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Investigators at a teaching hospital in France developed and prospectively evaluated a protocol for outpatient management of patients with transient ischemic attack (TIA). All patients with an emergency department (ED) diagnosis of TIA who met the following criteria were discharged home on antiplatelet therapy: total recovery from symptoms; normal physical examination; normal blood tests; head computed tomography negative for blood; and electrocardiogram negative for atrial fibrillation. All patients received ultrasound of supra-aortic arteries and vascular neurology consultation within 8 to 15 days.
The primary outcome was stroke within 90 days. Secondary measures were reoccurrence of TIA, presence of carotid stenosis, hospitalization for c…