Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12380
Full metadata record
DC FieldValueLanguage
dc.contributor.authorClarey, Jamieen
dc.contributor.authorLasserson, Danielen
dc.contributor.authorLevi, Christopher Ren
dc.contributor.authorParsons, Mark Wen
dc.contributor.authorDewey, Helen Men
dc.contributor.authorBarber, P Alanen
dc.contributor.authorQuain, Debbieen
dc.contributor.authorMcElduff, Patricken
dc.contributor.authorSales, Miltonen
dc.contributor.authorMagin, Parkeren
dc.date.accessioned2015-05-16T02:04:22Z
dc.date.available2015-05-16T02:04:22Z
dc.date.issued2014-09-10en
dc.identifier.citationFamily Practice 2014; 31(6): 664-9en
dc.identifier.govdoc25208544en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/12380en
dc.description.abstractTransient ischaemic attacks (TIA) and minor strokes (TIAMS) have the same pathophysiological mechanism as stroke and carry a high risk of recurrent ischaemic events. Diagnosis of TIAMS can be challenging and often occurs in general practice. Absolute cardiovascular risk (ACVR) is recommended as the basis for vascular risk management. Consideration of cardiovascular risk in TIAMS diagnosis has been recommended but its utility is not established.Firstly, to document the ACVR of patients with incident TIAMS and with TIAMS-mimics. Secondly, to evaluate the utility of ACVR calculation in informing the initial diagnosis of TIAMS.The International comparison of Systems of care and patient outcomes in minor Stroke and TIA (InSiST) study is an inception cohort study of patients of 17 Australian general practices presenting as possible TIAMS. An expert panel determines whether participants have had TIAMS or TIAMS-mimics. ACVR was calculated at baseline for each participating patient. In this cross-sectional baseline analysis, ACVR of TIAMS and TIAMS-mimics were compared univariately and, also, when adjusted for age and sex. The diagnostic utility of ACVR was evaluated via receiver operating characteristic (ROC) curves.Of 179 participants, 87 were adjudicated as TIAMS. The presence of motor and speech symptoms and body mass index were associated with a diagnosis of TIAMS. ACVR was associated with TIAMS diagnosis on univariate analysis, but not when age- and sex-adjusted. ACVR did not significantly improve area under ROC curves beyond that of age and sex.In patients presenting with transient or minor neurological symptoms, calculation of ACVR did not improve diagnostic accuracy for TIAMS beyond that of age and sex.en
dc.language.isoenen
dc.subject.otherCardiovascular diseasesen
dc.subject.otherdiagnosisen
dc.subject.otherfamily practiceen
dc.subject.otherrisk assessmenten
dc.subject.otherstrokeen
dc.subject.othertransient ischaemic attack.en
dc.titleAbsolute cardiovascular risk and GP decision making in TIA and minor stroke.en
dc.typeJournal Articleen
dc.identifier.journaltitleFamily practiceen
dc.identifier.affiliationDiscipline of General Practice, University of Newcastle, Newcastle, Australia, Centre for Translational Neuroscience, University of Newcastle, Newcastle, General Practice Training valley to coast, Newcastle, Australiaen
dc.identifier.affiliationGeneral Practice Training valley to coast, Newcastle, Australiaen
dc.identifier.affiliationparker.magin@newcastle.edu.au.en
dc.identifier.affiliationNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UKen
dc.identifier.affiliationDepartment of Medicine - Austin Health, University of Melbourne, Melbourne, Australiaen
dc.identifier.affiliationDiscipline of General Practice, University of Newcastle, Newcastle, Australiaen
dc.identifier.affiliationCentre for Translational Neuroscience, University of Newcastle, Newcastle, Department of Neurology, John Hunter Hospital, Newcastle.en
dc.identifier.affiliationDepartment of Neurology, John Hunter Hospital, Newcastle, School of Medicine and Public Health, University of Newcastle, Newcastle.en
dc.identifier.affiliationCentre for Brain Research Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand and.en
dc.identifier.affiliationSchool of Medicine and Public Health, University of Newcastle, Newcastle.en
dc.identifier.doi10.1093/fampra/cmu054en
dc.description.pages664-9en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/25208544en
dc.type.austinJournal Articleen
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

14
checked on Jun 1, 2023

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.