Diagnosis of Transient Ischemic Attacks in the Emergency Department

NCT07339787 | Recruiting

• 1 other identifier: 9766
• Study Type: observational
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Patients presenting a Transient Ischemic Attack (TIA) and admitted to the Emergency Department should be referred to a neurovascular specialist. In recent years, several hospitals have established TIA clinics. These units are day hospitals where all the necessary examinations are performed. Access to this expertise has proven beneficial in reducing cardiovascular morbidity and mortality, particularly the risk of early recurrence. Unfortunately, this access is limited by issues of medical demographics and unequal access to the healthcare system. In practice, this ideal care is not always possible. A portion of the TIA population is at low risk, and diagnostic and therapeutic interventions are limited, not always requiring neurovascular expertise. The hypothesis of this research is that the management of a patient who has suffered a TIA (additional examinations, treatment, referral) is not linked to their cardiovascular risk and that the performance of additional examinations and therapies is incomplete.

Conditions

Cardiovascular Morbidity; Transient Ischemic Attack

Keywords

Transient Ischemic Attack; Cardiovascular Morbidity

Outcome Measures

Primary Outcomes (1)

• ABCD2 Score

  The ABCD2 score is a medical tool used by doctors after a TIA (Transient Ischemic Attack). The total score ranges from 0 to 7: * 0-3: low risk * 4-5: moderate risk * 6-7: high risk

  Up to 12 months

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult (≥18 years old) having consulted the emergency department or been diagnosed with TIA during the period from January 1, 2024, to December 12, 2024 (records will be compiled via coding at the East Rescue regional emergency observatory)

You may qualify if:

• Adult (≥18 years old)
• Having consulted the emergency department or been diagnosed with TIA during the period from January 1, 2024, to December 12, 2024 (records will be compiled via coding at the East Rescue regional emergency observatory)
• TIA will be defined as a sudden, transient neurological deficit that had disappeared by the time of arrival at the emergency department

You may not qualify if:

• \- Subjects with a suspected diagnosis of TIA, i.e., with a sudden, transient neurological deficit that had disappeared by the time of arrival at the emergency department.

Sponsors & Collaborators

• University Hospital, Strasbourg, France: lead

Study Sites (1)

Service d'Urgences Médico-Chirurgicales Adules - CHU de Strasbourg - France

Strasbourg, 67091, France

RECRUITING

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

Central Study Contacts

Pierrick LE BORGNE, MD

CONTACT

33 3.88.12.86.90; Pierrick.LEBORGNE@chru-strasbourg.fr

Mathieu OBERLIN, MD

CONTACT

33 6.72.07.23.60; mathieu.oberlin@ghso.fr

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 5, 2026
• First Posted: January 14, 2026
• Study Start: February 6, 2025
• Primary Completion (Estimated): January 1, 2027
• Study Completion (Estimated): January 6, 2027
• Last Updated: January 14, 2026

Record last verified: 2026-01

Locations

FR (1)