Navigation Links
Quick Stroke Treatment Improves Outcomes
Date:2/5/2009

Rapid action cuts death rate, costs, length of stay and risk of recurrence, study finds

THURSDAY, Feb. 5 (HealthDay News) -- Rapid assessment and treatment in a specialist emergency outpatient clinic reduces death, disability, costs and hospital bed-days experienced by patients who suffer a minor stroke or transient ischemic attack (TIA), British researchers report.

The results represent the second part of what is known as the EXPRESS study.

There's an 8 percent to 10 percent risk of recurrent stroke in the first few days after a minor stroke or TIA.

The study compared patients who received treatment at a specialty clinic (phase 2 patients) to those treated at a standard referral appointment-based clinic (phase 1 patients). The first part of the EXPRESS study, reported in October 2007, found that phase 2 patients were 80 percent less likely than phase 1 patients to suffer a recurrent stroke within 90 days.

The second part of the study found that phase 2 patients had a lower 90-day risk of a fatal or disabling stroke -- one of 281 patients (0.3 percent) vs. 16 of 310 (5.1 percent) of phase 1 patients. Phase 2 patients also had fewer hospital admissions (five vs. 25), hospital bed-days (427 vs. 1,365), and lower medical costs.

The study was published online and will appear in the March print issue of The Lancet Neurology.

"In the U.K., most patients with TIA or minor stroke are managed in weekly outpatient clinics after referral by a primary-care physician. This system results in about half of all patients waiting for more than 14 days to be assessed and treated, during which time the risk of recurrent stroke is at its highest," the study authors wrote.

"The EXPRESS study showed that urgent assessment of TIA and minor stroke, in combination with early initiation of preventive treatment, reduced the risk of early recurrent stroke by about 80 percent. This further analysis shows that, for patients referred to the EXPRESS study outpatient clinic, there were also reductions in fatal or disabling recurrent strokes, 90-day hospital bed-days, costs of admission, and overall disability level at six months' follow-up."

These results in the U.K. would mean about 10,000 strokes would be prevented annually. It would also generate savings of 290,000 hospital bed-days and savings of $98 million in acute care costs alone. The reductions in disability rates at six months might also lead to a reduction in the long-term use of the health service in the community.

More information

The U.S. Food and Drug Administration has more about stroke prevention and treatment.



-- Robert Preidt



SOURCE: The Lancet Neurology, news release, Feb. 5, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Meditation a Quick Fix for Stress
2. Twinkle after effect can help retinal patients detect vision loss quickly and cheaply
3. Twinkle After-Effect Can Help Retinal Patients Detect Vision Loss Quickly and Cheaply and Prevent Further Loss
4. Thyroid treatment no quick fix for weight loss in children
5. Greenway Experiences Quick Success in the Community EHR Marketplace by Securing Contracts with 10 Community-Based Health Organizations
6. Mercury in Childhood Vaccines Excreted Quickly
7. Penn Treaty Introduces LTCi QuickPass(SM) Program
8. MITs PANTHER sensor quickly detects pathogens
9. New TB test means quicker and easier diagnosis for patients
10. Huron Capital Moves Quickly To Expand O&P Business
11. Researchers Develop Quick Way to Create Human Antibodies
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Quick Stroke Treatment  Improves Outcomes
(Date:6/26/2016)... ... , ... Pixel Film Studios Released ProSlice Levels, a Media Slicing Effect ... a whole new perspective by using the title layers in ProSlice Levels to ... ProSlice Levels contains over 30 Different presets to choose from. FCPX users ...
(Date:6/26/2016)... Clarkston, Michigan (PRWEB) , ... June 26, 2016 ... ... respect to fertility once they have been diagnosed with endometriosis. These women need ... but they also require a comprehensive approach that can help for preservation of ...
(Date:6/25/2016)... ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due ... up a new, often overlooked aspect of head lice: the parasite’s ability to live away ... a common occurrence, but a necessary one in the event that lice have simply gotten ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... As a ... Magna Cum Laude and his M.D from the David Geffen School of Medicine at ... returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars ...
(Date:6/25/2016)... Canada (PRWEB) , ... June 25, 2016 , ... Conventional ... pursuit of success. In terms of the latter, setting the bar too high can ... risk more than just slow progress toward their goal. , Research from ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016 /PRNewswire/ ... pulmonary function testing company, is now able to perform sophisticated lung ... ndd Medical Technologies , Inc. Patients are ... labs.  Thanks to ndd,s EasyOne PRO ® , ARL patients like ... any needed testing done in the comfort of her own home. ...
(Date:6/24/2016)... Belgium , June 24, 2016 /PRNewswire/ ... announced the appointment of Dr. Edward Futcher ... a Non-Executive Director, effective June 23, 2016.Dr. Futcher ... and Nominations and Governance Committees.  As a non-executive ... provide independent expertise and strategic counsel to VolitionRx ...
(Date:6/23/2016)... 23, 2016 Any dentist who has made an ... current process. Many of them do not even offer this ... and high laboratory costs involved. And those who ARE able ... such a high cost that the majority of today,s patients ... Parsa Zadeh , founder of Dental Evolutions Inc. and ...
Breaking Medicine Technology: