Post-emergency Management of Patients With Transient Ischemic Attack

NCT ID: NCT06170034

Last Updated: 2025-01-30

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 49 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-11-16
• Study Completion Date: 2024-06-16

Brief Summary

A transient ischemic attack (TIA) is a momentary neurological dysfunction due to a brief cessation of blood flow to a region of the brain, resulting in typical signs of stroke (hemiplegia, aphasia, dysarthria), but whose clinical symptoms typically last less than an hour, with no visible lesion on imaging. This diagnosis remains difficult and is essentially based on the clinical judgment of the physician.

Because a TIA can be a "pre-alarm" for stroke in 20-30% of cases, it needs to be treated appropriately and as early as possible in the emergency department. Stroke rates after untreated TIA are 5% within 48 hours, 10% within one month and 20% within one year. This risk is calculated using the ABCD² score which is based on the patient's risk factors and the clinical manifestations of TIA. Patients with a score ≥ 3 should be hospitalized as soon as possible for a complete medical evaluation. However, this score has not been scientifically validated, and several specialists agree that all TIAs should be evaluated immediately. Preventing stroke is a major public health issue because it is a serious, disabling and sometimes fatal disease. Given the seriousness of the progression from TIA to stroke, the French National Authority for Health has issued a series of management recommendations. However, in practice, these guidelines remain complicated to follow and patients management may vary and be more or less effective.

Therefore, the aim of this study is to highlight the differences in how inpatients and outpatients are managed. Following these observations, solutions will be sought to make the care and management of these patients more efficient and more in line with recommendations.

Conditions

Transient Ischemic Attack

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Study Groups

TIA patients

Satisfaction questionnaire

Intervention Type: BEHAVIORAL

Satisfaction questionnaire to assess how TIA patients feels about their medical care.

Medical care questionnaire

Intervention Type: OTHER

Recording appointments and results of examinations and consultations in TIA management

Interventions

Satisfaction questionnaire

Satisfaction questionnaire to assess how TIA patients feels about their medical care.

Intervention Type: BEHAVIORAL

Medical care questionnaire

Recording appointments and results of examinations and consultations in TIA management

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patient over 18 years old.
• Consultation in the emergency department.
• Suspected TIA diagnosed by emergency physician.
• Duration of TIA symptoms <1 hour.

Exclusion Criteria

• Validation MRI performed prior to suspected TIA.
• Patient hospitalized for a condition other than TIA, including stroke.
• Patient referred to another hospital for further examination.
• Pregnant women.
• Patient unable to understand and answer a questionnaire.
• Patient under legal protection.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Centre Hospitalier Henri Duffaut - Avignon

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Yohan Fouilhe, Medical Intern

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier d'Avignon, Service des urgences

Locations

Centre Hospitalier d'Avignon

Avignon, , France

Countries

France

Other Identifiers

PEC AIT 84

Identifier Type: -

Identifier Source: org_study_id