Briley Dennis, Durkin Chris, Meagher Tom
Department of Neurology, Stoke Mandeville Hospital, Aylesbury, Bucks.
Clin Med (Lond). 2009 Jun;9(3):236-8. doi: 10.7861/clinmedicine.9-3-236.
This study aimed to evaluate timeliness of an outpatient urgent access neurovascular clinic in a district general hospital setting through an audit of delay from event to completion of evaluation following transient ischaemic attack (TIA) or minor stroke. Participants included those referred for evaluation of suspected TIA or minor stroke. The median delay from event to completion was 16 days, with 45% seen within two weeks of symptom onset, and 15% within one week of symptom onset. A weekly TIA clinic is not capable of achieving the National Clinical Guidelines for Stroke recommendation for evaluation within one week of symptoms. This audit supports the National Stroke Strategy recommendation for immediate evaluation of patients presenting with a recent TIA or minor stroke.
本研究旨在通过审核短暂性脑缺血发作（TIA）或轻度卒中后从发病到完成评估的延迟情况，评估一家地区综合医院门诊紧急就诊神经血管诊所的及时性。参与者包括那些因疑似TIA或轻度卒中而被转诊进行评估的患者。从发病到完成评估的中位延迟时间为16天，45%的患者在症状发作后两周内就诊，15%的患者在症状发作后一周内就诊。每周一次的TIA门诊无法达到国家卒中临床指南中关于在症状出现后一周内进行评估的建议。此次审核支持了国家卒中战略中关于对近期出现TIA或轻度卒中的患者进行立即评估的建议。
