scholarly journals The quality of medication optimization among patients with transient ischemic attack or minor stroke

2019 ◽  
Vol 3 (1) ◽  
pp. 36-46
Author(s):  
Jaclyn Myers ◽  
Dawn M. Bravata ◽  
Jason Sico ◽  
Laura Myers ◽  
Seemant Chaturvedi ◽  
...  
Keyword(s):  
Transient Ischemic Attack ◽  
Minor Stroke ◽  
Ischemic Attack ◽  
Medication Optimization

scholarly journals Recurrent Stroke was Associated with Poor Quality of Life in Patients with Transient Ischemic Attack or Minor Stroke: Finding from the CHANCE Trial

2014 ◽  
Vol 20 (12) ◽  
pp. 1029-1035 ◽  
Author(s):  
Yi-Long Wang ◽  
Yue-Song Pan ◽  
Xing-Quan Zhao ◽  
David Wang ◽  
S Claiborne Johnston ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Transient Ischemic Attack ◽  
Recurrent Stroke ◽  
Poor Quality ◽  
Minor Stroke ◽  
Ischemic Attack

scholarly journals Quality of Care for Veterans With Transient Ischemic Attack and Minor Stroke

2018 ◽  
Vol 75 (4) ◽  
pp. 419 ◽  
Author(s):  
Dawn M. Bravata ◽  
Laura J. Myers ◽  
Greg Arling ◽  
Edward J. Miech ◽  
Teresa Damush ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Transient Ischemic Attack ◽  
Minor Stroke ◽  
Ischemic Attack

Health-Related Quality of Life and Fatigue After Transient Ischemic Attack and Minor Stroke

2019 ◽  
Vol 28 (2) ◽  
pp. 276-284 ◽  
Author(s):  
José M. Ramírez-Moreno ◽  
Pedro Muñoz-Vega ◽  
Sandra Bartolomé Alberca ◽  
Diego Peral-Pacheco
Keyword(s):  
Quality Of Life ◽  
Transient Ischemic Attack ◽  
Minor Stroke ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Ischemic Attack

scholarly journals LO61: Geographic variation in Transient Ischemic Attack (TIA)/minor stroke care in Alberta emergency departments (EDs)

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S49
Author(s):  
M. Leong ◽  
E. Lang ◽  
S.D. Coutts ◽  
J. Stang ◽  
D. Wang ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Transient Ischemic Attack ◽  
Recurrent Stroke ◽  
Stroke Care ◽  
Minor Stroke ◽  
Care Pathways ◽  
Risk Factor Management ◽  
Index Visit ◽  
Ischemic Attack

Introduction: The risk of recurrent stroke following a transient ischemic attack (TIA) has been estimated to be as much as 5 percent in the first 48 hours and ten percent in the first week following initial TIA symptoms, but can be modified as a result of intensive risk factor management. Care pathways for these patients vary between different regions within Alberta with Edmonton admitting more TIA patients and Calgary using computed tomography angiography (CTA) based triage. To examine regional differences in the quality of care, the rate of admission for stroke within 90 days of an index ED visit for TIA/minor stroke was investigated. Methods: Data analysts from the Data Integration, Measurement and Reporting (DIMR) branch of Alberta Health Services (AHS) used the National Ambulatory Care Reporting System (NACRS) to identify patients in Alberta who were admitted for stroke within 90-days of an index emergency department (ED) visit for TIA/minor stroke from April 2010 to March 2016. Information extracted included patient demographics, region of residence (Edmonton, Calgary or non-major urban [NMU]), return diagnosis and timing of return ED visit. Analysis included descriptive summaries and proportions were compared using a χ2 test. Results: During the study period, there were 26,232 index visits to Alberta EDs for TIA/minor stroke. 5426 (26.1%) of patients were admitted on their index visit. Calgary (22.5%) had lower rates of admission on index visit followed by Edmonton (31.4%) and the NMU (46%). 20,806 (79.3%) were discharged home following their index visit. Of the patients discharged on their index visit 729 (3.5%) had an admission for stroke within 90-days of their index ED visit with rates in Edmonton (3.8%) and the NMU regions (3.8%) being significantly higher than Calgary (2.8%, p<0.01). Conclusion: Our study demonstrates significantly lower rates of admission for stroke within 90-days of ED visit for minor stroke/TIA in Calgary compared to Edmonton and the NMU. Further work should focus on validating this result and consideration of standardized care pathways that promote effective resource utilization and quality of care.

scholarly journals Does Abnormal Circadian Blood Pressure Pattern Really Matter in Patients With Transient Ischemic Attack or Minor Stroke?

Stroke ◽  
2014 ◽  
Vol 45 (3) ◽  
pp. 865-867 ◽  
Author(s):  
WenWen Zhang ◽  
Dominique A. Cadilhac ◽  
Leonid Churilov ◽  
Geoffrey A. Donnan ◽  
Christopher O’Callaghan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Transient Ischemic Attack ◽  
Minor Stroke ◽  
Pressure Pattern ◽  
Circadian Blood Pressure ◽  
Ischemic Attack

Abstract TP438: Japanese versus Non-Japanese Patients With Transient Ischemic Attack or Minor Stroke: Five-Year Risk of Stroke and Vascular Events

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Shinichiro Uchiyama ◽  
Takao Hoshino ◽  
Hugo Charles ◽  
Kenji Kamiyama ◽  
Taizen Nakase ◽  
...  
Keyword(s):  
Intracranial Hemorrhage ◽  
Transient Ischemic Attack ◽  
Japanese Patients ◽  
Minor Stroke ◽  
Stroke Recurrence ◽  
Large Artery ◽  
Vascular Events ◽  
Minor Ischemic Stroke ◽  
Ischemic Attack

Background: We have reported 5-year risk of stroke and vascular events after a transient ischemic attack (TIA) or minor ischemic stroke in patients enrolled into the TIAregistry.org, which was an international multicenter-cooperative, prospective registry (N Engl J Med 2018;378:2182-90). We conducted subanalysis on the 5-year follow-up data of Japanese patients in comparison with non-Japanese patients. Methods: The patients were classified into two groups on ethnicity, Japanese (n=345) and non-Japanese (n=3502), and their 5-year event rates were compared. We also determined predictors of five-year stroke in both groups. Results: Death from vascular cause (0.9% vs 2.7%, HR 0.28, 95% CI 0.09-0.89, p=0.031) and death from any cause (7.8% vs 9.9%, HR 0.67, 95% CI 0.45-0.99, p=0.045) were fewer in Japanese patients than in non-Japanese patients, while stroke (13.9% vs 7.2%, HR 1.78, 95% CI 1.31-2.43, p<0.001) and intracranial hemorrhage (3.2% vs 0.8%, HR 3.61. 95% CI 1.78-7.30, p<0.001) were more common in Japanese than non-Japanese patients during five-year follow-up period. Caplan-Meyer curves at five-years showed that the rates of stroke was also significantly higher in Japanese than non-Japanese patients (log-rank test, p=0.001). Predictors for stroke recurrence at five years were large artery atherosclerosis (HR 1.81, 95% CI 1.31-2.52, p<0.001), cardioembolism (HR 1.71, 95% CI 1.18-2.47, p=0.004), multiple acute infarction (HR 1.77, 95% CI 1.27-2.45, p<0.001) and ABCD 2 score 6 or 7 (HR 1.96, 95% CI 1.38-2.78, p<0.001) in non-Japanese patients, although only large artery atherosclerosis (HR 3.28, 95% CI 1.13-9.54, p=0.029) was a predictor for stroke recurrence in Japanese patients. Conclusions: Recurrence of stroke and intracranial hemorrhage were more prevalent in Japanese than non-Japanese patients. Large artery atherosclerosis was a predictor for stroke recurrence not only in non-Japanese patients but also in Japanese patients.

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