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Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom

BACKGROUND AND PURPOSE: The global COVID‐19 pandemic led many stroke centres worldwide to shift from in‐person to telemedicine consultations to assess patients with transient ischaemic attacks (TIAs). We aimed to investigate the impact of telemedicine during the COVID‐19 pandemic on the management a...

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Autores principales: D’Anna, Lucio, Ellis, Natalya, Bentley, Paul, Brown, Zoe, Halse, Omid, Jamil, Sohaa, Jenkins, Harri, Malik, Abid, Kalladka, Dheeraj, Kwan, Joseph, Venter, Marius, Banerjee, Soma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8013561/
https://www.ncbi.nlm.nih.gov/pubmed/33476421
http://dx.doi.org/10.1111/ene.14750
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author D’Anna, Lucio
Ellis, Natalya
Bentley, Paul
Brown, Zoe
Halse, Omid
Jamil, Sohaa
Jenkins, Harri
Malik, Abid
Kalladka, Dheeraj
Kwan, Joseph
Venter, Marius
Banerjee, Soma
author_facet D’Anna, Lucio
Ellis, Natalya
Bentley, Paul
Brown, Zoe
Halse, Omid
Jamil, Sohaa
Jenkins, Harri
Malik, Abid
Kalladka, Dheeraj
Kwan, Joseph
Venter, Marius
Banerjee, Soma
author_sort D’Anna, Lucio
collection PubMed
description BACKGROUND AND PURPOSE: The global COVID‐19 pandemic led many stroke centres worldwide to shift from in‐person to telemedicine consultations to assess patients with transient ischaemic attacks (TIAs). We aimed to investigate the impact of telemedicine during the COVID‐19 pandemic on the management and outcome of the patients with TIA. METHODS: We retrospectively analysed data from a registry of consecutive TIA patients assessed at the Stroke Department, Imperial College Health Care Trust, London, during the national lockdown period (between March 23 2020 and 30 June 2020). As controls, we evaluated the clinical reports and stroke quality metrics of patients presenting to the TIA clinic in the same period of 2019. RESULTS: Between 23 March 2020 and 30 June 2020, 136 patients were assessed using the telemedicine TIA clinic, compared to 180 patients evaluated with face‐to‐face consultation in the same period in 2019. Patients’ characteristics were similar in both groups. At 3 months after the TIA, there were no significant differences in the proportion of patients admitted to the hospital for recurrent TIA/stroke or any other cardiovascular cause from the 2020 period compared to the same period in 2019. CONCLUSIONS: Our analysis showed that during the pandemic, our telemedicine consultations of TIA patients were not associated with an increased 3‐month rate of recurrent TIA/stroke or cardiovascular hospital admissions. More robust studies looking at this model of care will be needed to assess its long‐term effects on patients and health care systems.
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spelling pubmed-80135612021-04-01 Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom D’Anna, Lucio Ellis, Natalya Bentley, Paul Brown, Zoe Halse, Omid Jamil, Sohaa Jenkins, Harri Malik, Abid Kalladka, Dheeraj Kwan, Joseph Venter, Marius Banerjee, Soma Eur J Neurol Stroke BACKGROUND AND PURPOSE: The global COVID‐19 pandemic led many stroke centres worldwide to shift from in‐person to telemedicine consultations to assess patients with transient ischaemic attacks (TIAs). We aimed to investigate the impact of telemedicine during the COVID‐19 pandemic on the management and outcome of the patients with TIA. METHODS: We retrospectively analysed data from a registry of consecutive TIA patients assessed at the Stroke Department, Imperial College Health Care Trust, London, during the national lockdown period (between March 23 2020 and 30 June 2020). As controls, we evaluated the clinical reports and stroke quality metrics of patients presenting to the TIA clinic in the same period of 2019. RESULTS: Between 23 March 2020 and 30 June 2020, 136 patients were assessed using the telemedicine TIA clinic, compared to 180 patients evaluated with face‐to‐face consultation in the same period in 2019. Patients’ characteristics were similar in both groups. At 3 months after the TIA, there were no significant differences in the proportion of patients admitted to the hospital for recurrent TIA/stroke or any other cardiovascular cause from the 2020 period compared to the same period in 2019. CONCLUSIONS: Our analysis showed that during the pandemic, our telemedicine consultations of TIA patients were not associated with an increased 3‐month rate of recurrent TIA/stroke or cardiovascular hospital admissions. More robust studies looking at this model of care will be needed to assess its long‐term effects on patients and health care systems. John Wiley and Sons Inc. 2021-02-08 2021-10 /pmc/articles/PMC8013561/ /pubmed/33476421 http://dx.doi.org/10.1111/ene.14750 Text en © 2021 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Stroke
D’Anna, Lucio
Ellis, Natalya
Bentley, Paul
Brown, Zoe
Halse, Omid
Jamil, Sohaa
Jenkins, Harri
Malik, Abid
Kalladka, Dheeraj
Kwan, Joseph
Venter, Marius
Banerjee, Soma
Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom
title Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom
title_full Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom
title_fullStr Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom
title_full_unstemmed Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom
title_short Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom
title_sort delivering telemedicine consultations for patients with transient ischaemic attack during the covid‐19 pandemic in a comprehensive tertiary stroke centre in the united kingdom
topic Stroke
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8013561/
https://www.ncbi.nlm.nih.gov/pubmed/33476421
http://dx.doi.org/10.1111/ene.14750
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