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dc.contributor.authorBulger, Jenna K
dc.contributor.authorAli, Khalid
dc.contributor.authorEdwards, Adrian
dc.contributor.authorFord, Gary
dc.contributor.authorHampton, Chelsey
dc.contributor.authorJones, Charlene
dc.contributor.authorMoore, Chris
dc.contributor.authorPorter, Alison
dc.contributor.authorQuinn, Tom
dc.contributor.authorSeagrove, Anne
dc.contributor.authorSnooks, Helen
dc.contributor.authorRees, Nigel
dc.date.accessioned2023-05-25T15:49:45Z
dc.date.available2023-05-25T15:49:45Z
dc.date.issued2018-06-02
dc.identifier.citationBulger, J.K., et al., 2018, Journal of Paramedic Practice. Care pathways for low-risk transient ischaemic attack, 10 (6), 256-259.en_US
dc.identifier.issn2041-9457
dc.identifier.issn1759-1376
dc.identifier.doihttps://doi.org/10.12968/jpar.2018.10.6.256
dc.identifier.urihttp://hdl.handle.net/20.500.12417/1478
dc.description.abstractBackground: In secondary care, the urgency of review for transient ischaemic attack (TIA) has relied upon the use of the ABCD2 score, but this tool is not validated for use by emergency ambulance crews. There is a need to evaluate alternative care pathways for patients who might be eligible for direct referral to TIA clinics without prior conveyance to the emergency department (ED). Aim: The aim of this national survey was to describe current service provision across the UK for pre-hospital emergency care of patients with TIA. Methods: The authors approached all UK Ambulance trusts (n=13) by email, asking them to provide details of TIA patient referral pathways. Findings: Twelve ambulance services responded to the survey and nine reported that they had no current pathway; one had discontinued a pathway because of service reconfiguration; and three were currently using one. All pathways used the ABCD2 tool to screen patients and classified patients as low-risk if the ABCD2 score was 3 or below. Non-conveyance exclusion criteria varied. Although compliance with referral pathways was audited in an initial pilot in one service, no other evaluations of the effectiveness of pathways were reported. Conclusion: A minority of UK ambulance services report introducing referral pathways for low-risk TIA patients, avoiding initial assessment in the ED. Safety, effectiveness and acceptability of such pathways have not been evaluated to date. Abstract published with permission
dc.language.isoenen_US
dc.publisherMAG Onlineen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectStrokeen_US
dc.subjectSafetyen_US
dc.subjectSurveys and Questionnairesen_US
dc.subjectIschemic Strokeen_US
dc.titleCare pathways for low-risk transient ischaemic attacken_US
dc.source.journaltitleJournal of Paramedic Practiceen_US
dcterms.dateAccepted2018-02-28
rioxxterms.versionNAen_US
rioxxterms.licenseref.startdate2023-05-22
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2018-06-05
html.description.abstractBackground: In secondary care, the urgency of review for transient ischaemic attack (TIA) has relied upon the use of the ABCD2 score, but this tool is not validated for use by emergency ambulance crews. There is a need to evaluate alternative care pathways for patients who might be eligible for direct referral to TIA clinics without prior conveyance to the emergency department (ED). Aim: The aim of this national survey was to describe current service provision across the UK for pre-hospital emergency care of patients with TIA. Methods: The authors approached all UK Ambulance trusts (n=13) by email, asking them to provide details of TIA patient referral pathways. Findings: Twelve ambulance services responded to the survey and nine reported that they had no current pathway; one had discontinued a pathway because of service reconfiguration; and three were currently using one. All pathways used the ABCD2 tool to screen patients and classified patients as low-risk if the ABCD2 score was 3 or below. Non-conveyance exclusion criteria varied. Although compliance with referral pathways was audited in an initial pilot in one service, no other evaluations of the effectiveness of pathways were reported. Conclusion: A minority of UK ambulance services report introducing referral pathways for low-risk TIA patients, avoiding initial assessment in the ED. Safety, effectiveness and acceptability of such pathways have not been evaluated to date. Abstract published with permissionen_US


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