A retrospective analysis of inpatient compared to outpatient care for the management of patients with transient ischaemic attack

Risk of Subsequent Stroke Among Patients Receiving Outpatient vs Inpatient Care for Transient Ischemic Attack

“…A total of 71 studies were included (A. Mowla, MD, unpublished data, 2020). 9 , 15 , 27 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ...…”

“…Patients were studied prospectively in 24 cohorts (23.8%). 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 By considering the health care setting for the index event, we recorded 101 distinct cohorts. Out of 101 cohorts, 16 (15.8%) included patients with TIA and mIS.…”

“…In 15 cohorts (5636 patients; mean [SD] age, 65.7 [3.9] years; 2291 of 4513 [50.8%] men) acute care was delivered in TIA clinics (A. Mowla, MD, unpublished data, 2020). 9 , 29 , 30 , 31 , 32 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 Among the inpatients (33 cohorts; 130 139 patients; mean [SD] age, 78.3 [4.0] years; 49 458 of 128 745 [38.4%] men), 21 cohorts (125 719 patients) received care in medical-surgical units (A. Mowla, MD, unpublished data, 2020), 9 , 15 , 27 , 32 , 38 , 39 , 40 , 41 , 51 , 52 , 53 , 55 , 58 , 59 , 64 , 65 , 79 , 81 , 83 , 84 5 cohorts (2487 patients) in stroke units, 49 , 63 , 79 , 80 , 92 and 7 cohorts (1933 patients) in observation units. 48 , 65 , 66 , 82 , 83 , 84 , 95 In 16 cohorts (3605 patients; mean [SD] age, 68.9 [3.9] years; 1596 of 3046 [52.4%] men), the acute care was offered at the ED (A. Mowla, MD, unpublished data, 2020).…”

Real‐life experiences of people with transient ischaemic attack or minor stroke: A qualitative literature review

“…Due to the potential increase in stroke burden, and the likely underestimation of incidence rates, a significant amount of research has been conducted into TIA and minor stroke with a focus on risk, incidence and intervention. However, this research has predominantly used quantitative research methodologies in several key areas including patient decisions to seek help (Faiz, Sundseth, Thommessen, & Ronning, ; Geffner, Soriano, Perez, Vilar, & Rodriguez, ; Giles, Flossman, & Rothwell, ; Lasserson, Chandratheva, Giles, Mant, & Rothwell, ; Manawadu, Shuaib, & Collas, ), appropriate models of care and management (Ahmad et al., ; Jakel et al., ; Stead et al., ; Torres Macho et al., ), and outcome measures such as quality of life and depression (Luijendijk et al., ; Muus, Petzold, & Ringsberg, ; Shi et al., ).…”

Referral pathways for patients with TIA avoiding hospital admission: a scoping review

“…14 Low-risk patients with TIA can be managed safely and effectively as outpatients, without hospital-based treatment. 15 16 However, risk of hospitalisation for a patient with TIA increases with emergency department (ED) overcrowding, suggesting clinicians' decision-making is affected by the pressured environment. 17 As the role of ambulance services in the UK and internationally has shifted, from predominantly assessment and transport to hospital to clinical assessment and decision-making on scene, ambulance services are exploring alternative care pathways for appropriate low-risk patients, to refer direct to relevant specialist services (eg, mental health services, diabetes specialist) or leave patients at home.…”