BACKGROUND To evaluate the performance of a novel triage system for Transient Ischemic Attack (TIA) units built upon an existent clinical prediction rule (CPR) to reduce time to unit arrival, relative to the time of symptom onset, for true TIA and minor stroke patients. Differentiating between true and false TIA/minor stroke cases (mimics) is necessary for effective triage as medical interventi...

BACKGROUND AND PURPOSE Precise mechanisms underlying the effectiveness of the stroke unit (SU) are not fully established. Studies that compare monitored stroke units (semi-intensive type, SI-SU) versus an intensive care unit (ICU)-based mobile stroke team (MST-ICU) are lacking. Although inequalities in access to stroke unit care are globally improving, acute stroke patients may be admitted to I...

The main objective of acute stroke care should be to reduce death and disability, and the objective of monitoring should be the same. Treatment in stroke units (without intensive monitoring) is the only treatment option proven to reduce death in acute stroke patients, and also the only treatment that has shown beneficial long-term effects on survival and disability.1 All acute stroke patients s...

BACKGROUND AND PURPOSE Centralizing hyperacute stroke unit (HASU) care services allows improved access to thrombolysis but could be associated with worse patient experience, particularly when early repatriation to a local stroke recovery unit occurs as this may result in discontinuity of care. A centralized model of care was introduced in London, United Kingdom, with 8 HASUs providing acute car...

128 A score to predict early risk of recurrence after ischemic stroke H. Ay, L. Gungor, E.M. Arsava, J. Rosand, M. Vangel, T. Benner, L.H. Schwamm, K.L. Furie, W.J. Koroshetz, and A.G. Sorensen Editorial, p. 102 136 Early clinical worsening in patients with TIA or minor stroke: The Austrian Stroke Unit Registry J. Ferrari, M. Knoflach, S. Kiechl, J. Willeit, S. Schnabl, L. Seyfang, and W. Lang,...

BACKGROUND AND PURPOSE Stroke units improve outcome for stroke patients. Comparative controlled studies between stroke units are required to determine which components of stroke unit rehabilitation influence outcome and which may be investigated further in randomized controlled trials. This study compares 2 stroke units with regard to the effect differences in practice have on functional recove...