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:6/24/2017)... ... June 24, 2017 , ... The Pennsylvania Athletic Trainers’ ... Bayfront and Erie Convention Center on June 8-10. The weekend consisted of ... bowl, award and scholarship presentations, and professional networking. , On Friday June ...
(Date:6/24/2017)... TX (PRWEB) , ... June 24, 2017 , ... The ... to spend time outdoors. Home and business owners should be aware that the summer ... the lake. In fact, mechanical locks and keys can be negatively affected from direct ...
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... ... Network today announced the launch of Care Management Alerts and Dashboards, an innovative ... patients throughout Rhode Island. , RIQI’s Care Management Alerts and Dashboards provide near ...
(Date:6/23/2017)... ... June 23, 2017 , ... By scoring 100% for ... consecutive four-star rating from premier online charity evaluator, Charity Navigator, validating ANRF's work as ... of all charities reviewed by Charity Navigator and earns ANRF a spot on their ...
(Date:6/23/2017)... ... , ... Studies show evidence that carotenoids and antioxidants derived either from the ... patients. , But how often do ophthalmologists and optometrists in Sweden recommend the use ... or with early symptoms of AMD? A study published recently in Dove ...
Breaking Medicine News(10 mins):
(Date:6/14/2017)... 2017  In 2016, Embodied Labs took ... competition and came away with $25,000 in seed-fund investment. ... Forbes as "entering the life of another" and by ... "empathy to medical professionals in an entirely new dimension." ... a finalist for the Department of Education,s EdSimChallenge, where ...
(Date:6/9/2017)... 9, 2017 AirXpanders, Inc. (ASX: AXP) (AirXpanders ... design, manufacture, sale and distribution of the AeroForm® Tissue ... of its commercial roll-out in the United ... than one hundred (100) medical institutions and health systems, ... a needle-free alternative for women who choose reconstructive surgery ...
(Date:6/7/2017)... , June 7, 2017 Endo International ... June 7, 2017, the Hon. Joseph R. Goodwin ... of West Virginia , entered a ... Inc. Pelvic Repair System Products Liability Litigation (the "MDL") ... MDL cases to provide expert disclosures on specific causation ...
Breaking Medicine Technology: