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01-09-2019 | Capsule Commentary

Capsule Commentary on Homoya et al., Uncertainty as a Key Influence in the Decision to Admit Patients with Transient Ischemic Attack

Author: F. Amos Bailey, MD

Published in: Journal of General Internal Medicine | Issue 9/2019

Excerpt

In this study, Homoya and colleagues explore the real-world management of patients with TIAs in 14 VA Medical Centers from around the country. A TIA is an example of an infrequent but high-risk event that non-specialists need to recognize and appropriately manage.¹ What happens in the first few days after having a TIA is critical since the risk of a potentially disabling stroke is greater than 10% and the risk of death is 2.6% at 90 days.² …

Homoya BJ, Damush TM, Sico JJ, Miech EJ, Arling GW, Myers LJ, Ferguson JB, Phipps MS, Cheng EM, Bravata DM. Uncertainty as a Key Influence in the Decision to Admit Patients with Transient Ischemic Attack. J Gen Intern Med. https://doi.org/10.1007/s11606-018-4735-9 CrossRef

Johnston SC, Gress DR, Browner WS, Sidney S. Short-term prognosis after emergency department diagnosis of TIA. Jama. 2000;284(22):2901–6. Epub 2001/01/09.CrossRef

Johnston SC, Albers GW, Gorelick PB, Cumbler E, Klingman J, Ross MA, Briggs M, Carlton J, Sloan EP, Vaince U. National Stroke Association recommendations for systems of care for transient ischemic attack. Annals of neurology. 2011;69(5):872–7. Epub 2011/03/11. https://doi.org/10.1002/ana.22332.CrossRefPubMed

Easton JD, Saver JL, Albers GW, Alberts MJ, Chaturvedi S, Feldmann E, Hatsukami TS, Higashida RT, Johnston SC, Kidwell CS, Lutsep HL, Miller E, Sacco RL. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke 2009;40(6):2276–93. Epub 2009/05/09. https://doi.org/10.1161/strokeaha.108.192218.CrossRefPubMed

Title: Capsule Commentary on Homoya et al., Uncertainty as a Key Influence in the Decision to Admit Patients with Transient Ischemic Attack
Author: F. Amos Bailey, MD
Publication date: 01-09-2019
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 9/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-018-4802-2

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