24/7 TIA-service
نویسندگان
چکیده
Although the symptoms of a transient ischemic attack (TIA) by definition resolve completely, the subsequent risk of cardiovascular complications is substantial. Urgent diagnosis and start of secondary prevention can reduce these risks. In light of the potential unfavourable prognosis, especially the first days after a TIA, we have developed and implemented a 24/7 TIA-service. Patients can be referred at any time and timing of analysis is determined by means of short-term risk assessment with a validated tool. Within half a day all investigations necessary to diagnose TIA and identify risk factors take place and secondary prevention at all levels is started immediately. This service is realized through integration of workflow of different specialities at multiple levels of care. Although patient service improves, the beneficial effects of a 24/7 TIA-service need to be established before further implementation is started. A preliminary analysis on the effects of continuous TIA-care and suggestions for the development of the necessary process and outcome indicators are provided.
منابع مشابه
Delay between symptom onset and clinic attendance following TIA and minor stroke: the BEATS study.
BACKGROUND rapid specialist assessment of patients with transient ischaemic attack (TIA) reduces the risk of recurrent stroke. National guidelines advise that high-risk patients are assessed within 24 h and low-risk patients within 7 days. AIM to quantify delay and map pathways taken by patients from symptom onset to specialist assessment. DESIGN retrospective cohort study. SETTING rapid ...
متن کاملPopulation-based study of capsular warning syndrome and prognosis after early recurrent TIA.
OBJECTIVE Many guidelines recommend emergency assessment for patients with ≥2 TIAs within 7 days, perhaps in recognition of the capsular warning syndrome. However, it is unclear whether all patients with multiple TIAs are at high early risk of stroke and whether treatable underlying pathologies are more prevalent in this group. METHODS We studied clinical characteristics, Trial of Org 10172 i...
متن کاملWhen has service provision for transient ischaemic attack improved enough? A discrete event simulation economic modelling study
OBJECTIVES The aim of this study was to examine the impact of transient ischaemic attack (TIA) service modification in two hospitals on costs and clinical outcomes. DESIGN Discrete event simulation model using data from routine electronic health records from 2011. PARTICIPANTS Patients with suspected TIA were followed from symptom onset to presentation, referral to specialist clinics, treat...
متن کاملManagement of patients with transient ischemic attack (TIA) at Sestre milosrdnice University Hospital Center.
Improved outcomes were observed in transient ischemic attack (TIA) patients after implementation of recommendations for stroke management and after multiple interventions such as public campaigns focused on raising awareness of stroke and reorganization of health services. The aim of this study was to describe reorganization of in-hospital services to improve the management of patients suspecte...
متن کاملPopulation-based study of risk and predictors of stroke in the first few hours after a TIA.
BACKGROUND Several recent guidelines recommend assessment of patients with TIA within 24 hours, but it is uncertain how many recurrent strokes occur within 24 hours. It is also unclear whether the ABCD2 risk score reliably identifies recurrences in the first few hours. METHODS In a prospective, population-based incidence study of TIA and stroke with complete follow-up (Oxford Vascular Study),...
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عنوان ژورنال:
دوره 12 شماره
صفحات -
تاریخ انتشار 2012