Transient Ischemic Attack Clinical Trial
Official title:
China Registry of Non-disabling Ischemic Cerebrovascular Events: A Prospective Multi-center, National Registry Trail
The burden of non-disabling ischemic cerebrovascular events (NICE) is significantly increased. In order to achieve accurate risk stratification and effective treatments, developing new diagnostic, therapeutic, and prognostic strategies is indispensable. Chinese registry of NICE is a national multi-center prospective study aimed to explore the epidemiology, new biomarkers, risk factors and prognostic models.
The pathophysiology of transient ischemic attack (TIA) and minor stroke is a continuous
progression. TIA and minor stroke exhibit the common substantial risk factors for early
stroke recurrence and epidemiological characteristic. Since TIA and minor stroke may leave
impermanent or mild neurological deficit, they are termed as non-disabling ischemic
cerebrovascular disease (NICE).
The results of the China Chronic Disease and Risk Factor Surveillance (CCDRFS) 2010 showed
that the age-standardized prevalence of TIA is 2.27%. Estimated 23.9 million people may have
experienced a TIA in China. The TIA knowing-rate is approximately 3.08% in Chinese adults,
only 5.02% received treatment and 4.07% received guideline recommended therapy. The Second
China National Stroke Registry (CNSR-II) indicated that minor stroke accounted for 42.23% of
all the hospitalized patients of ischemic stroke, which is much higher than that showed in
CNSR-I (2007-2008). Thus, it is imperative to develop new strategies to improve the
diagnosis, risk prediction and appropriate management of NICE.
NICE is an attractive researching area globally. According to the large quantities of NICE
patients in China and the low standardized therapeutic rate, the awareness of NICE is
largely insufficient. The purpose of the present study is to establish a multi-center
national prospective database of NICE, including clinical information and biological samples
library and, to further explore the epidemiology, new biomarkers, risk factors, and
prognostic models.
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