Urgent treatment after a TIA or minor stroke can reduce the 90-day risk for stroke by 80%, Lancet reports.
A study examining stroke outcomes was divided
into two phases. In the first, 310 patients presenting to primary care
with a TIA or minor stroke were referred to a neurovascular clinic,
where patients were assessed an_d treatment recommendations were faxed
to the primary care clinician. In phase 2, about 280 patients were sent
directly to the neurovascular clinic, where they received appropriate
treatment.
The median delay to clinic assessment dro_pped
from 3 days in phase 1 to less than a day in phase 2. Likewise, the
median delay to treatment fell from 20 days to 1 day. The incidence of
stroke within 90 days also fell significantly — from 10% to 2%.
Editorialists conclude that patients with TIA
or minor stroke "should receive the same urgent attention as is
provided for those with acute coronary syndromes