Journal article
An Analysis of Transient Ischemic Attack Practices: Does Hospital Admission Improve Patient Outcomes?
Journal of stroke and cerebrovascular diseases, v 25(9), pp 2122-2125
Sep 2016
PMID: 27450386
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Immediate treatment has been shown to decrease the recurrence of cerebrovascular accidents following transient ischemic attacks (TIA), prompting the use of a specialized neurologic emergency department (Neuro ED) to triage patients. Despite these findings, there is little evidence supporting the notion that hospital admission improves post-TIA outcomes. Through the lens of a Neuro ED, this retrospective chart review of TIA patients examines whether hospital admission improves 90-day outcomes.
Two hundred sixty charts of patients discharged with TIA diagnosis were reviewed. These charts encompassed patients with TIA who presented to a main emergency department (ED) or Neuro ED from January 2014 to April 2015. Demographic information, admission ABCD(2) scores, admission National Institutes of Health Stroke Scale scores, and admission Modified Rankin Scale, and reason for any return visits within 90 days were collected.
This review shows that patients triaged by the Neuro ED were admitted at a lower rate than those seen by the standard ED. Further, patients triaged by the Neuro ED experienced lower readmission and recurrence of stroke or TIA within 90 days.
These results provide preliminary support for the notion that discharging appropriate TIA patients, with adequate follow-up, will not adversely affect the recurrence of TIA or stroke within 90 days.
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Details
- Title
- An Analysis of Transient Ischemic Attack Practices: Does Hospital Admission Improve Patient Outcomes?
- Creators
- Alexandra M Lesenskyj - Drexel UniversityChristina R Maxwell - Drexel UniversityErol Veznedaroglu - Drexel UniversityKenneth Liebman - Drexel UniversityZakaria Hakma - Drexel UniversityMandy J Binning - Drexel University
- Publication Details
- Journal of stroke and cerebrovascular diseases, v 25(9), pp 2122-2125
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology; Neurosurgery
- Web of Science ID
- WOS:000384023700014
- Scopus ID
- 2-s2.0-84979539048
- Other Identifier
- 991019169913504721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Neurosciences
- Peripheral Vascular Disease