Quality of Referrals and Guideline Compliance for Time to Consultation at an Acute Neurovascular Clinic
Milton Sales, Debbie Quain, Dan Lasserson, Christopher Levi, Christopher Oldmeadow, Moyez Jiwa, Mark Parsons, Michelle Russell, Jamie Clarey, Parker Magin
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | ELSEVIER SCIENCE BV | Published : 2015
BACKGROUND: The Age, Blood pressure, Clinical features, Duration of symptoms, Diabetes (ABCD2) score can be used to predict early recurrent stroke risk following Transient ischemic attack (TIA). Given that recurrent stroke risk can be as high as 20% in the first week, international guidelines recommend "high-risk" TIAs (ABCD2 >3) be seen by specialist services such as dedicated acute neurovascular clinics within 24 hours. The goal of this study was to examine the associations of both quality of referrals to a specialist acute clinic and of "guideline congruence" of time-to-clinic consultation after TIA/minor stroke. We hypothesized high-quality referrals containing key clinical elements woul..View full abstract
The study was supported by Royal Australian College of General Practitioners Family Medical Care Education and Research grant (August 2011). D.L. is funded by the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre and the views expressed are those of the authors and may not reflect those of the NIHR, National Health Service (NHS), or Department of Health.