This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (37)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

IV. The Reliability of Diagnosis

Philip R. Calanchini, MD; Phillip D. Swanson, MD; Robert A. Gotshall, MD; Armin F. Haerer, MD; David C. Poskanzer, MD; Thomas R. Price, MD; P. Michael Conneally, PhD; Mark L. Dyken, MD; Dennis E. Futty, MS

JAMA. 1977;238(19):2029-2033.

Abstract
All patients (1,328) suspected of having transient ischemic attacks (TIA) who came to six institutions over a 21-month period were identified. Each case was reviewed by a neurological investigator, and a definite diagnosis of TIA was supported in 39% and ruled out in 30%. The reliability of the neurologist's review diagnosis was assessed by three methods, and close agreement (84% to 93%) was obtained. Factors demonstrated to effect the diagnosis were historical information, neurological training of the examiners, type of symptom complex, presence of carotid artery bruits, and examination during an attack.

(JAMA 238:2029-2033, 1977)

Footnotes
For university affiliations and additional contributors, see Table 1.

Reprint requests to Department of Neurology, Indiana University School of Medicine, 1100 W Michigan St, Indianapolis, IN 46202 (Dr Dyken).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Diagnostic Usefulness of the ABCD2 Score to Distinguish Transient Ischemic Attack and Minor Ischemic Stroke From Noncerebrovascular Events: The North Dublin TIA Study
Sheehan et al.
Stroke 2009;40:3449-3454.
ABSTRACT | FULL TEXT  

Is This Patient Having a Stroke?
Goldstein and Simel
JAMA 2005;293:2391-2402.
ABSTRACT | FULL TEXT  

Neuroimaging in TIAs
Saver and Kidwell
Neurology 2004;62:S22-S25.
FULL TEXT  

Acute Ischemic Cerebrovascular Syndrome: Diagnostic Criteria
Kidwell and Warach
Stroke 2003;34:2995-2998.
ABSTRACT | FULL TEXT  

A comparison of risk factors for recurrent TIA and stroke in patients diagnosed with TIA
Claiborne Johnston et al.
Neurology 2003;60:280-285.
ABSTRACT | FULL TEXT  

Quantitative Diffusion-Weighted MR Imaging in Transient Ischemic Attacks
Kamal et al.
Am. J. Neuroradiol. 2002;23:1533-1538.
ABSTRACT | FULL TEXT  

Diffusion MRI in Patients With Transient Ischemic Attacks
Kidwell et al.
Stroke 1999;30:1174-1180.
ABSTRACT | FULL TEXT  

Diagnosis of Transient Ischemic Attack by the Nonneurologist: A Validation Study
Ferro et al.
Stroke 1996;27:2225-2229.
ABSTRACT | FULL TEXT  

Clinical Assessment of Stroke
Goldstein and Matchar
JAMA 1994;271:1114-1120.
ABSTRACT  

Carotid Endarterectomy
Cebul and Whisnant
ANN INTERN MED 1989;111:660-670.
ABSTRACT  

Interobserver Agreement in the Diagnosis of Stroke Type
Gross et al.
Arch Neurol 1986;43:893-898.
ABSTRACT  

Computer-Aided Assessment of Transient Ischemic Attacks: A Clinical Evaluation
Reggia et al.
Arch Neurol 1984;41:1248-1254.
ABSTRACT  

The Underlying Problems Resulting in Controversies in the Clinical Management of Transient Ischemic Attacks: An Overview
Slade et al.
ANGIOLOGY 1983;34:639-645.
ABSTRACT  

Cooperative Study of Hospital Frequency and Character of Transient Ischemic Attacks: VIII. Risk Factors
Conneally et al.
JAMA 1978;240:742-746.
ABSTRACT  

Cooperative Study of Hospital Frequency and Character of Transient Ischemic Attacks: VII. Initial Diagnostic Evaluation
Gotshall et al.
JAMA 1978;239:2001-2003.
ABSTRACT