TY - JOUR
T1 - An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic
AU - Lim, Andy
AU - Singhal, Shaloo
AU - Lavallee, Philippa
AU - Amarenco, Pierre
AU - Rothwell, Peter M.
AU - Albers, Gregory
AU - Sharma, Mukul
AU - Brown, Robert
AU - Ranta, Annemarei
AU - Maddula, Mohana
AU - Kleinig, Timothy
AU - Dawson, Jesse
AU - Elkind, Mitchell S.V.
AU - Guarino, Maria
AU - Coutts, Shelagh B.
AU - Clissold, Benjamin
AU - Ma, Henry
AU - Phan, Thanh
PY - 2020/11
Y1 - 2020/11
N2 - Background: This report aims to describe changes that centres providing transient ischaemic attack (TIA) pathway services have made to stay operational in response to the SARS-CoV-2 pandemic. Methods: An international cross-sectional description of the adaptions of TIA pathways between 30th March and 6th May 2020. Experience was reported from 18 centres with rapid TIA pathways in seven countries (Australia, France, UK, Canada, USA, New Zealand, Italy, Canada) from three continents. Results: All pathways remained active (n = 18). Sixteen (89%) had TIA clinics. Six of these clinics (38%) continued to provide in-person assessment while the majority (63%) used telehealth exclusively. Of these, three reported PPE use and three did not. Five centres with clinics (31%) had adopted a different vascular imaging strategy. Conclusion: The COVID pandemic has led TIA clinics around the world to adapt and move to the use of telemedicine for outpatient clinic review and modified investigation pathways. Despite the pandemic, all have remained operational.
AB - Background: This report aims to describe changes that centres providing transient ischaemic attack (TIA) pathway services have made to stay operational in response to the SARS-CoV-2 pandemic. Methods: An international cross-sectional description of the adaptions of TIA pathways between 30th March and 6th May 2020. Experience was reported from 18 centres with rapid TIA pathways in seven countries (Australia, France, UK, Canada, USA, New Zealand, Italy, Canada) from three continents. Results: All pathways remained active (n = 18). Sixteen (89%) had TIA clinics. Six of these clinics (38%) continued to provide in-person assessment while the majority (63%) used telehealth exclusively. Of these, three reported PPE use and three did not. Five centres with clinics (31%) had adopted a different vascular imaging strategy. Conclusion: The COVID pandemic has led TIA clinics around the world to adapt and move to the use of telemedicine for outpatient clinic review and modified investigation pathways. Despite the pandemic, all have remained operational.
KW - Coronavirus
KW - COVID-19
KW - Delivery of Health Care
KW - Ischemic Attack
KW - Telemedicine
KW - Transient
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U2 - 10.1016/j.jstrokecerebrovasdis.2020.105228
DO - 10.1016/j.jstrokecerebrovasdis.2020.105228
M3 - Article
C2 - 33066882
AN - SCOPUS:85089554841
VL - 29
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
SN - 1052-3057
IS - 11
M1 - 105228
ER -