scholarly journals Influence of general practice opening hours on delay in seeking medical attention after transient ischaemic attack (TIA) and minor stroke: prospective population based study

BMJ ◽  
2008 ◽  
Vol 337 (sep18 3) ◽  
pp. a1569-a1569 ◽  
Author(s):  
D. S Lasserson ◽  
A. Chandratheva ◽  
M. F Giles ◽  
D. Mant ◽  
P. M Rothwell
Keyword(s):  
General Practice ◽  
Transient Ischaemic Attack ◽  
Population Based ◽  
Minor Stroke ◽  
Medical Attention ◽  
Population Based Study ◽  
Ischaemic Attack

scholarly journals Transient Ischaemic Attack Rarely Precedes Stroke in a Cohort with Low Proportions of Large Artery Atherosclerosis: A Population-Based Study

2018 ◽  
Vol 8 (2) ◽  
pp. 101-105
Author(s):  
Blake F. Giarola ◽  
James Leyden ◽  
Sally Castle ◽  
Jim Jannes ◽  
Craig Anderson ◽  
...  
Keyword(s):  
Ischaemic Stroke ◽  
Transient Ischaemic Attack ◽  
Population Based ◽  
Medical Attention ◽  
Large Artery ◽  
Population Based Study ◽  
Stroke Incidence ◽  
Ischaemic Attack ◽  
Abcd2 Score ◽  
Toast Criteria

Background: Ischaemic stroke is reportedly preceded by transient ischaemic attack (TIA) in 15–30% of all cases. The risk of stroke following TIA is highest in the presence of unstable atherosclerotic plaques in large arteries. The recent population-based Adelaide Stroke Incidence Study describes a population with a low proportion (16%) of stroke attributable to large artery atherosclerosis (LAA). We hypothesized that this population-based ischaemic stroke cohort would have a lower rate of preceding TIA than previously reported. Methods: This paper is a prospective ascertainment of all suspected TIAs and strokes in a 12-month period from 2009 to 2010. Ischaemic stroke pathogenesis was classified by the TOAST criteria. Details of preceding TIA events were scrutinised. Results: In this 12-month period, 318 stroke events in 301 individuals were recorded. Of the total 258 ischaemic strokes, 16% (95% confidence interval [CI] 12–22) were from LAA. Of 258 ischaemic stroke patients, only 11 (4%; 95% CI 2–7) reported symptoms in the preceding 90 days consistent with TIA. Nine (82%) sought medical attention. The median ABCD2 score in this group was 4.5 (IQR: 3–7), and the median time of event prior to stroke was 20 days (IQR: 4–32). Conclusion: In our population-based cohort, rates of TIA preceding ischaemic stroke were much lower than previously reported, probably reflective of effective secondary prevention (active TIA clinics) and primary prevention (limiting LAA prevalence). In our population, further enhancements in TIA care will be of limited yield.

Abstract P208: Transient Ischaemic Attack: How the Patient Perceives it

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Mary J MacLeod ◽  
Ali Abdullah
Keyword(s):  
Secondary Prevention ◽  
Transient Ischaemic Attack ◽  
Patient Adherence ◽  
Behavioural Change ◽  
Illness Perception ◽  
Personal Control ◽  
Self Report ◽  
Minor Stroke ◽  
Medical Attention ◽  
Ischaemic Attack

Background: The risk of stroke after Transient Ischaemic Attack (TIA) is 8-11 % within a month. Rapid assessment and early use of preventative therapies can reduce this risk by 80-90%. Many patients do not seek timely medical attention, and may minimise their symptoms. The purpose of this study was to assess patients' perception of the significance of TIA/ minor stroke, and their beliefs and attitudes to secondary prevention interventions. Methods: 120 patients with a recent TIA/minor stroke were given a questionnaire after clinic/ward review. This included the validated Brief Illness Perception Questionnaire (Brief-IPQ: scores 0-10), and Beliefs about Medicines Questionnaire (BMQ: scores 5-25). Patient adherence to secondary prevention medications was assessed by self-report. Results: There was a 56% return rate. Within the brief-IPQ, patients had a mid score for perceived consequences of their event (4.88 (sd2.67)). Only 22% took urgent action at the time of the event. 60% were persuaded to take action by family or friends. Patients scored the midpoint for emotional distress (4.9 (sd 3.4)) and felt they could not exert personal control (4.0(3.2)). They did believed treatment would control their condition (7.7(2.1)). The majority of patients (86.3%) believed in the necessity of medication, with mean necessity score of 18.36(3.5). 14% reported concerns about becoming dependent upon medications and the potential adverse consequences of taking medication. 78% of patients said they complied with their treatment. Conclusions: Patients may not regard TIA or minor stroke as having important implications for their future health. Many only seek medical advice as a result of external pressure. Patients do not feel they have personal control over the condition, but believe medication is necessary and beneficial. These findings will inform strategies for education and behavioural change interventions in people at risk of or who have had a TIA/minor stroke

Cognitive outcomes after acute coronary syndrome: a population based comparison with transient ischaemic attack and minor stroke

Heart ◽  
2013 ◽  
Vol 99 (20) ◽  
pp. 1509-1514 ◽  
Author(s):  
Irene Volonghi ◽  
Sarah T Pendlebury ◽  
Sarah J V Welch ◽  
Ziyah Mehta ◽  
Peter M Rothwell
Keyword(s):  
Acute Coronary Syndrome ◽  
Transient Ischaemic Attack ◽  
Population Based ◽  
Cognitive Outcomes ◽  
Minor Stroke ◽  
Coronary Syndrome ◽  
Ischaemic Attack

Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison

The Lancet ◽  
2007 ◽  
Vol 370 (9596) ◽  
pp. 1432-1442 ◽  
Author(s):  
Peter M Rothwell ◽  
Matthew F Giles ◽  
Arvind Chandratheva ◽  
Lars Marquardt ◽  
Olivia Geraghty ◽  
...  
Keyword(s):  
Transient Ischaemic Attack ◽  
Recurrent Stroke ◽  
Population Based ◽  
Minor Stroke ◽  
Ischaemic Attack ◽  
Sequential Comparison
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