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:3/23/2017)... (PRWEB) , ... March 23, 2017 , ... “Wounded Woman ... “Wounded Woman Be Ye Healed-Passing On A Legacy” is the creation of published author, ... founder of Comfortbearers grief ministry. She has been happily married to her husband, ...
(Date:3/23/2017)... ... March 23, 2017 , ... “The Trainer”: an electrifying and ... Scotty, a fiction writer with an active imagination and an enthusiasm for action and ... the tale of Wild Bill Hart, who sat looking at the thirty-three notches that ...
(Date:3/22/2017)... ... March 22, 2017 , ... Cosmetic Town, an ... issue of its companion print magazine. The new magazine, scheduled for release in ... information provided by board-certified doctors from across the country. , According to the ...
(Date:3/22/2017)... Jacksonville, FL (PRWEB) , ... March 22, 2017 ... ... (ASPC) convened experts to create a PCSK9 inhibitor prior authorization (PA) form for ... high cholesterol. It is one of the helpful tools published as part of ...
(Date:3/22/2017)... ... 22, 2017 , ... In recognition of Colon Cancer Awareness ... on cancer patients, cancer centers and advocacy groups, and MJH Studios™, a leading ... “No Ifs, Ands, or Butts,” that focuses on Colorectal Cancer detection, prevention and ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)... -- Merrimack Pharmaceuticals, Inc. (NASDAQ: MACK ) today ... Phase 1 study of MM-310 in solid tumors. MM-310 ... taxane and targets the EphA2 receptor, a protein which ... tumor types, including prostate, ovarian, bladder, gastric, pancreatic and ... is an important step in evaluating MM-310,s safety and ...
(Date:3/23/2017)... NORTH CHICAGO, Ill. , March 23, 2017 /PRNewswire/ ... actress, dancer and Emmy Award-winning choreographer Julianne Hough ... a campaign called "Get in the Know about ME ... AbbVie, is dedicated to inspiring women to learn about ... in 10 women, 1 and to address their ...
(Date:3/23/2017)... 23, 2017 The global dermatology ... 25.7 billion by 2025, according to a new report by ... at a faster rate due to rising concern amongst people ... types of esthetic procedures used for treating hair - and ... are considered as the highest revenue generators for the market. ...
Breaking Medicine Technology:
Cached News: