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Need for specialist clinician‐directed triage for TIA : NICE recommendations against resources: a review of service delivery
Author(s) -
Okereke Ihuoma R,
Das Saugata
Publication year - 2021
Publication title -
progress in neurology and psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.19
H-Index - 12
eISSN - 1931-227X
pISSN - 1367-7543
DOI - 10.1002/pnp.696
Subject(s) - nice , medicine , triage , service delivery framework , ischaemic stroke , stroke (engine) , intensive care medicine , service (business) , medical emergency , expert opinion , ischemia , psychiatry , computer science , engineering , programming language , mechanical engineering , economy , economics
Current 2019 NICE guidelines recognise the need to urgently confirm or refute the diagnosis of a suspected transient ischaemic attack (TIA) with specialist opinion, especially as an alternative diagnosis (that is a TIA‐mimic) will be found in 41% to 50% of cases. In this service evaluation project article, the authors evaluate current TIA service delivery in New Cross Hospital to ascertain the proportion of patients referred to the TIA clinic with a final diagnosis of TIA or stroke, prevalence of stroke mimics and suggest recommendations to enhance effective use of NHS resources.