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An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic.
Lim, Andy; Singhal, Shaloo; Lavallee, Philippa; Amarenco, Pierre; Rothwell, Peter M; Albers, Gregory; Sharma, Mukul; Brown, Robert; Ranta, Annemarei; Maddula, Mohana; Kleinig, Timothy; Dawson, Jesse; Elkind, Mitchell S V; Guarino, Maria; Coutts, Shelagh B; Clissold, Benjamin; Ma, Henry; Phan, Thanh.
  • Lim A; Department of Emergency Medicine, Monash Medical Centre, Melbourne, Australia; School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
  • Singhal S; School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia; Department of Neurology, Monash Medical Centre, Melbourne, Australia.
  • Lavallee P; Department of Neurology and Stroke Centre, Bichat University Hospital, Paris, France.
  • Amarenco P; Department of Neurology and Stroke Centre, Bichat University Hospital, Paris, France.
  • Rothwell PM; Nuffield Department of Clinical Neurosciences. Level 6, West Wing, John Radcliffe Hospital, Oxford, United Kingdom.
  • Albers G; Department of Neurology and Stanford Stroke Center, Stanford Medical Center, Palo Alto, CA, USA.
  • Sharma M; Division of Neurology, McMaster University and Population Health Research Institute, Hamilton, Ontario, Canada.
  • Brown R; Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
  • Ranta A; Department of Neurology, Wellington Hospital and University of Otago, Wellington.
  • Maddula M; Tauranga Hospital, Bay of Plenty District Health Board, Tauranga, New Zealand.
  • Kleinig T; Department of Neurology, Royal Adelaide Hospital, Adelaide, Australia.
  • Dawson J; Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, Scotland.
  • Elkind MSV; Department of Neurology, Vagelos College of Physicians and Surgeons, and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA.
  • Guarino M; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Interaziendale Clinica Neurologica Metropolitana (NeuroMet), Neurologia AOU S.Orsola, Malpighi, Bologna, Italy.
  • Coutts SB; Calgary Stroke Program, Department of Clinical Neurosciences and Radiology, Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.
  • Clissold B; School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia; Department of Neurology, Monash Medical Centre, Melbourne, Australia.
  • Ma H; School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia; Department of Neurology, Monash Medical Centre, Melbourne, Australia.
  • Phan T; School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia; Department of Neurology, Monash Medical Centre, Melbourne, Australia. Electronic address: Thanh.Phan@monash.edu.
J Stroke Cerebrovasc Dis ; 29(11): 105228, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-718900
ABSTRACT

BACKGROUND:

This report aims to describe changes that centres providing transient ischaemic attack (TIA) pathway services have made to stay operational in response to the SARS-CoV-2 pandemic.

METHODS:

An international cross-sectional description of the adaptions of TIA pathways between 30th March and 6th May 2020. Experience was reported from 18 centres with rapid TIA pathways in seven countries (Australia, France, UK, Canada, USA, New Zealand, Italy, Canada) from three continents.

RESULTS:

All pathways remained active (n = 18). Sixteen (89%) had TIA clinics. Six of these clinics (38%) continued to provide in-person assessment while the majority (63%) used telehealth exclusively. Of these, three reported PPE use and three did not. Five centres with clinics (31%) had adopted a different vascular imaging strategy.

CONCLUSION:

The COVID pandemic has led TIA clinics around the world to adapt and move to the use of telemedicine for outpatient clinic review and modified investigation pathways. Despite the pandemic, all have remained operational.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Practice Patterns, Physicians' / Ischemic Attack, Transient / Telemedicine / Coronavirus Infections / Delivery of Health Care, Integrated / Critical Pathways / Hospital Rapid Response Team Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: North America / Europa / Oceania Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2020 Document Type: Article Affiliation country: J.jstrokecerebrovasdis.2020.105228

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Practice Patterns, Physicians' / Ischemic Attack, Transient / Telemedicine / Coronavirus Infections / Delivery of Health Care, Integrated / Critical Pathways / Hospital Rapid Response Team Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: North America / Europa / Oceania Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2020 Document Type: Article Affiliation country: J.jstrokecerebrovasdis.2020.105228