Results of Rapid Evaluation and Management of TIA

In a prospective European registry, rates of stroke after transient ischemic attack or minor ischemic stroke were two-thirds lower than the rates reported 2 decades ago.

A seminal study published in 2000 reported a 10% risk for stroke during the 90 days after a transient ischemic attack (TIA; JAMA 2000; 284:2901). This and other studies led many centers to create systems for rapid TIA evaluation and management. To assess the effects of this more-aggressive approach, investigators conducted an industry-sponsored study of stroke risk after TIA and minor stroke. They prospectively enrolled patients with recent (<7 days) TIA or minor ischemic stroke (modified Rankin Scale score, 0–1) at 61 sites in 21 European countries. All sites had a dedicated system in which stroke specialists cared for ≥100 TIA patients per year. After the baseline visit, stroke specialists evaluated patients at 1, 3, and 12 months. Any st…

Reviewing Author

Hooman Kamel, MD

Disclosures

Speaker’s bureauGenentech

Grant / Research supportNational Institutes of Health/National Institute of Neurological Disorders and Stroke; Michael Goldberg Stroke Research Fund

Editorial boardsPLOS One; Scientific Reports

Leadership positions in professional societiesNeurocritical Care Society (Research Committee Member)

Hooman Kamel, MD

Disclosures

Speaker’s bureauGenentech

Grant / Research supportNational Institutes of Health/National Institute of Neurological Disorders and Stroke; Michael Goldberg Stroke Research Fund

Editorial boardsPLOS One; Scientific Reports

Leadership positions in professional societiesNeurocritical Care Society (Research Committee Member)

Results of Rapid Evaluation and Management of TIA

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Reviewing Author