Transient Ischemic Attacks in the Community: Occurrence and Clinical Characteristics

Fratiglioni, Laura; C, Arfaioli; Nencini, Patrizia; Ginanneschi, A.; Iaquinta, Leo; Marchi, M. De; Inzitari, Domenico

doi:10.1159/000110170

Cited by 25 publications

(13 citation statements)

References 9 publications

(20 reference statements)

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“…Furthermore, the Lemesle/Madinier/Menassa/Billiar/ Becker/Giroud proportion of first-ever TIAs in the vertebrobasilar distribution in our city (19%) is similar to that found previously [4,20]. However, some postal questionnaire-based studies [10,16,17,19] have reported higher rates of vertebrobasilar TIA.…”

Section: Discussionsupporting

confidence: 88%

“…Other European studies based on different methodology such as postal questionnaires [17] or on door-to-door survey [22] estimate higher incidence of first-ever TIA.…”

Section: Discussionmentioning

confidence: 99%

“…We have identified methodological deficiencies in prior studies including short period of follow-up, lack of accompanying diagnostic CT scan (!80%), and the inclusion of mechanisms other than TIA. Most of the data are from hospital-based studies [7][8][9] or from cohorts [10][11][12][13][14][15][16][17]. We now report the results on first-ever TIA from a 5-year study (1990)(1991)(1992)(1993)(1994)) of the population-based Stroke Registry of Dijon.…”

Section: Introductionmentioning

confidence: 99%

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Incidence of Transient Ischemic Attacks in Dijon, France

Lemesle¹,

Madinier²,

Menassa³

et al. 1998

Neuroepidemiology

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The aim of this study was to determine the incidence of first-ever TIA and the distribution of risk factors in those patients with TIA in Dijon. We performed a prospective population-based study in Dijon City with 135,000 inhabitants, from 1990 to 1994, using several case-collection sources. Over a 5-year period, we recorded 258 cases of first-ever TIA, giving a crude annual incidence rate of 38.68/100,000 for men and 32.70/100,000 for women. The mean age of first-ever TIA was higher in women (71.75 years) than in men (70.35 years). A CT scan was performed in 97% of the cases and silent lacunes were discovered in 17% of cases. In our 5-year study in Dijon of first-ever TIA, we found incidence rates similar to those of previous population-based studies. Our results also support the hypothesis that risk factors for TIA are similar to those for stroke.

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Section: Discussionsupporting

confidence: 88%

“…Other European studies based on different methodology such as postal questionnaires [17] or on door-to-door survey [22] estimate higher incidence of first-ever TIA.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incidence of Transient Ischemic Attacks in Dijon, France

Lemesle¹,

Madinier²,

Menassa³

et al. 1998

Neuroepidemiology

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“…22 Several patients with TIA do not seek medical advice and several others are not hospitalized. [23][24][25] To overcome these shortcomings, we used multiple sources of case finding (hospitals, outpatient clinics, GP, death certificates), and we provide a rigorous and standardized definition of incident TIA to include cases at an early and uniform point of the natural history of the disease. 18,26 TIA and stroke cases were assessed simultaneously to reduce the possibility of a misclassification.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Transient Ischemic Attack and Early Stroke Risk

Cancelli

Janes

Gigli

et al. 2011

Stroke

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Background and Purpose-The importance of transient ischemic attack (TIA) lies on the short-term risk of stroke, and the ABCD2 score may improve early stroke risk prediction. However, population-based studies are still needed. We aimed to provide data on TIA incidence and to evaluate the ABCD2 predictive ability for early recurrent stroke in a population-based study. Methods-This study is part of a 2-year prospective community-based registry of all cerebrovascular events in the district of Udine (153 312

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“…Prospective registry-type studies with stringent inclusion criteria tend to report lower incidences, rang-ing from 50 per 100 000 19 to 80 per 100 000, 20,21 whereas studies relying on survey methodologies report higher incidence rates, ranging from 280 per 100 000 22 to 310 per 100 000. 23 It may be that the true incidence of TIA is likely to lie somewhere between the high incidence reported by subjects in the community when directly questioned and the low incidence reported by prospective observational studies.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Initial Management of Stroke and Transient Ischemic Attack Across UK Health Regions From 1992 to 1996

Gibbs

Newson

Lawrenson

et al. 2001

Stroke

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Background and Purpose-The aim of this study was to establish the difference in burden of cerebrovascular disease across the different health regions of the United Kingdom and to determine whether the initial management of new cases of stroke and transient ischemic attack (TIA) was uniform across the United Kingdom. Methods-The General Practice Research Database (GPRD) is a national database used for epidemiological studies. This was a cohort study identifying incident cases of stroke and TIA over a 5-year study period between 1992 and 1996. The population studied was patients registered with general practitioners contributing to the GPRD across the different health regions of the United Kingdom. Outcome measures were new diagnoses of stroke and TIA, new prescriptions for antiplatelet and anticoagulant agents, and referrals made for specialist opinion. Results-The age-adjusted annual incidence rate across all regions was 151 per 100 000 for stroke and 190 per 100 000 for TIA. There was almost a 2-fold difference in the incidence of cerebrovascular disease between the regions. The management of stroke and TIA in terms of antiplatelet prescription and of referral onward for further opinion to hospital specialists varied significantly between regions. Conclusions-Reported stroke and TIA incidence on the GPRD was comparable to that of other European studies. There were striking regional differences in the incidence of disease. The primary care management, both in prescription and referral rates, varied significantly between the different regions. There was a marked underuse of antiplatelet and anticoagulant agents, and referral rates for specialists' opinions were low.

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Transient Ischemic Attacks in the Community: Occurrence and Clinical Characteristics

Cited by 25 publications

References 9 publications

Incidence of Transient Ischemic Attacks in Dijon, France

Incidence of Transient Ischemic Attacks in Dijon, France

Incidence of Transient Ischemic Attack and Early Stroke Risk

Diagnosis and Initial Management of Stroke and Transient Ischemic Attack Across UK Health Regions From 1992 to 1996

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