The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular Events
Objective: Identifying the etiology and early treatment following a transient ischemic attack (TIA) or minor stroke may prevent patients from having a disabling ischemic stroke. The primary aim of this study was to increase awareness of the symptoms of TIA and minor ischemic stroke and provide early...
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2023-04-01
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| Series: | Türk Nöroloji Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-80932 |
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| author | Mine Hayriye Sorgun Zerin Özaydin Aksun Seyda Erdoğan Murat Arslan Ayşegül Gürsoy Çoruh Diğdem Kuru Öz Nil Özyüncü Elif Peker Cansın Tulunay Kaya Kıvılcım Yavuz Mustafa Erdoğan Canan Togay Işıkay |
| author_facet | Mine Hayriye Sorgun Zerin Özaydin Aksun Seyda Erdoğan Murat Arslan Ayşegül Gürsoy Çoruh Diğdem Kuru Öz Nil Özyüncü Elif Peker Cansın Tulunay Kaya Kıvılcım Yavuz Mustafa Erdoğan Canan Togay Işıkay |
| author_sort | Mine Hayriye Sorgun |
| collection | DOAJ |
| description | Objective: Identifying the etiology and early treatment following a transient ischemic attack (TIA) or minor stroke may prevent patients from having a disabling ischemic stroke. The primary aim of this study was to increase awareness of the symptoms of TIA and minor ischemic stroke and provide early intervention via a TIA unit. In addition, the benefits provided by the TIA unit were analyzed in terms of prognosis and length of hospital stay. Materials and Methods: Before beginning the study, brochures and posters containing information about the symptoms of a TIA and minor ischemic stroke, along with the mobile phone number of a research fellow, were distributed in the clinics and hung on the main boards of the Ankara University Faculty of Medicine Hospitals. A presentation on the TIA unit was also given to the healthcare professionals of the hospitals. Afterward, 69 patients consecutively admitted with symptoms of a TIA or minor ischemic stroke [with a National Institutes of Health Stroke Scale (NIHSS) score of ≤5] between September 16, 2019, and September 15, 2020, were prospectively included in the study group. The hospital charts of 90 consecutive patients admitted with a TIA or minor ischemic stroke (with an NIHSS score of ≤5) were retrospectively evaluated as the control group from September 16, 2018, to September 15, 2019. The timing of the etiological diagnoses and treatments, the length of the hospital stay, and the prognoses of these two groups of patients, one comprising patients admitted before and the other comprising patients admitted after the TIA unit was established, were compared. Results: The two groups had no significant difference in vascular events and mortality. However, in the logistic regression analysis, the length of the hospital stay was significantly shorter in the study group (P = 0.015). Conclusion: A TIA and a minor stroke should be recognized quickly, and diagnostic tests should be performed as soon as possible to shorten the period of the hospital stay and reduce the costs and complications related to longer hospitalization. |
| first_indexed | 2024-04-09T18:19:30Z |
| format | Article |
| id | doaj.art-01d281c6c4974e42b753c74f09d4f455 |
| institution | Directory Open Access Journal |
| issn | 1309-2545 |
| language | English |
| last_indexed | 2024-04-09T18:19:30Z |
| publishDate | 2023-04-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Nöroloji Dergisi |
| spelling | doaj.art-01d281c6c4974e42b753c74f09d4f4552023-04-12T09:04:00ZengGalenos YayineviTürk Nöroloji Dergisi1309-25452023-04-01291182310.4274/tnd.2022.80932TJN-80932The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular EventsMine Hayriye Sorgun0Zerin Özaydin Aksun1Seyda Erdoğan2Murat Arslan3Ayşegül Gürsoy Çoruh4Diğdem Kuru Öz5Nil Özyüncü6Elif Peker7Cansın Tulunay Kaya8Kıvılcım Yavuz9Mustafa Erdoğan10Canan Togay Işıkay11Ankara University Faculty of Medicine, Department of Neurology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Neurology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Neurology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Audiology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Radiology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Radiology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Cardiology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Radiology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Cardiology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Radiology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Biostatistics, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Neurology, Ankara, TürkiyeObjective: Identifying the etiology and early treatment following a transient ischemic attack (TIA) or minor stroke may prevent patients from having a disabling ischemic stroke. The primary aim of this study was to increase awareness of the symptoms of TIA and minor ischemic stroke and provide early intervention via a TIA unit. In addition, the benefits provided by the TIA unit were analyzed in terms of prognosis and length of hospital stay. Materials and Methods: Before beginning the study, brochures and posters containing information about the symptoms of a TIA and minor ischemic stroke, along with the mobile phone number of a research fellow, were distributed in the clinics and hung on the main boards of the Ankara University Faculty of Medicine Hospitals. A presentation on the TIA unit was also given to the healthcare professionals of the hospitals. Afterward, 69 patients consecutively admitted with symptoms of a TIA or minor ischemic stroke [with a National Institutes of Health Stroke Scale (NIHSS) score of ≤5] between September 16, 2019, and September 15, 2020, were prospectively included in the study group. The hospital charts of 90 consecutive patients admitted with a TIA or minor ischemic stroke (with an NIHSS score of ≤5) were retrospectively evaluated as the control group from September 16, 2018, to September 15, 2019. The timing of the etiological diagnoses and treatments, the length of the hospital stay, and the prognoses of these two groups of patients, one comprising patients admitted before and the other comprising patients admitted after the TIA unit was established, were compared. Results: The two groups had no significant difference in vascular events and mortality. However, in the logistic regression analysis, the length of the hospital stay was significantly shorter in the study group (P = 0.015). Conclusion: A TIA and a minor stroke should be recognized quickly, and diagnostic tests should be performed as soon as possible to shorten the period of the hospital stay and reduce the costs and complications related to longer hospitalization.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-80932transient ischemic attackminor strokeprognosislength of hospital staytia unit |
| spellingShingle | Mine Hayriye Sorgun Zerin Özaydin Aksun Seyda Erdoğan Murat Arslan Ayşegül Gürsoy Çoruh Diğdem Kuru Öz Nil Özyüncü Elif Peker Cansın Tulunay Kaya Kıvılcım Yavuz Mustafa Erdoğan Canan Togay Işıkay The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular Events Türk Nöroloji Dergisi transient ischemic attack minor stroke prognosis length of hospital stay tia unit |
| title | The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular Events |
| title_full | The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular Events |
| title_fullStr | The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular Events |
| title_full_unstemmed | The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular Events |
| title_short | The Effects of a 'Transient Ischemic Attack Unit' on the Early Diagnosis and Treatment of Stroke and Other Vascular Events |
| title_sort | effects of a transient ischemic attack unit on the early diagnosis and treatment of stroke and other vascular events |
| topic | transient ischemic attack minor stroke prognosis length of hospital stay tia unit |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-80932 |
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