HOME >> MEDICINE >> NEWS
Rapid diagnosis of mini-strokes saves time and money with no harm to patients

As many as 300,000 Americans per year are diagnosed with Transient Ischemic Attack (TIA, or "mini-stroke"). One of the difficulties with such patients is that by the time they reach the emergency room, their symptoms may have disappeared. Over 10% of these patients will suffer a stroke within 90 days, with 64% of those strokes being disabling, and 5% will experience a major cardiac event. Traditionally, these patients are admitted for a series of diagnostic tests over several days.

In a paper presented at the 2006 Society for Academic Emergency Medicine Annual Meeting, May 18-21, 2006 in San Francisco, researchers from William Beaumont Hospital and Wayne State University described a rapid protocol to evaluate TIA patients.

While there is consensus for rapid CT brain imaging, there is not agreement about the timing of other tests, such as carotid imaging. There is some interest in the use of an Accelerated Diagnostic Protocol (ADP), coupled with an Emergency Department Observational Unit, to avoid the average 3-day stay for admitted patients. This protocol may lower costs and reduce hospital stays, but questions remain about the outcomes and overall quality of care that such patients receive.

To address these and other questions, a controlled trial was conducted at Beaumont Hospital, Royal Oak, Michigan. After an initial evaluation and diagnosis of TIA, 149 patients were randomly assigned to the ADP group or to an inpatient hospital bed. All patients received the same 4 diagnostic tests (Carotid imaging, echocardiogram, cardiac monitoring, and serial clinical evaluation) but those in the ADP group received those tests more rapidly.

The median length of stay for the ADP group was 25 hours vs. 61 hours for the admitted patients, and their 90-day costs were $890 vs. $1547. Approximately 15% of the ADP patients were admitted and their length of stay averaged 100 hours with costs of $2737. While these cost savings are substantial, th
'"/>


18-May-2006


Page: 1 2

Related medicine news :

1. Rapid oral HIV test shows great promise according to MUHC-led research
2. Rapid response was crucial to containing the 1918 flu pandemic
3. Rapid flu testing is associated with decreased antibiotic use in hospitalized adults
4. Rapid flu tests may reduce threat of antibiotic resistance
5. Rapid expansion of HIV treatment services in Africa feasible, with good patient outcomes
6. Rapid lung function decline raises risk of death and hospitalization
7. Rapid emotional recovery of breast-cancer survivors surprises researchers
8. Rapid restoration of immunity in immune-suppressed cancer patients using T-cell vaccines
9. Using MRI for diagnosis could help prevent breast cancer progression
10. Medical management of another condition may not lead to early cancer diagnosis
11. TB test offers patients quicker and easier diagnosis

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/15/2019)... , ... October 15, 2019 , ... Genomenon® ... with SOPHiA GENETICS that includes incorporating the Mastermind® Genomic Search Engine ... the most up-to-date genomic research at the fingertips of clinical researchers performing genomic analysis ...
(Date:10/11/2019)... ... ... Inland Detox, Inc. has just moved to a new location in the ... Temecula Valley and it’s the perfect place for long-term residential alcohol and substance ... well as double occupancy rooms, a 2nd home where all treatment takes place, a ...
(Date:10/10/2019)... ... 10, 2019 , ... Santa Rosa Consulting, Inc. , ... healthcare industry, has completed the first phase of a comprehensive strategic and technological ... Bahamas towards a fully integrated health information management system (iHIMS). , The ...
(Date:10/8/2019)... , ... October 08, 2019 , ... ... Kroger, Ralphs, QFC and Fred Meyer, King Sooper, Fry’s, Roundy’s, Smiths and Dillons. ... dairy-free, grain-free & gluten-free. , “Ingredient purity and fresh taste is paramount ...
(Date:10/8/2019)... ... October 08, 2019 , ... In Vitro ... in Advanced Fertility Care (AFC), an advanced reproductive services (RE) facility operating in ... availability of RE services to expectant families throughout Arizona and the greater Southwest. ...
Breaking Medicine News(10 mins):
(Date:10/8/2019)... ... October 08, 2019 , ... A free, interactive event highlighting innovations ... Austin, Texas. The event, featuring thought leaders, innovators and health experts, will display innovations ... from 2:00 p.m. to 5:30 p.m. CT on October 19 at the Coppertank Event ...
(Date:10/8/2019)... INDIANAPOLIS (PRWEB) , ... October 08, 2019 , ... ... aims to provide farmers a wider range of novel, microbial-based crop protection products. ... identification of new natural product starting points. In a first for the agriculture ...
(Date:10/8/2019)... ... October 08, 2019 , ... ... as a service (SaaS) platform, today announced integration between the IntelliCredTM credentialing software ... time it takes medical office staff to obtain peer references and affiliations to ...
Breaking Medicine Technology:
Cached News: