Table 1:
Study | Type of Study | Sample Size | Excluded Patients | Outcome | Findings |
---|---|---|---|---|---|
Early Use of Existing Strategies for Stroke (EXPRESS) Rothwell et al, 2007 |
Prospective Observational Pre-post |
1278 (644 post) | -None (all TIA or stroke patients included in study) | 90-day stroke risk | 90-day stroke Rate of 2.1% compared to 10.3% before implementation |
SOS-TIA Lavellée, 2013 |
Prospective Observational | 1085 | -persistent symptoms - |
90-day stroke risk | 90-day stroke risk of 1.24% |
Ross et al. 2007 | Randomized Control Trial | 149 | -persistent neurologic deficit -existing condition prohibiting reliable ED testing and outpatient follow-up |
90-day stroke risk, length of stay 90-day total direct costs Return Visit Major Clinical Event |
Lower 90-day total direct costs ($890 vs $1547) Shorter length of stay (26 v 61 hours) 12% return visits in both groups 4 major clinical events in both groups |
Stead et al. 2009 | Prospective Observational | 418 | -Patients with symptoms lasting >24 hours -acute ischemic/hemorrhagic stroke |
48-hour and 7-day stroke risk | Risk of stroke of 0.96% at 48 hours and 1.2% at 7 days |