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Master Thesis

Gestion de l’accident ischémique transitoire de moins de 7 jours par les médecins généralistes de Haute-Savoie en 2019

Abstract : A Transient Ischemic Attack (TIA) is an emergency, in terms of both diagnosis and treatment, as it may be a warning of a future stroke. A quick medical care is recommended within 24 hours. The main question of our study was to estimate the level of difficulty for general practitioners, who are often first to intervene, regarding the diagnosis of TIAs within seven days in Haute-Savoie. And, as our secondary objective, what are the difficulties and possible solutions to improve this medical care. Our research consisted in an epidemiological prospective study between March and April 2019. A link which redirected to an online questionnaire was sent by mail to 796 general practitioners registered in the Conseil Départemental de l’Ordre des Médecins (medical board) of Haute-Savoie. The response rate was 11.4 %. The mean level of difficulty was 1.92 (1 : very hard to 4 : very easy). The main causes of that difficulty reported by GPs were : excessive waiting time for further examinations (90.1 %), lack of time (46.1 %) and lack of knowledge (34.1 %). Finally, 76.9 % of the doctors wished for the creation of a specific procedure and 59.3 % hoped for a better knowledge of stroke units and neurovascular emergency numbers. 33 % also mentioned being interested in specific training.Our study brings to light the need of creation of healthcare circuits dedicated to TIAs.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02307579
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Submitted on : Tuesday, October 8, 2019 - 12:20:53 PM
Last modification on : Tuesday, November 17, 2020 - 10:56:06 AM

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Julie Varlet. Gestion de l’accident ischémique transitoire de moins de 7 jours par les médecins généralistes de Haute-Savoie en 2019. Médecine humaine et pathologie. 2019. ⟨dumas-02307579⟩

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