Evaluation of Transient Ischemic Attack and Minor Stroke: A Rapid Outpatient Model for the COVID-19 Pandemic and Beyond.
Paul M WechslerNeal S ParikhLinda A HeierEvelyn RuizMatthew E FinkBabak B NaviHalina WhitePublished in: The Neurohospitalist (2021)
The grim circumstances of the COVID-19 pandemic have highlighted the need to refine and adapt stroke systems of care. Patients' care-seeking behaviors have changed due to perceived risks of in-hospital treatment during the pandemic. In response to these challenges, we optimized a recently implemented, novel outpatient approach for the evaluation and management of minor stroke and transient ischemic attack, entitled RESCUE-TIA. This modified approach incorporated telemedicine visits and remote testing, and proved valuable during the pandemic. In this review article, we provide the evidence-based rationale for our approach, describe its operationalization, and provide data from our initial experience.
Keyphrases
- cerebral ischemia
- atrial fibrillation
- healthcare
- sars cov
- coronavirus disease
- subarachnoid hemorrhage
- end stage renal disease
- palliative care
- blood brain barrier
- mental health
- ejection fraction
- chronic kidney disease
- newly diagnosed
- brain injury
- quality improvement
- ischemia reperfusion injury
- clinical trial
- prognostic factors
- pain management
- big data
- oxidative stress
- human health
- acute care
- health insurance
- climate change
- replacement therapy