Diagnosis and management of transient ischaemic attacks in accident and emergency.

Libetta, C; Venables, G.S.

doi:10.1136/emj.15.6.374

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…It is therefore important that patients are diagnosed accurately, investigated promptly, and referred appropriately for treatment so that valuable time is not lost. Based on the conclusions of a combination of studies by Libetta and Venables 17 and Gladstone et al, 18 it is possible to infer that the most cost-effective care for these patients is a combination of early detection of TIA by a skilled care provider and expedited referral for appropriate evaluation by a neurologist or, in special circumstances such as rural settings, another physician with an interest in cerebrovascular disease.…”

Section: Discussionmentioning

confidence: 99%

Effect of Neurology Consults on Outcomes for Patients Suffering Transient Ischemic Attacks After Coronary Artery Bypass Grafting

et al. 2008

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Stroke patients appear to have lower morbidity and mortality rates and better outcomes when neurologists serve as the primary admitting physician. The effect of neurological consultations on coronary artery bypass graft (CABG) patients who have suffered a postoperative transient ischemic attack (TIA) has not yet been determined. The authors evaluated whether neurology consultations improved outcomes. A retrospective analysis was conducted of CABG patients from a high-volume tertiary care center. Primary end points included 30-day mortality, discharge disposition, length of stay, and 1-year incidence of stroke. Post-CABG TIA patients receiving a neurological consult (N = 127) were compared with propensity-matched controls. Thirty-day mortality was identical (3.1%), with nonsignificant difference in long-term incidence of stroke. There were no differences in home discharges or length of stay. Including a neurologist in the treating team for patients suffering TIAs after CABG appears not to reduce post-operative incidence of morbidity and mortality, reduce length of stay, or improve patient disposition at discharge.

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Section: Discussionmentioning

confidence: 99%