Transient ischaemic attack 999 emergency referral

Transient ischaemic attack 999 emergency referral: a pragmatic cluster randomised feasibility trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN85516498

Enrollment

156

Registered

2015-12-01

Start date

2016-02-01

Completion date

Unknown

Last updated

2024-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Transient ischaemic attack (TIA) Circulatory System

Interventions

The intervention is a complex package including paramedic training

a risk stratification checklist for assessing patients with suspected TIA

and a referral protocol and process. At the core of the intervention is the protocol to support assessment and decision-making. In accordance with Medical Research Council (MRC) guidance, paramedics

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Patients will be eligible for the study if they are: 1. Attended by a trial paramedic during the recruitment period 2. Coded as low-risk suspected TIA by the attending paramedic using the standard tool 3. Attended in the catchment area of the two hospitals taking part in the trial All paramedics working in within the study area are eligible

Exclusion criteria

Exclusion criteria: There are no exclusion criteria for paramedics. Patient exclusion criteria: 1. Unable to give informed consent (lacks capacity) 2. Apparent or known cognitive impairment (such as a diagnosis of dementia), due to the potential for inaccuracies in the reporting of symptoms 3. Patients with crescendo TIAs (i.e. patient has had similar symptoms within the last week) 4. Patients with ongoing symptoms (i.e. cannot definitely be classified as a TIA)

Design outcomes

Primary

Measure	Time frame
1. Time to subsequent emergency contact (999 call or ED attendance) or death 2. Time to specialist assessment by a stroke consultant or TIA specialist nurse	—

Secondary

Measure	Time frame
1. Outcome of contact: whether patient is taken to hospital or left at home and referred or left at home but not referred, together with time from onset to additional therapy; and attendance at TIA clinic (who and when) 2. Health care utilisation in one month and three months following contact 3. Patient-reported outcomes: satisfaction with care received (Quality of Care Monitor); health status (SF-12) at one month and three months 4. Costs of implementation, and costs of care and consequences per patient 5. Appropriateness of clinical management	—

Measure

Time frame

1. Outcome of contact: whether patient is taken to hospital or left at home and referred or left at home but not referred, together with time from onset to additional therapy; and attendance at TIA clinic (who and when) 2. Health care utilisation in one month and three months following contact 3. Patient-reported outcomes: satisfaction with care received (Quality of Care Monitor); health status (SF-12) at one month and three months 4. Costs of implementation, and costs of care and consequences per patient 5. Appropriateness of clinical management

—

Countries

United Kingdom, Wales

Contacts

Public ContactAnne Seagrove

a.c.seagrove@swansea.ac.uk01792 513411

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 10, 2026