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In the week after a transient ischemic attack (TIA) or minor stroke, up to 10% of patients have another stroke. During this short window of opportunity, clinical practice varies widely. U.K. researchers examined whether immediate care at a neurovascular clinic yielded better outcomes than nonurgent referral to the clinic.
Beginning in 2002, investigators collected extensive data on all acute vascular events at nine primary care practices in Oxfordshire. During phase 1 of the study (2002–September 2004), primary care physicians (PCPs) were encouraged to arrange appointments at a daily TIA clinic for all patients with possible TIAs or minor strokes, and treatment recommendations for confirmed events were faxed to the referring physicians for i…