TOAST criteria applied in acute ischemic stroke

Background –  Etiological subclassification of ischemic stroke has become increasingly important, as new therapeutic agents have been introduced. The aim of this study was to assess the inter‐rater reliability of the TOAST classification applied in the acute setting, and further to evaluate the criterion validity of the TOAST classification in discriminating between small vessel disease and other etiologies.

[1]  P. Karanjia,et al.  Accuracy of initial stroke subtype diagnosis in the TOAST study , 1995, Neurology.

[2]  D. Molloy,et al.  A Guide to the Standardized Mini-Mental State Examination , 1997, International Psychogeriatrics.

[3]  J. Bamford,et al.  Classification and natural history of clinically identifiable subtypes of cerebral infarction , 1991, The Lancet.

[4]  M. Kaste,et al.  Thrombolysis for acute ischemic stroke: a consensus statement of the 3rd Karolinska Stroke Update, October 30-31, 2000. , 2001, Stroke.

[5]  J M Scheller,et al.  The rational clinical examination. , 1992, JAMA.

[6]  M. Brown,et al.  Stroke: A Practical Guide to Management , 1997 .

[7]  M. Kaste.  Thrombolysis in Ischaemic Stroke – Present and Future: Role of Combined Therapy , 2001, Cerebrovascular Diseases.

[8]  L. Goldstein,et al.  Retrospective Assessment of Initial Stroke Severity: Comparison of the NIH Stroke Scale and the Canadian Neurological Scale , 2001, Stroke.

[9]  M. Kaste,et al.  Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II) , 1998, The Lancet.

[10]  B. Söderfeldt,et al.  Functional outcome in patients with lacunar infarction. , 1996, Stroke.

[11]  C. Tzourio,et al.  Aortic plaque morphology and vascular events: a follow-up study in patients with ischemic stroke. FAPS Investigators. French Study of Aortic Plaques in Stroke. , 1997, Circulation.

[12]  P A Wolf,et al.  Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates. , 1998, The American journal of cardiology.

[13]  D. Matchar,et al.  The rational clinical examination. Clinical assessment of stroke. , 1994, JAMA.

[14]  James N. Davis,et al.  Interrater reliability of the NIH stroke scale. , 1989, Archives of neurology.

[15]  L. Brass,et al.  Factors Associated With Early Presentation of Acute Stroke , 1993, Stroke.

[16]  P Trouillas,et al.  Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Second European-Australasian Acute Stroke Study Investigators. , 1998, Lancet.

[17]  David Lee Gordon,et al.  Classification of Subtype of Acute Ischemic Stroke: Definitions for Use in a Multicenter Clinical Trial , 1993, Stroke.

[18]  V. Hachinski,et al.  Extending Tissue Plasminogen Activator Use to Community and Rural Stroke Patients , 2002, Stroke.

[19]  D V Cicchetti,et al.  Assessing Inter-Rater Reliability for Rating Scales: Resolving some Basic Issues , 1976, British Journal of Psychiatry.

[20]  J. De Keyser,et al.  Use of the Barthel index and modified Rankin scale in acute stroke trials. , 1999, Stroke.

[21]  H. Adams,et al.  Interphysician agreement in the diagnosis of subtypes of acute ischemic stroke , 1993, Neurology.