Evaluation of the Effectiveness of a City Hospital Care Network for the Care of Patients With Transient Ischemic Accident (TIA)

NCT05216198 | Unknown

• 1 other identifier: EssaiClinique_AIT-AMBU-GRE
• Study Type: observational
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

Transient ischemic accidents (TIA) are a frequent resort to hospitalization in the emergency department and are serious events in terms of recurrence and handicap. The organization of the "TIA sector" at CHUGA aims to facilitate on the one hand the care of the patient during his hospitalization in the emergencies and on the other hand to allow a safer discharge of the patient as well as his follow-up in ambulatory. The aim of this study is to study the feasibility of comprehensive short-term outpatient management after hospitalization in the emergencies. The research hypothesis is that 90% of patients complete all of the 10 recommended examinations for the diagnosis of TIA, analysis of its risk factors and initiation of necessary treatments, if necessary.

Conditions

Transient Ischemic Attack

Keywords

transient ischemic attack; neurovascular unit; managed care program

Outcome Measures

Primary Outcomes (1)

• The objective of the research is to study the feasibility of outpatient treatment for TIA from the emergency room, by evaluating the percentage of patients who have completed 100% of the additional examinations included in the course.

  The primary endpoint is the mandatory completion of the 10 items recommended by the SFNV and the RENAU, as part of the diagnosis and management of TIA: 1. Recommended standard biology (including assessment of cardiovascular risk factors) 2. The electrocardiogram 3. Brain imaging 4. Imaging of the supraortic trunks 5. The summary of all examinations by a neurologist 6. The introduction of antiplatelet therapy 7. The introduction of statins 8. The follow-up consultation with the attending physician in the month following discharge from the emergency room. 9. Consultation with a cardiologist, with performance of an echocardiography and a Holter ECG 10. Performing a brain MRI

  6 months

Secondary Outcomes (4)

• Identify the additional examinations that are not performed during the patient's care, and the difficulties in carrying out the standardized care offered to the Emergency Department

  6 months

• Evaluate the patient's adherence and understanding to the care sector

  6 months

• Identify the barriers to membership in the care sector

  6 months

• Identify complications at one month including a recurrence of TIA or stroke

  6 months

Study Arms (1)

TIA patients

Diagnostic of TIA by the exams performed in the emergencies of CHUGA.

Other: Check of the different exams performed at the emergencies

Interventions

Check of the different exams performed at the emergencies OTHER

Check of the different exams performed at the emergencies

TIA patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Diagnostic of TIA by the exams performed in the emergencies of CHUGA.

You may qualify if:

• Hospitalization in the Emergency Department of the CHUGA for suspicion of TIA
• Possible or probable TIA diagnosis on discharge
• Major patient
• Outpatient care after emergency care

You may not qualify if:

• Protected patient (guardianship, curatorship, people not affiliated with Social Security)
• Patient deprived of liberty by a judicial or administrative decision
• Patient hospitalized without consent under Articles L. 3212-1 and L. 3213-1 which does not fall under the provisions of Article L. 1121-8
• Adult patient subject to a legal protection measure or unable to express consent
• Pregnant, lactating or parturient women
• Patient who does not speak French
• Inability to answer the phone to answer questions
• No attending physician

Sponsors & Collaborators

• University Hospital, Grenoble: lead

Study Sites (1)

CHU Grenoble Alpes - Urgences

Grenoble, 38100, France

RECRUITING

Related Publications (5)

• Amarenco P, Benavente O. EXPRESS transient ischemic attack study: speed the process! Stroke. 2008 Aug;39(8):2400-1. doi: 10.1161/STROKEAHA.108.514166. Epub 2008 Jul 3. No abstract available.

  PMID: 18599804 BACKGROUND

• Amarenco P. Not all patients should be admitted to the hospital for observation after a transient ischemic attack. Stroke. 2012 May;43(5):1448-9. doi: 10.1161/STROKEAHA.111.636753. No abstract available.

  PMID: 22529312 BACKGROUND

• Amarenco P, Lavallee PC, Monteiro Tavares L, Labreuche J, Albers GW, Abboud H, Anticoli S, Audebert H, Bornstein NM, Caplan LR, Correia M, Donnan GA, Ferro JM, Gongora-Rivera F, Heide W, Hennerici MG, Kelly PJ, Kral M, Lin HF, Molina C, Park JM, Purroy F, Rothwell PM, Segura T, Skoloudik D, Steg PG, Touboul PJ, Uchiyama S, Vicaut E, Wang Y, Wong LKS; TIAregistry.org Investigators. Five-Year Risk of Stroke after TIA or Minor Ischemic Stroke. N Engl J Med. 2018 Jun 7;378(23):2182-2190. doi: 10.1056/NEJMoa1802712. Epub 2018 May 16.

  PMID: 29766771 BACKGROUND

• Lavallee PC, Meseguer E, Abboud H, Cabrejo L, Olivot JM, Simon O, Mazighi M, Nifle C, Niclot P, Lapergue B, Klein IF, Brochet E, Steg PG, Leseche G, Labreuche J, Touboul PJ, Amarenco P. A transient ischaemic attack clinic with round-the-clock access (SOS-TIA): feasibility and effects. Lancet Neurol. 2007 Nov;6(11):953-60. doi: 10.1016/S1474-4422(07)70248-X.

  PMID: 17928270 BACKGROUND

• Cucchiara BL, Kasner SE. All patients should be admitted to the hospital after a transient ischemic attack. Stroke. 2012 May;43(5):1446-7. doi: 10.1161/STROKEAHA.111.636746. No abstract available.

  PMID: 22529311 BACKGROUND

MeSH Terms

Conditions

Ischemic Attack, Transient

Condition Hierarchy (Ancestors)

Brain Ischemia; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 11, 2022
• First Posted: January 31, 2022
• Study Start: April 7, 2022
• Primary Completion: June 1, 2022
• Study Completion: July 1, 2022
• Last Updated: May 24, 2022

Record last verified: 2022-01

Locations

FR (1)