Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1188
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dc.contributor.authorO'Brien, Jennifer-
dc.contributor.authorGilligan, Amanda-
dc.contributor.authorYip, G.-
dc.date.accessioned2017-08-02T01:53:16Z-
dc.date.available2017-08-02T01:53:16Z-
dc.date.issued2017-05-
dc.identifier.citationEuropean Stroke Journal. May 2017; Vol. 2(IS): pp 414-415en_US
dc.identifier.urihttp://hdl.handle.net/11434/1188-
dc.description.abstractBACKGROUND & AIMS: Instituting a new TIA service that incorporates all ideal elements is challenging due to system constraints. The service must combine early comprehensive assessment with integrated long-term follow up that promotes sustained adherence to stroke prevention strategies. METHOD: In Australia at Epworth Eastern, a new rapid assessment service for patients suspected of having TIA opened in 2016. With no inhouse Emergency Department (ED), direct admission occurred via a 24 hour hotline available to primary care and ED physicians. on discharge, planned telephone contact at 1, 6, 12, 26 and 52 weeks was made by the stroke specialist nurse. Patients were also booked for review with neurologists. This co-ordinated approach was designed to facilitate continual reinforcement of secondary prevention strategies. Data were collected from February to December 2016. RESULTS: Sixty patients were admitted with subsequent diagnosis of TIA or confirmed stroke. Successful telephone follow up occurred in 75%. Among these, 15% had cancelled neurologist appointments but agreed to ongoing telephone follow up. At 6 months, 75% (N=34) of patients remained on prescribed stroke prevention medication. Antihypertensives were the most frequently ceased medications with (N=5) patients recording "dizziness" as the reason for cessation. 50% were adhering to recommended lifestyle modifications for stroke prevention. Diet and exercise advice were the commonest aspects of nonadherence. One patient has had a subsequent stroke (1.6%). CONCLUSION: The benefits of effective stroke prevention could be maximally realised through a TIA model of care that places stronger emphasis on rapid comprehensive assessment and efficient, structured, longitudinal follow up.en_US
dc.subjectTransient Ischemic Attacken_US
dc.subjectTIAen_US
dc.subjectTIA Model of Careen_US
dc.subjectTransient Ischemic Attack Model of Careen_US
dc.subjectLong Term Follow Upen_US
dc.subjectComprehensive Assessmenten_US
dc.subjectStrokeen_US
dc.subjectStroke Prevention Strategiesen_US
dc.subjectRapid Assessment Serviceen_US
dc.subjectEmergence Departmenten_US
dc.subjectEDen_US
dc.subjectNeurologistsen_US
dc.subjectStroke Prevention Medicationsen_US
dc.subjectAntihypertensiveen_US
dc.subjectLifestyle Modificationsen_US
dc.subjectLongitudinal Follow Upen_US
dc.subjectEpworth Eastern, Neuroscience Unit, Box Hill, VIC, Australiaen_US
dc.titleImplementing a responsive TIA model of care with embedded longitudinal capabilities.en_US
dc.typeConference Posteren_US
dc.identifier.doi10.1177/2396987317705242en_US
dc.type.studyortrialProspective Studyen_US
dc.description.conferencename3rd European Stroke Organisation Conference, ESOC 2017.en_US
dc.description.conferencelocationPrague, Czech Republicen_US
dc.type.contenttypeTexten_US
Appears in Collections:Neurosciences

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