A survey of the practice of stroke doctors in developing transient ischaemic attack services in the UK
A survey of the practice of stroke doctors in developing transient ischaemic attack services in the UK
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DOI：
10.1111/j.1365-2753.2006.00714.x
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发表时间：
2007-06-01
影响因子：
2.4
通讯作者：
Tyrrell, Pippa
中科院分区：
文献类型：
--
作者：
Beech, Paula;Greenhalgh, Joanne;Tyrrell, Pippa
基本原理、目的和目标 (1) 描述英国目前建立和运营短暂性脑缺血发作 (TIA) 诊所的实践； (2) 确定是否达到TIA目标； (3) 为未来的 TIA 服务发展提供信息。方法 向英国中风医师协会 (BASP) 会员分发一项调查。结果 41% 的 BASP 正式会员对调查做出了回应。 77% 的受访者经营 TIA 诊所。其余 75% 的人有这样做的计划。在诊所参与的人员中，专门的中风咨询时间占主导地位（87% vs. 54%）。诊所运营的中位时间为36个月。从 TIA 到预约的中位时间为 2 周，超出了国家目标。 64% 的诊所每周开诊一次，31% 的诊所每周开诊一次以上。 46% 的人表示他们提供一站式诊所服务，但只有 10% 的人表示没有后续随访。患者返回完成调查是最常见的原因 (60%)。报告了等待调查的情况 - 53% 的人表示等待颈动脉多普勒扫描，41% 的人表示等待时间超过 1 周。 结论 这项调查引起的主要关注领域是从 TIA 到诊所预约的时间仍然超出国家目标，并且关键调查存在延误。当前的服务模式不足以满足当前的 TIA 目标，需要探索替代服务模式。
Rationale, aims and objectives (1) To describe current practice in the establishment and running of transient ischaemic attack (TIA) clinics in the UK; (2) to identify whether TIA targets are met; (3) to inform future TIA service development.Methods A survey distributed to the members of the British Association of Stroke Physicians (BASP).Results Forty-one per cent of full BASP members responded to the survey. TIA clinics were being run by 77% of respondents. Of the remainder 75% had plans to do so. Dedicated consultant time for stroke predominated among those involved in clinics (87% vs. 54%). The median time for clinics operation was 36 months. The median time from TIA to appointment was 2 weeks, exceeding national targets. Sixty-four per cent of clinics were run weekly and 31% more than once a week. Forty-six per cent stated they ran a one-stop clinic service yet only 10% said there were no later follow-up visits. A patient returning for completion of investigations was the most common reason for this (60%). Waits for investigations were reported - 53% indicated a wait for carotid Doppler scanning and 41% indicated this wait was in excess of 1 week.Conclusion Key areas of concern arising from this survey were that time from TIA to clinic appointment remained outside the national target and there were delays for key investigations. Current service models are inadequate to meet current TIA targets and exploration of alternative service models is required.