Department of Neurology, University of California, San Francisco, San Francisco, CA 94143-0114, USA.
Ann Neurol. 2011 May;69(5):872-7. doi: 10.1002/ana.22332. Epub 2011 Mar 9.
Transient ischemic attacks (TIAs) are common and portend a high short-term risk of stroke. Evidence-based recommendations for the urgent evaluation and treatment of patients with TIA have been published. However, implementation of these recommendations reliably and consistently will require changes in the systems of care established for TIA. The National Stroke Association convened a multidisciplinary panel of experts to develop recommendations for the essential components of systems of care at hospitals to improve the quality of care provided to patients with TIA. The panel recommends that hospitals establish standardized protocols to assure rapid and complete evaluation and treatment for patients with TIA, with particular attention to urgency and close observation in patients at high risk of stroke.
短暂性脑缺血发作(TIA)较为常见,预示着患者短期内发生中风的风险较高。目前已经发布了针对 TIA 患者进行紧急评估和治疗的循证推荐。然而,要想可靠且持续地落实这些推荐,就需要改变现有的 TIA 医疗体系。为此,美国国家中风协会召集了一个多学科专家小组,为改善 TIA 患者的护理质量,制定了医院医疗体系的基本要素的推荐建议。专家组建议医院建立标准化的治疗方案,以确保 TIA 患者能够得到快速、全面的评估和治疗,尤其要对中风高危患者给予高度关注和密切观察。