Navigation Links
Prompt Diagnosis Could Be Life-Saving In Mini-Strokes

A Transient Ischemic Attack (TIA, or "mini-stroke") affects 300, 000 Americans each year. A problem with such cases is that the symptoms would have subsided by the time they reach an emergency room.// Among these cases, 10 percent will suffer from a major stroke in 90 days with 64 percent having significant disability. Around 5 percent will have some significant cardiac event.

In a paper presented at the 2006 Society for Academic Emergency Medicine Annual Meeting, May 18-21, 2006 in San Francisco, researchers from William Beaumont Hospital and Wayne State University described a rapid protocol to evaluate TIA patients.

While there is consensus for rapid CT brain imaging, there is not agreement about the timing of other tests, such as carotid imaging. There is some interest in the use of an Accelerated Diagnostic Protocol (ADP), coupled with an Emergency Department Observational Unit, to avoid the average 3-day stay for admitted patients. This protocol may lower costs and reduce hospital stays, but questions remain about the outcomes and overall quality of care that such patients receive.

To address these and other questions, a controlled trial was conducted at Beaumont Hospital, Royal Oak, Michigan. After an initial evaluation and diagnosis of TIA, 149 patients were randomly assigned to the ADP group or to an inpatient hospital bed. All patients received the same 4 diagnostic tests (Carotid imaging, echocardiogram, cardiac monitoring, and serial clinical evaluation) but those in the ADP group received those tests more rapidly.

The median length of stay for the ADP group was 25 hours vs. 61 hours for the admitted patients, and their 90-day costs were $890 vs. $1547. Approximately 15% of the ADP patients were admitted and their length of stay averaged 100 hours with costs of $2737. While these cost savings are substantial, this protocol did not harm patients.

Both study groups had a 12% chance of having a retu rn visit for a related problem. Although more ADP patients were found to have stroke during their initial visit (7 vs. 4), a comparable number developed a subsequent stroke (3 vs. 2) or other major clinical event (4 each). In summary, using an accelerated diagnostic protocol in an emergency observation unit is more efficient, less costly, resulted in shorter hospitals stays and had comparable clinical outcomes compared to traditional inpatient admission. Michael Ross, MD, says, "I think the protocol offers a win-win-win situation. The patient has a shorter stay, the hospital keeps more beds open, and the doctor gets answers more quickly."

Contact: Linda Gruner l.gruner@elsevier.com
212-633-3923
Society for Academic Emergency Medicine
Source: Eurekalert

'"/>




Related medicine news :

1. HIV Virus Emerging Drug Resistant In UK, Prompting Fear Of A Second Epidemic
2. Bird Flu Infection Of Chinese Girl Prompts Fear Of Spread Across Asia
3. Advertisements Prompt Youth To Drink
4. Bird Flu Threat Prompts Stockpiling Of Food And Medicine In America
5. Bird Flu Threat Prompts Tightened Security Across Hong Kong Border
6. New Bird Flu Cases In Germany Prompts Massive Culling Of Poultry
7. Rare Disease Prompts Culling of 15,000 birds
8. Fresh Scare of Contamination in Pork Prompts Prompt Recall by Authorities
9. Surge of HIV Cases in Taiwan Prompts Doubling in Expenditure for HIV Prevention
10. More Men Prompted for Syphilis Tests
11. Surge in Senior HIV Survivors Prompts New Treatment Studies
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/25/2016)... ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on June ... , brings up a new, often overlooked aspect of head lice: the parasite’s ability to ... is not a common occurrence, but a necessary one in the event that lice have ...
(Date:6/25/2016)... ... 2016 , ... On Friday, June 10, Van Mitchell, Secretary of the Maryland ... iHire in recognition of their exemplary accomplishments in worksite health promotion. , The Wellness ... & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one of ...
(Date:6/24/2016)... PASADENA, CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. ... he would lash out at his family verbally and physically. , “When something upset him, ... table, he would use it. He would throw rocks at my other children and say ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway ... call for a minimum wage raise to $12 an hour by 2020 and then adjusting ... restore the lost value of the minimum wage, assure the wage floor does not erode ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... the Frederick area economy by obtaining investment capital for emerging technology companies. ... years that have already resulted in more than a million dollars of capital ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Calif. , June 24, 2016  Global ... a biopharmaceutical company developing novel therapeutics for the ... needs, today announced the closing of its previously ... common stock, at the public offering price of ... the offering were offered by GBT. GBT estimates ...
(Date:6/24/2016)... Dehaier Medical Systems Ltd. (NASDAQ: ... and sells medical devices and wearable sleep respiratory products ... cooperation agreement with Hongyuan Supply Chain Management Co., Ltd. ... 20, 2016, to develop Dehaier,s new Internet medical technology ... will leverage Hongyuan Supply Chain,s sales platform to reach ...
(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 ...
Breaking Medicine Technology: