke, or transient ischemic attack (TIA), age and the type of first stroke the person experienced, along with information from brain scans. The higher the score, the more likely it was a patient would experience a second stroke. The 90-day risk was approximately 40 times greater in people with four or more stroke risk factors than in people without any risk factors. The study found that over 96 percent of patients who developed a second stroke showed signs of one or more risk factor.

"We currently don't have a well-developed tool for predicting short-term risk of early recurrent stroke, so this tool could help improve stroke care and outcome," Ay said. "For example, people at high risk of a second stroke can be immediately admitted to specialized stroke centers and given preventative treatment."

Another interesting finding in the study was that long-term predictors of stroke, such as smoking, diabetes and hypertension did not predict short-term strokes. Ay says the accuracy of the tool still needs to be confirmed before it can be implemented for general use.

Source: American Academy of Neurology