Department of Neurology, Rush University Medical Center, Chicago, IL 60612, USA.
Am J Ther. 2011 Jan;18(1):45-50. doi: 10.1097/MJT.0b013e3181e4a671.
Transient ischemic attack (TIA) has been well established as a risk factor for future stroke. Therefore, the diagnosis of TIA may serve as a golden opportunity for providing early time sensitive therapies to this high-risk group. Currently, there is no standardized algorithm for triaging suspected TIA, leading to errors in diagnosis, significant delays in evaluation and treatment, and greater morbidity and mortality. There are several proposed methods for triaging patients: hospitalization, same-day clinics, and rapid evaluation units. We review the benefits and limitations for each model, focusing on stroke risk reduction, costs, and feasibility.
短暂性脑缺血发作(TIA)已被明确为未来发生中风的危险因素。因此,TIA 的诊断可能为高危人群提供早期及时治疗提供了一个绝佳的机会。目前,TIA 的分诊尚无标准化算法,导致诊断错误,评估和治疗显著延迟,发病率和死亡率更高。有几种用于分诊疑似 TIA 患者的方法:住院、当日就诊和快速评估单位。我们回顾了每种模型的优缺点,重点关注降低中风风险、成本和可行性。