Navigation Links
Speedy 'Mini-Stroke' Care Pays Off
Date:10/9/2007

It cut odds of a later, major stroke by 80%, researchers say

TUESDAY, Oct. 9 (HealthDay News) -- Quick assessment and treatment of people who've suffered a minor stroke or transient ischemic attack (TIA, or "mini-stroke") cuts their risk of having a major stroke by 80 percent, two new studies find.

A TIA causes symptoms similar to a stroke but, unlike a stroke, the symptoms tend to disappear within several hours.

The first study, by British researchers at the University of Oxford, looked at two groups of patients. In the first group, the median time to assessment in clinic after a minor stroke or TIA was three days, and the median time to first prescription of treatment was 20 days. In the second group, both assessment and prescription took just one day.

The 90-day risk of subsequent major stroke was more than 10 percent (32 out of 310 patients) in the first group, compared with only about 2 percent (6 of 281 patients) in the second group. That risk reduction was independent of age and sex, and early treatment didn't boost patients' risk of bleeding or other complications, according to the study, which was reported online Oct. 9 in the journal The Lancet.

"Our data indicate that urgent assessment and early initiation of a combination of existing preventative treatments can reduce the risk of recurrent stroke after TIA or minor stroke by about 80 percent," the team wrote. "Extrapolated across the U.K. population, this equates to the prevention of nearly 10,000 strokes per year," they said.

"Follow-up treatment is required to determine long-term outcome, but these results have immediate implications for the service provision and public education about TIA and minor stroke," the investigators concluded.

These findings "are very important and should promote renewed attention to urgent care of patients with TIAs and minor strokes," Dr. Naeem Dean of the Royal Alexandra Hospital in Edmonton, Alberta, Canada, and Dr. Ashfaq Shuaib of the University of Alberta in Edmonton, wrote in an accompanying journal Comment.

They noted that patients who've had a minor stroke or TIA aren't disabled, and if "the risk of a disabling stroke can be substantially reduced in this population, we strongly recommend that patients should receive the same urgent attention as is provided for those with acute coronary syndrome."

In the second study, also published online Oct. 9 in The Lancet Neurology, French researchers established a 24-hour hospital clinic to treat patient with suspected cerebral or retinal TIAs. Patient assessment took place within just four hours of admission.

Of the almost 1,100 patients treated at the clinic, the 90-day stroke rate was 1.24 percent --- about 80 percent lower than the close to 6 percent rate predicted by scores calculated on the basis of age, blood pressure, clinical features, diabetes and duration of symptoms.

The study authors said their findings "show that prompt evaluation and treatment of patients with TIA in a dedicated outpatient unit is associated with a lower than expected risk of subsequent stroke. Because almost three-quarters of patients were discharged home on the same day as diagnosis, the TIA clinic is also likely to involve lower costs and greater patient satisfaction about their management than is treatment without such a clinic."

More information

The American Academy of Family Physicians has more about stroke.



-- Robert Preidt



SOURCES: The Lancet, The Lancet Neurology, news releases, Oct. 9, 2007


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Emotional callers hamper speedy ambulance dispatch
2. Magnetic Resonance Spectrometry for speedy diagnosis of Brain disorders
3. An unlikely contender for speedy surgery recovery: Chewing gum
4. Just Had Bowel Surgery? Chew Gum For A Speedy Recovery
5. Proper Diagnosis Could Augment Speedy Recovery Of Haglund’s Syndrom
6. Glucose Enables Speedy Recovery From Malaria
7. Fishing for a Speedy Recovery After Chemotherapy or Marrow Transplant
8. Prompt Diagnosis Could Be Life-Saving In Mini-Strokes
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/7/2016)... ... December 07, 2016 , ... Children ... bodies, a researcher at the Icahn School of Medicine at Mount Sinai has ... found that when young children are exposed to secondhand marijuana smoke, measurable amounts ...
(Date:12/7/2016)... ... December 07, 2016 , ... ... up with a schizophrenic mother in a unique, personal perspective through animation. ... treating trauma and addictive disorders at her private psychotherapy practice. Sheri’s mother, Pearl, ...
(Date:12/7/2016)... ... 2016 , ... It is vital for any lab to secure funding, and ... team at Beckman Coulter has designed Kaluza, templates with advanced analytical tools to streamline ... operate in a GLP (Good Laboratory Practice) fashion. , With features designed to simplify ...
(Date:12/7/2016)... ... 07, 2016 , ... Levels of a protein in the blood associated with ... online in the journal Radiology. , Heart disease and brain disease exact a major ... rapidly aging population. Damage to both organs often occurs at a subclinical stage, or ...
(Date:12/7/2016)... ... December 07, 2016 , ... ODU, a worldwide leader ... market its advanced highly customizable contact technology solutions. , ODU Single Contact Technology ... are ideal for a wide range of applications that require customization from industries ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... , December 7, 2016 ... Market Research titled , Global Market Study on Multiplex Detection ... 2024 , the global multiplex detection immunoassay market is expected ... period 2016-2024. ... , , ...
(Date:12/7/2016)... , December 7, 2016 ... reach a value of USD 3.9 billion by ... View Research, Inc. The growth of the market ... and continuous technological advancements by the market players. ... due to increasing donation, rising awareness about transfusion-transmitted ...
(Date:12/6/2016)... , Dec. 6, 2016  Alopexx Oncology, LLC ... a recombinant antibody fusion protein (immunocytokine) composed of interleukin-2 ... the same target on B cells as Rituxan and ... components but is also involved in tumor targeting, engagement ... vaccine effect. The results of the study (abstract #95954) ...
Breaking Medicine Technology: