An international report on the adaptations of rapid transient ischaemic attack pathways during the COVID-19 pandemic

Lim, A. et al. (2020) An international report on the adaptations of rapid transient ischaemic attack pathways during the COVID-19 pandemic. Journal of Stroke and Cerebrovascular Diseases, 29(11), 105228. (doi: 10.1016/j.jstrokecerebrovasdis.2020.105228) (PMID:33066882) (PMCID:PMC7434484)

[img] Text
225004.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

[img] Text
225004Suppl.pdf - Supplemental Material



Background: This report aims to describe changes that centres providing transient ischaemic attack (TIA) pathway services have made to stay operational in response to the SARS-CoV-2 pandemic. Methods: An international cross-sectional description of the adaptions of TIA pathways between 30th March and 6th May 2020. Experience was reported from 18 centres with rapid TIA pathways in seven countries (Australia, France, UK, Canada, USA, New Zealand, Italy, Canada) from three continents. Results: All pathways remained active (n = 18). Sixteen (89%) had TIA clinics. Six of these clinics (38%) continued to provide in-person assessment while the majority (63%) used telehealth exclusively. Of these, three reported PPE use and three did not. Five centres with clinics (31%) had adopted a different vascular imaging strategy. Conclusion: The COVID pandemic has led TIA clinics around the world to adapt and move to the use of telemedicine for outpatient clinic review and modified investigation pathways. Despite the pandemic, all have remained operational.

Item Type:Articles
Keywords:COVID-19, Coronavirus, ischemic attack, transient, delivery of health care, telemedicine.
Glasgow Author(s) Enlighten ID:Dawson, Professor Jesse
Authors: Lim, A., Singhal, S., Lavallee, P., Amarenco, P., Rothwell, P. M., Albers, G., Sharma, M., Brown Jr, R., Ranta, A., Maddula, M., Kleinig, T., Dawson, J., Elkind, M. S.V., Guarino, M., Coutts, S. B., Clissold, B., Ma, H., and Phan, T.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
Journal Name:Journal of Stroke and Cerebrovascular Diseases
ISSN (Online):1532-8511
Published Online:18 August 2020
Copyright Holders:Copyright © 2020 Elsevier Inc.
First Published:First published in Journal of Stroke and Cerebrovascular Diseases 29(11): 105228
Publisher Policy:Reproduced in accordance with the publisher copyright policy

University Staff: Request a correction | Enlighten Editors: Update this record