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Master Thesis

Parcours de soin des patients consultant pour un accident ischémique transitoire au CHU de Caen

Abstract : Background and Purpose: Transient Ischemic Attack (TIA) is a diagnostic and therapeutic emergency. We described the management of patients who consulted at Caen University Hospital for a TIA. Method: We analyzed the patient characteristics and the management of patients who had a TIA and sought medical care at Caen University Hospital after full symptom resolution between May 2017 and December 2018. First we described the general patient characteristics, then we compared the way patients were cared depending on if they were hospitalized or not, and among those who were hospitalized, depending on in whichmedical care unit they were hospitalized. Results: Between may 2017 and december 2018, 205 patients sought medical care for a TIA after symptom resolution at Caen University Hospital. 98% went through the Emergency Department. The first brain imaging performed was CT scanner for 77% of patients. Among the 179 hospitalized patients, only 66% were managed in the stroke unit. The average length of stay at the hospital was 4 days. Patients directly hospitalized in the stroke unit were more likely to receive heart rate recording of more than 24 hours than those hospitalized outside the stroke unit(p< 0,001). Hospitalized patients had a better neurological follow-up than patients who were not hospitalized: 69% had a neurological consultation versus 8% (p <0,001). The neurological follow-up was better for patients directly admitted in the stroke unit than for other hospitalized patients: 75% had a neurological consultation versus 57% (p = 0,01). Conclusion: This study highlights various strengths and inadequacies in standard care of TIA at Caen University Hospital and helps to define areas of improvement before the creation of a TIA clinic.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03169754
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Submitted on : Monday, March 15, 2021 - 4:09:12 PM
Last modification on : Tuesday, October 19, 2021 - 11:34:51 PM
Long-term archiving on: : Wednesday, June 16, 2021 - 7:01:25 PM

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  • HAL Id : dumas-03169754, version 1

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Alix Glodkowski. Parcours de soin des patients consultant pour un accident ischémique transitoire au CHU de Caen. Médecine humaine et pathologie. 2020. ⟨dumas-03169754⟩

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