Management of patients with transient ischemic attack: insight from real-life clinical practice in Europe and the United States

Jäkel, Anne; Plested, Melanie; Chapman, Ann-Marie; Jackson, Dan; Purroy, Francisco

doi:10.1185/03007995.2011.652257

Cited by 7 publications

(12 citation statements)

References 23 publications

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“…Despite the involvement of significant others, Jakel et al . () report health professionals believe up to 25% of people with TIA do not seek medical assistance. Mass media campaigns are successful, yet the effectiveness of frontline educational interventions on help‐seeking behavior for TIA symptoms is still unclear (Sprigg et al ., ).…”

Section: Discussionmentioning

confidence: 99%

Living within stories: Exploring the experiences of people with transient ischemic attack

Crowfoot

Riet

Maguire

2016

Nursing & Health Sciences

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A transient ischemic attack (TIA) significantly increases a person's risk of ischemic stroke. However, little is known about the experiences of these people or what influences their decision to access care. This article explores the stories of three people who experienced a TIA. All participants were interviewed after receiving a diagnosis of TIA by a specialist neurologist. By utilizing a framework of narrative inquiry, several storylines were revealed across temporal, social, and geographical landscapes. The main storylines include: bodily disruption, time stasis, altered temporal perceptions, the roles of others, and help-seeking behavior. The primary author also reflects upon his own origin and explores how this inquiry has influenced his perceptions, career, and nursing practice. This inquiry may assist healthcare workers to gain insight into the experiences of people with TIA and suggests how involvement of significant others is beneficial when educating people at risk of TIA.

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Section: Discussionmentioning

confidence: 99%

Living within stories: Exploring the experiences of people with transient ischemic attack

Crowfoot

Riet

Maguire

2016

Nursing & Health Sciences

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“…27 Immediate prescription or preventive medication in the US, GPs prescribe according to patients' risk level, unlike in the UK, France and Germany. 40 in the UK, GPs were more likely to prescribe anti-platelet therapy with monocular visual loss than other symptoms (P = 0.03). 19 Patient factors associated with medication use were: age over 65 years; antiplatelet use; 7% of cases of monocular blindness versus 8% of hemispherical ischaemia; and prescription of peripheral vasodilators.…”

Section: Recognition Of Urgencymentioning

confidence: 99%

Diagnosis and management of transient ischemic attacks in primary care: a systematic review

2017

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INTRODUCTION:Many patients who suffer a transient ischaemic attack (TIA) present to their general practitioner (GP). Early identification and treatment reduces the risk of subsequent stroke, disability and mortality. AIM:To review the accuracy of TIA diagnosis in primary care, immediate management and interventions to assist GPs with the condition. METHODS:This study included the search of Medline, Embase, Web of Science and Scopus databases . Relevant titles and abstracts were obtained using structured criteria (diagnosis, immediate management or intervention of TIAs in primary care), with full review and data extraction for eligible publications.TWo reviewers independently assessed quality and extracted information from the 24 eligible studies. The studies had heterogeneous methodology rendering meta-analysis inappropriate, so a narrative synthesis was undertaken. RESULTS:Most studies found limitations in GPs' knowledge and ability to diagnose TIAs to varying extent over time and between countries. GPs tended to over-interpret non-specific symptoms (e.g. isolated vertigo) when considering a TIA diagnosis. Reported referral behaviour varied between countries, with some favouring admission and others preferring outpatient management. Consistent under-referral and under-use of effective medication was reported. However, GPs may refer some patients to exclude rather than confirm a final diagnosis. This, alongside evidence of under-referral, suggests the need for education and decision support tools to enhance referral patterns. Intervention studies suggested that electronic decision support may increase referrals and timely management.CONCLUSION: This review revealed deficiencies in knowledge and clinical practice, and identified potential avenues to addressing these. Issues for future research were also identified.

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“…[12,13] Treatment must be started directly after the diagnosis of a stroke, because immediate medical treatment is crucial to decrease disability and the risk of death. [14] Ischemic or hemorrhagic stroke leads to long-term functional disability for about 50% to 70% and cognitive deficits that are ranged from mild to severe disability, so stroke patients require specfic nursing care to improve patients' quality of life and functional progress. [4,15] Because neuorological nurses play a vital role during care of the stroke patients and prevention of current and future complications particularly as nurses are responsible for patients' 24-hours care per day.…”

Section: Introductionmentioning

confidence: 99%

Effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients

El-Hay

Allah

Din

2018

CNS

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Background: Stroke is a major cause of functional disability, it increased the need for continuous nursing care. Nurses need to pay attention not only to the physical recovery after stroke, but also to the psychological and social recovery. Therefore, it is important to provide training courses to nurses about care of stroke patients. Aim: This study was conducted to evaluate the effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients. Methods: Design: A quasi experimental research design was utilized. Setting: Data were collected from Neurological Intensive Care Units, Wards and Neurological outpatient clinics of Tanta Main University Hospital. Sample: All nurses (n = 35) who are providing direct care for stroke patients and a purposive sample of 30 stroke patients. Tools: Three tools were used to collect data. Tool (I): Assessment of nurses' knowledge questionnaire sheet about stroke; Tool (II): Observational checklist to evaluate nurses' practice regarding care of stroke patients; and Tool (III): Patient's clinical outcomes assessment sheet. Results: The results revealed that there were significant improvements in nurses' knowledge and practice regarding care of stroke patients post training program at p < .01. Also, significant improvements in self-care and activities of daily living among stroke patients were observed from immediately to 2 months later post application of training program. Conclusions:The study findings revealed that the implementation of designed educational training program within 2 months were successful for improving nurses' knowledge and practice regarding care of stroke patients. Furthermore, there was improvement in activities of daily living and self-care among stroke patients. Recommendations: It is recommended to generalize implementation of designed educational training program for neurological nurses as a routine hospital care for stroke patients.

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Management of patients with transient ischemic attack: insight from real-life clinical practice in Europe and the United States

Cited by 7 publications

References 23 publications

Living within stories: Exploring the experiences of people with transient ischemic attack

Living within stories: Exploring the experiences of people with transient ischemic attack

Diagnosis and management of transient ischemic attacks in primary care: a systematic review

Effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients

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