Rapid assessment of transient ischaemic attack in a hospital with no on-call neurologist

Autor: E. Palomeras Soler, P. Fossas Felip, A.T. Cano Orgaz, P. Sanz Cartagena, V. Casado Ruiz, D. Muriana Batista
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Neurología (English Edition), Vol 30, Iss 6, Pp 325-330 (2015)
Druh dokumentu: article
ISSN: 2173-5808
DOI: 10.1016/j.nrleng.2015.05.004
Popis: Background: Risk of stroke soon after a transient ischaemic attack (TIA) is high. Urgent care can reduce this risk. Our aim is to describe and evaluate the efficacy of rapid assessment of TIA patients in a hospital without a neurologist available 24 h a day. Methods: In February 2007, we set up a protocol of rapid management of patients with symptoms consistent with acute TIA, with the aim of prioritising urgent care and reducing hospital admissions, without increasing risk of recurrences. We analyse our results since the protocol was implemented with particular focus on the analysis of delay in neurological and neurovascular assessment, percentage and reasons for hospitalisation, and stroke recurrence rates after 3 months. Results: Four hundred and eleven patients were studied, with a final diagnosis of TIA in 282 (68.6%). Among other diagnoses, the most frequent were a vasovagal reaction (5.6%), and a confusional syndrome (4.6%). Delay between emergency arrival and neurovascular assessment was
Databáze: Directory of Open Access Journals