Status:
COMPLETED
Transient Ischemic Attack (TIA) Accelerated Diagnostic Protocol
Lead Sponsor:
Corewell Health East
Collaborating Sponsors:
Foundation for Education and Research in Neurological Emergencies
Conditions:
Transient Ischemic Attack
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The primary objective of this study is to determine if emergency department patients with Transient Ischemic Attack (TIA) that are managed using a TIA "accelerated diagnostic protocol", or "ADP", demo...
Detailed Description
Transient ischemic attack (TIA) is defined as a neurological deficit lasting less than 24 hours, with most lasting less than one hour, brought on by focal cerebral or retinal ischemia. TIAs are common...
Eligibility Criteria
Inclusion
- Transient ischemic attack confirmed by emergency physician - resolved deficit, not a crescendo TIA.
- Negative HCT
Exclusion
- Positive HCT scan for bleed, mass, acute infarct
- Possible embolic source - A. fib, paroxysmal.A.fib, cardiomyopathy, artificial heart valve, endocarditis, patent foramen ovale, recent MI
- Known carotid stenosis (\>50%) or mural thrombus
- Persistent acute neurological deficits
- Crescendo TIAs
- Non-focal symptoms - ie confusion, weakness, seizure, transient global amnesia
- Hypertensive encephalophy / emergency
- Severe headache or evidence of cranial arteritis
- Fever
- Previous stroke
- Severe dementia
- Nursing home patient
- Social issues that make discharge or follow up unlikely
- Other acute medical problems requiring inpatient admission
- Patient unlikely to survive beyond study follow up period (90 days)
- History of IV drug use
Key Trial Info
Start Date :
August 1 2003
Trial Type :
INTERVENTIONAL
End Date :
September 1 2005
Estimated Enrollment :
154 Patients enrolled
Trial Details
Trial ID
NCT00321022
Start Date
August 1 2003
End Date
September 1 2005
Last Update
March 19 2012
Active Locations (1)
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1
William Beaumont Hospital
Royal Oak, Michigan, United States, 48073