Stroke, Transient Ischemic Attack (TIA)
Conditions
Keywords
Transient Ischemic Attack (TIA)., Stroke., Hospital admission.
Brief summary
Evaluate for difference in outcome between hospital admission versus discharge after recent TIA, and evaluate feasibility of a larger study.
Detailed description
20 patients will be randomized within 24 hours of a TIA to be admitted to the hospital or discharged to home, and the investigator will compare outcomes, cost, and evaluate the feasibility of a larger study.
Interventions
BEHAVIORALHospital admission
Sponsors
University of California, San Diego
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 18 and older. * Clinical diagnosis of TIA within 24 hours of consent.
Exclusion criteria
* Crescendo TIAs, defined as multiple within 24 hours of presentation. * Posterior circulation TIAs diagnosed clinically by a member of the Stroke Team. * High grade carotid stenosis. * Any compelling medical reason they should or should not be admitted or discharged (for example decompensated congestive heart failure, unstable angina, new EKG changes, pneumonia, sepsis). Patients will only be enrolled if the only consideration for admission is the TIA, and they otherwise meet appropriate standard of care criteria for discharge to home. * Patients will be excluded if no one can be with them for the next 12 hours to ensure a rapid call to 911 should problems arise, specifically stroke.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| modified Rankin Scale at one year. | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Stroke and TIA incidence at one year | 1 year |
Countries
United States
Outcome results
None listed