Score for the targeting of atrial fibrillation (STAF): a new approach to the detection of atrial fibrillation in the secondary prevention of ischemic stroke
- PMID: 19461041
- DOI: 10.1161/STROKEAHA.109.552679
Score for the targeting of atrial fibrillation (STAF): a new approach to the detection of atrial fibrillation in the secondary prevention of ischemic stroke
Abstract
Background and purpose: The high risk of recurrence and comorbidity after a stroke associated with atrial fibrillation (AF) justifies an aggressive diagnostic approach so that anticoagulant treatment can be initiated.
Methods: The clinical and paraclinical characteristics of consecutive ischemic stroke patients with and without documented AF were recorded. Independent predictive factors were then used to produce a predictive grading score for diagnosing AF, derived by logistic regression analysis: Score for the Targeting of Atrial Fibrillation (STAF).
Results: STAF, calculated from the sum of the points for the 4 items (possible total score 0 to 8): age >62 years (2 points); NIHSS > or =8 (1 point); left atrial dilatation (2 points); absence of symptomatic intraor extracranial stenosis > or =50%, or clinico-radiological lacunar syndrome (3 points). STAF > or =5 identified patients with AF with a sensitivity of 89% and a specificity of 88%.
Conclusions: STAF can be used as part of a novel and simple strategy for the targeting of AF in the secondary prevention of ischemic stroke. A multicenter study is now required to validate STAF in a larger number of patients.
Comment in
-
A risk score to predict future atrial fibrillation derived from patients with stroke initially presenting with atrial fibrillation?Stroke. 2010 Mar;41(3):e169. doi: 10.1161/STROKEAHA.109.573675. Epub 2010 Feb 4. Stroke. 2010. PMID: 20133915 No abstract available.
Similar articles
-
The Value of the Score for the Targeting of Atrial Fibrillation (STAF) Screening in Acute Stroke Patients.J Stroke Cerebrovasc Dis. 2017 Jun;26(6):1280-1286. doi: 10.1016/j.jstrokecerebrovasdis.2017.01.022. Epub 2017 Feb 24. J Stroke Cerebrovasc Dis. 2017. PMID: 28242246
-
Does the STAF score help detect paroxysmal atrial fibrillation in acute stroke patients?Eur J Neurol. 2013 Jan;20(1):147-52. doi: 10.1111/j.1468-1331.2012.03816.x. Epub 2012 Jul 12. Eur J Neurol. 2013. PMID: 22788524
-
Brain natriuretic peptide: a relevant marker to rule out delayed atrial fibrillation in stroke patient.J Stroke Cerebrovasc Dis. 2013 Oct;22(7):e103-10. doi: 10.1016/j.jstrokecerebrovasdis.2012.08.010. Epub 2012 Sep 23. J Stroke Cerebrovasc Dis. 2013. PMID: 23010631
-
Oral anticoagulant therapy in atrial fibrillation patients at high stroke and bleeding risk.Prog Cardiovasc Dis. 2015 Sep-Oct;58(2):177-94. doi: 10.1016/j.pcad.2015.07.003. Epub 2015 Jul 7. Prog Cardiovasc Dis. 2015. PMID: 26162958 Review.
-
[Anticoagulant treatment in patients with atrial fibrillation, according to risk factors for stroke].Geriatr Psychol Neuropsychiatr Vieil. 2013 Dec;11(1 Suppl):23-33. doi: 10.1684/pnv.2013.0445. Geriatr Psychol Neuropsychiatr Vieil. 2013. PMID: 24463061 Review. French.
Cited by
-
Diagnostic value of STAF score in combination with D-dimer in cardioembolism.PLoS One. 2018 Oct 1;13(10):e0204838. doi: 10.1371/journal.pone.0204838. eCollection 2018. PLoS One. 2018. PMID: 30273382 Free PMC article.
-
Score for atrial fibrillation detection in acute stroke and transient ischemic attack patients in a Brazilian population: the acute stroke atrial fibrillation scoring system.Clinics (Sao Paulo). 2014;69(4):241-6. doi: 10.6061/clinics/2014(04)04. Clinics (Sao Paulo). 2014. PMID: 24714831 Free PMC article.
-
Diagnostic accuracy of STAF, LADS, and iPAB scores for predicting paroxysmal atrial fibrillation in patients with acute cerebral infarction.Clin Cardiol. 2018 Dec;41(12):1507-1512. doi: 10.1002/clc.23080. Epub 2018 Nov 23. Clin Cardiol. 2018. PMID: 30251368 Free PMC article.
-
14-day Holter monitoring for atrial fibrillation after ischemic stroke: The yield of guideline-recommended monitoring duration.Eur Stroke J. 2023 Mar;8(1):157-167. doi: 10.1177/23969873221146027. Epub 2022 Dec 23. Eur Stroke J. 2023. PMID: 37021150 Free PMC article.
-
Development of a Score to Predict the Paroxysmal Atrial Fibrillation in Stroke Patients: The Screening for Atrial Fibrillation Scale.Front Neurol. 2022 Jun 28;13:900582. doi: 10.3389/fneur.2022.900582. eCollection 2022. Front Neurol. 2022. PMID: 35837230 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical