Transient Ischemic Attack (TIA) Accelerated Diagnostic Protocol

Completed · Not applicable

Conditions studied: Transient Ischemic Attack

In brief

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", demonstrate a significant decrease in their index visit length of stay and cost, with comparable diagnostic and 90-day clinical outcomes relative to TIA patients randomized to traditional inpatient care. The secondary objectives are to evaluate the potential role of a TIA risk stratification tool and to determine the time to a diagnostic endpoint in both groups.

Key facts

Study ID

NCT00321022

Run by

Corewell Health East

People needed

154

Starts

2003-08-01

Expected to finish

2005-09-01

Last updated by the study team

2012-03-19

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Transient ischemic attack confirmed by emergency physician - resolved deficit, not a crescendo TIA.
• Negative HCT

You may not qualify if…

• 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

Where it is running

• William Beaumont Hospital — Royal Oak, Michigan, United States

Full record on ClinicalTrials.gov

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