An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic

Autor: Shelagh B. Coutts, Henry Ma, Pierre Amarenco, Mohana Maddula, Shaloo Singhal, Philippa C. Lavallée, Maria Guarino, Thanh G. Phan, Gregory W. Albers, Benjamin Clissold, Mukul Sharma, Robert D. Brown, Mitchell S.V. Elkind, Peter M. Rothwell, Andy K.H. Lim, Timothy Kleinig, Jesse Dawson, Annemarei Ranta
Rok vydání: 2020
Předmět:
Diagnostic Imaging
Telemedicine
medicine.medical_specialty
Time Factors
Coronavirus disease 2019 (COVID-19)
Cross-sectional study
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Pneumonia
Viral
Telehealth
medicine.disease_cause
Article
03 medical and health sciences
0302 clinical medicine
Pandemic
Humans
Medicine
Outpatient clinic
Practice Patterns
Physicians'
Pandemics
Personal Protective Equipment
Coronavirus
Ischemic Attack
Transient
Delivery of Health Care
Integrated
business.industry
Rehabilitation
Australia
COVID-19
Europe
Cross-Sectional Studies
Ischemic Attack
Transient
North America
Emergency medicine
Critical Pathways
Surgery
Neurology (clinical)
Coronavirus Infections
Cardiology and Cardiovascular Medicine
business
Delivery of Health Care
030217 neurology & neurosurgery
Hospital Rapid Response Team
New Zealand
Zdroj: Journal of Stroke and Cerebrovascular Diseases
ISSN: 1052-3057
Popis: Background This report aims to describe changes that centres providing transient ischaemic attack (TIA) pathway services have made to stay operational in response to the SARS-CoV-2 pandemic. Methods An international cross-sectional description of the adaptions of TIA pathways between 30th March and 6th May 2020. Experience was reported from 18 centres with rapid TIA pathways in seven countries (Australia, France, UK, Canada, USA, New Zealand, Italy, Canada) from three continents. Results All pathways remained active (n = 18). Sixteen (89%) had TIA clinics. Six of these clinics (38%) continued to provide in-person assessment while the majority (63%) used telehealth exclusively. Of these, three reported PPE use and three did not. Five centres with clinics (31%) had adopted a different vascular imaging strategy. Conclusion The COVID pandemic has led TIA clinics around the world to adapt and move to the use of telemedicine for outpatient clinic review and modified investigation pathways. Despite the pandemic, all have remained operational.
Databáze: OpenAIRE
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