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:6/25/2016)... ... 25, 2016 , ... First Choice Emergency Room , the largest network ... the Medical Director of its new Mesquite-Samuell Farm facility. , “We are pleased ... location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson ... Recently, he has implemented orthobiologic procedures as a method for treating his patients. ... the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether ... latter, setting the bar too high can result in disappointment, perhaps even self-loathing. However, ... their goal. , Research from PsychTests.com reveals that behind the tendency ...
(Date:6/24/2016)... ... 24, 2016 , ... Those who have experienced traumatic events may suffer from ... avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid this ... coping following a traumatic event. , Trauma sufferers tend to feel a range of ...
(Date:6/24/2016)... ... ... Marcy was in a crisis. Her son James, eight, was out of control. Prone to ... , “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there ... my other children and say he was going to kill them. If we were ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016  MedSource announced today that ... e-clinical software solution of choice.  This latest decision ... value to their clients by offering a state-of-the-art ... relationship establishes nowEDC as the EDC platform of ... full-service clients.  "nowEDC has long been a preferred ...
(Date:6/23/2016)... -- Research and Markets has announced the ... (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality (Filler, ... Global Forecast to 2021" report to their offering. ... pharmaceutical excipients market is projected to reach USD 8.1 ... the forecast period 2016 to 2021. ...
(Date:6/23/2016)... , June 23, 2016 Research and ... Devices Medical Market Analysis 2016 - Forecast to 2022" ... The report contains up to date financial data derived ... Assessment of major trends with potential impact on the market ... of market segmentation which comprises of sub markets, regional and ...
Breaking Medicine Technology:
Cached News: