Updated STAT TIA & Stroke Care pocket cards available
Studies have estimated that a person's risk of stroke or an acute coronary syndrome is 12 to 20 percent during the first three months after a transient ischemic attack (TIA) or minor stroke, and up to 25 percent of patients who suffer a TIA will die within a year. In response to these numbers, Gundersen Health System created its STAT TIA & Stroke Care program in 2008.
The collaborative clinic provides patients with expanded evaluation and treatment in Emergency Services, followed quickly by an evaluation in the Stroke Clinic with a specialist from Vascular Services or Neurology—nearly always within three days of the initial attack.
This urgent management of TIA and minor stroke has been shown to improve outcomes for patients. While already seeing success, Gundersen stroke experts continue to monitor emerging evidence and update TIA treatment guidelines.
Revised STAT TIA protocol pocket cards are currently being distributed to clinicians throughout the region. These convenient cards help standardize stroke care and outline immediate investigations and stroke-prevention strategies, including anticoagulation for atrial fibrillation, rapid treatment protocols for hypertension, antithrombotic agents and statins.
On the back of the card you can find the ABCD2 score (age, blood pressure, clinical findings, duration of symptoms, and presence or absence of diabetes). This score is a validated estimate of a person's stroke risk following a TIA and helps you make clinical decisions such as whether your patient needs hospitalization.
A PDF version of the card is available for those who wish to make the information accessible on posters or in other formats.
Copies of the cards and Gundersen stroke protocols are available at www.gundersenhealth.org/stat-tia.
For additional information about STAT TIA & Stroke Care or copies of the TIA pocket cards, contact Gundersen's Stroke Clinic via MedLink at (800) 336-5465. In La Crosse, call (608) 775-5465.