An urgent access neurovascular clinic: audit of timeliness
- PMID: 19634385
- PMCID: PMC4953609
- DOI: 10.7861/clinmedicine.9-3-236
An urgent access neurovascular clinic: audit of timeliness
Abstract
This study aimed to evaluate timeliness of an outpatient urgent access neurovascular clinic in a district general hospital setting through an audit of delay from event to completion of evaluation following transient ischaemic attack (TIA) or minor stroke. Participants included those referred for evaluation of suspected TIA or minor stroke. The median delay from event to completion was 16 days, with 45% seen within two weeks of symptom onset, and 15% within one week of symptom onset. A weekly TIA clinic is not capable of achieving the National Clinical Guidelines for Stroke recommendation for evaluation within one week of symptoms. This audit supports the National Stroke Strategy recommendation for immediate evaluation of patients presenting with a recent TIA or minor stroke.
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Comment in
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An urgent access neurovascular clinic.Clin Med (Lond). 2009 Dec;9(6):631; author reply 632. doi: 10.7861/clinmedicine.9-6-631. Clin Med (Lond). 2009. PMID: 20095319 Free PMC article. No abstract available.
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- Royal College of Physicians. National clinical guidelines for stroke, 2nd edn. London: RCP, 2004.
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- Albers GW, Hart RG, Lutsep HL, Newell DW, Sacco RL. AHA Scientific Statement: supplement to the guidelines for the management of transient ischemic attacks: a statement from the Ad Hoc Committee on Guidelines for the Management of Transient Ischemic Attacks, Stroke Council, American Heart Association. Stroke 1999; 30:2502–11. - PubMed
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