An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic

Andy Lim; Shaloo Singhal; Philippa Lavallee; Pierre Amarenco; Peter M. Rothwell; Gregory Albers; Mukul Sharma; Robert Brown; Annemarei Ranta; Mohana Maddula; Timothy Kleinig; Jesse Dawson; Mitchell S.V. Elkind; Maria Guarino; Shelagh B. Coutts; Benjamin Clissold; Henry Ma; Thanh Phan

doi:10.1016/j.jstrokecerebrovasdis.2020.105228

An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic

Andy Lim, Shaloo Singhal, Philippa Lavallee, Pierre Amarenco, Peter M. Rothwell, Gregory Albers, Mukul Sharma, Robert Brown, Annemarei Ranta, Mohana Maddula, Timothy Kleinig, Jesse Dawson, Mitchell S.V. Elkind, Maria Guarino, Shelagh B. Coutts, Benjamin Clissold, Henry Ma, Thanh Phan

Neurology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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 30^th March and 6^th 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.

Original language	English (US)
Article number	105228
Journal	Journal of Stroke and Cerebrovascular Diseases
Volume	29
Issue number	11
DOIs	https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105228
State	Published - Nov 2020

Keywords

COVID-19
Coronavirus
Delivery of Health Care
Ischemic Attack
Telemedicine
Transient

ASJC Scopus subject areas

Surgery
Rehabilitation
Clinical Neurology
Cardiology and Cardiovascular Medicine

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10.1016/j.jstrokecerebrovasdis.2020.105228

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Lim, A., Singhal, S., Lavallee, P., Amarenco, P., Rothwell, P. M., Albers, G., Sharma, M., Brown, R., Ranta, A., Maddula, M., Kleinig, T., Dawson, J., Elkind, M. S. V., Guarino, M., Coutts, S. B., Clissold, B., Ma, H., & Phan, T. (2020). An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic. Journal of Stroke and Cerebrovascular Diseases, 29(11), Article 105228. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105228

Lim, A, Singhal, S, Lavallee, P, Amarenco, P, Rothwell, PM, Albers, G, Sharma, M, Brown, R, Ranta, A, Maddula, M, Kleinig, T, Dawson, J, Elkind, MSV, Guarino, M, Coutts, SB, Clissold, B, Ma, H & Phan, T 2020, 'An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic', Journal of Stroke and Cerebrovascular Diseases, vol. 29, no. 11, 105228. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105228

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abstract = "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.",

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AU - Rothwell, Peter M.

AU - Albers, Gregory

AU - Sharma, Mukul

AU - Brown, Robert

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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

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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.

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An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic

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Keywords

ASJC Scopus subject areas

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