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RESEARCH PRODUCT

A precise stroke classification for evaluation of ischemic stroke subtypes and their relation with diabetes: is TOAST the best?

Giuseppe LicataAntonio PintoAntonino TuttolomondoRosaria Pecoraro

subject

TOAST ClassificationStroke registrymedicine.medical_specialtyLacunar strokePopulationMEDLINEBrain IschemiaPhysical medicine and rehabilitationRisk FactorsDiabetes mellitusMedicineHumanscardiovascular diseaseseducationStrokeAdvanced and Specialized Nursingeducation.field_of_studyClinical Trials as Topicbusiness.industrymedicine.diseaseStroke TOAST ClassificationStrokeIschemic strokePhysical therapyNeurology (clinical)Cardiology and Cardiovascular Medicinebusiness

description

To The Editor: Regarding the study by Turin et al1 performed to estimate the secular time trends in incidence using a population-based stroke registry in Japan, we discuss some issues of potential interest. First, have the authors classified stroke subtypes according TOAST classification or Oxfordshire classification? No mention has been made in the text concerning the classification methodology of ischemic stroke. It is conceivable that applying the TOAST classification2 of ischemic stroke (a classification with clinical, pathophysiological, anatomic, and instrumental basis that is easily applicable and widely validated) could provide a more precise selection of patients with lacunar stroke. On this basis, by failing to specify how they classified ischemic stroke subtype, in our opinion, the authors could not exclude an overestimation of lacunar stroke. Second, authors affirm that a stroke was …

10.1161/strokeaha.110.602508https://pubmed.ncbi.nlm.nih.gov/21148434