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Transient ischemic attacks (TIAs) can lead to subsequent stroke within 90 days in an estimated 10% to 20% of cases. Current guidelines recommend prompt testing for stroke risk factors including hypercholesterolemia, carotid stenosis, and atrial fibrillation. Using data from the Ontario Stroke Registry for 8540 adult patients with an emergency department (ED) diagnosis of TIA or minor stroke, researchers compared outcomes and adherence to recommended care between those admitted to the hospital (usual care) and those discharged from the ED, either with referral to a specialized stroke-prevention clinic or with no follow-up care plan.
Overall, 47% of patients were admitted, 36% were discharged from the ED with referral, and 17% were discharged …