The International comparison of Systems of care and patient outcomes In minor Stroke and Tia (INSIST) study: a community-based cohort study

Research output: Contribution to journalArticle

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The International comparison of Systems of care and patient outcomes In minor Stroke and Tia (INSIST) study : a community-based cohort study. / Levi, Christopher R; Lasserson, Daniel; Quain, Debbie ; Valderas, Jose M ; Dewey, Helen M ; Barber, Peter; Rothwell, Peter; Spratt, Neil ; Cadilhac, Dominique A ; Feigin, Valery L; Zareie, Hossein ; Garcia-Esperon, Carlos ; Davey, Andrew ; Sales, Milton ; Najib, Nashwa ; Magin, Parker J.

In: International Journal of Stroke, Vol. 14, No. 2, 01.02.2019, p. 186-190.

Research output: Contribution to journalArticle

Harvard

Levi, CR, Lasserson, D, Quain, D, Valderas, JM, Dewey, HM, Barber, P, Rothwell, P, Spratt, N, Cadilhac, DA, Feigin, VL, Zareie, H, Garcia-Esperon, C, Davey, A, Sales, M, Najib, N & Magin, PJ 2019, 'The International comparison of Systems of care and patient outcomes In minor Stroke and Tia (INSIST) study: a community-based cohort study', International Journal of Stroke, vol. 14, no. 2, pp. 186-190. https://doi.org/10.1177/1747493018799983

APA

Levi, C. R., Lasserson, D., Quain, D., Valderas, J. M., Dewey, H. M., Barber, P., Rothwell, P., Spratt, N., Cadilhac, D. A., Feigin, V. L., Zareie, H., Garcia-Esperon, C., Davey, A., Sales, M., Najib, N., & Magin, P. J. (2019). The International comparison of Systems of care and patient outcomes In minor Stroke and Tia (INSIST) study: a community-based cohort study. International Journal of Stroke, 14(2), 186-190. https://doi.org/10.1177/1747493018799983

Vancouver

Author

Levi, Christopher R ; Lasserson, Daniel ; Quain, Debbie ; Valderas, Jose M ; Dewey, Helen M ; Barber, Peter ; Rothwell, Peter ; Spratt, Neil ; Cadilhac, Dominique A ; Feigin, Valery L ; Zareie, Hossein ; Garcia-Esperon, Carlos ; Davey, Andrew ; Sales, Milton ; Najib, Nashwa ; Magin, Parker J. / The International comparison of Systems of care and patient outcomes In minor Stroke and Tia (INSIST) study : a community-based cohort study. In: International Journal of Stroke. 2019 ; Vol. 14, No. 2. pp. 186-190.

Bibtex

@article{af838ea206ff41a7b55f5858f55d5593,
title = "The International comparison of Systems of care and patient outcomes In minor Stroke and Tia (INSIST) study: a community-based cohort study",
abstract = "Rationale: Rapid response by health-care systems for transient ischemic attack and minor stroke (TIA/mS) is recommended to maximize the impact of secondary prevention strategies. The applicability of this evidence to Australian non-hospital-based TIA/mS management is uncertain. Aims: Within an Australian community setting we seek to document processes of care, establish determinants of access to care, establish attack rates and determinants of recurrent vascular events and other clinical outcomes, establish the performance of ABC2-risk stratification, and compare the processes of care and outcomes to those in the UK and New Zealand for TIA/mS. Sample size estimates: Recruiting practices containing approximately 51 full-time-equivalent general practitioners to recruit 100 TIA/mS per year over a four-year study period will provide sufficient power for each of our outcomes. Methods and design: An inception cohort study of patients with possible TIA/mS recruited from 16 general practices in the Newcastle-Hunter Valley-Manning Valley region of Australia. Potential TIA/mS will be ascertained by multiple overlapping methods at general practices, after-hours collaborative, and hospital in-patient and outpatient services. Participants{\textquoteright} index and subsequent clinical events will be adjudicated as TIA/mS or mimics by an expert panel. Study outcomes: Process outcomes—whether the patient was referred for secondary care; time from event to first patient presentation to a health professional; time from event to specialist acute-access clinic appointment; time from event to brain and vascular imaging and relevant prescriptions. Clinical outcomes—recurrent stroke and major vascular events; and health-related quality of life. Discussion: Community management of TIA/mS will be informed by this study.",
keywords = "Family practice, General Practice, Ischemic Attack, Transient, Delivery of Health Care, Health Care Quality, Access, and Evaluation, Health Behaviour",
author = "Levi, {Christopher R} and Daniel Lasserson and Debbie Quain and Valderas, {Jose M} and Dewey, {Helen M} and Peter Barber and Peter Rothwell and Neil Spratt and Cadilhac, {Dominique A} and Feigin, {Valery L} and Hossein Zareie and Carlos Garcia-Esperon and Andrew Davey and Milton Sales and Nashwa Najib and Magin, {Parker J}",
year = "2019",
month = feb
day = "1",
doi = "10.1177/1747493018799983",
language = "English",
volume = "14",
pages = "186--190",
journal = "International Journal of Stroke",
issn = "1747-4930",
publisher = "Wiley",
number = "2",

}

RIS

TY - JOUR

T1 - The International comparison of Systems of care and patient outcomes In minor Stroke and Tia (INSIST) study

T2 - a community-based cohort study

AU - Levi, Christopher R

AU - Lasserson, Daniel

AU - Quain, Debbie

AU - Valderas, Jose M

AU - Dewey, Helen M

AU - Barber, Peter

AU - Rothwell, Peter

AU - Spratt, Neil

AU - Cadilhac, Dominique A

AU - Feigin, Valery L

AU - Zareie, Hossein

AU - Garcia-Esperon, Carlos

AU - Davey, Andrew

AU - Sales, Milton

AU - Najib, Nashwa

AU - Magin, Parker J

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Rationale: Rapid response by health-care systems for transient ischemic attack and minor stroke (TIA/mS) is recommended to maximize the impact of secondary prevention strategies. The applicability of this evidence to Australian non-hospital-based TIA/mS management is uncertain. Aims: Within an Australian community setting we seek to document processes of care, establish determinants of access to care, establish attack rates and determinants of recurrent vascular events and other clinical outcomes, establish the performance of ABC2-risk stratification, and compare the processes of care and outcomes to those in the UK and New Zealand for TIA/mS. Sample size estimates: Recruiting practices containing approximately 51 full-time-equivalent general practitioners to recruit 100 TIA/mS per year over a four-year study period will provide sufficient power for each of our outcomes. Methods and design: An inception cohort study of patients with possible TIA/mS recruited from 16 general practices in the Newcastle-Hunter Valley-Manning Valley region of Australia. Potential TIA/mS will be ascertained by multiple overlapping methods at general practices, after-hours collaborative, and hospital in-patient and outpatient services. Participants’ index and subsequent clinical events will be adjudicated as TIA/mS or mimics by an expert panel. Study outcomes: Process outcomes—whether the patient was referred for secondary care; time from event to first patient presentation to a health professional; time from event to specialist acute-access clinic appointment; time from event to brain and vascular imaging and relevant prescriptions. Clinical outcomes—recurrent stroke and major vascular events; and health-related quality of life. Discussion: Community management of TIA/mS will be informed by this study.

AB - Rationale: Rapid response by health-care systems for transient ischemic attack and minor stroke (TIA/mS) is recommended to maximize the impact of secondary prevention strategies. The applicability of this evidence to Australian non-hospital-based TIA/mS management is uncertain. Aims: Within an Australian community setting we seek to document processes of care, establish determinants of access to care, establish attack rates and determinants of recurrent vascular events and other clinical outcomes, establish the performance of ABC2-risk stratification, and compare the processes of care and outcomes to those in the UK and New Zealand for TIA/mS. Sample size estimates: Recruiting practices containing approximately 51 full-time-equivalent general practitioners to recruit 100 TIA/mS per year over a four-year study period will provide sufficient power for each of our outcomes. Methods and design: An inception cohort study of patients with possible TIA/mS recruited from 16 general practices in the Newcastle-Hunter Valley-Manning Valley region of Australia. Potential TIA/mS will be ascertained by multiple overlapping methods at general practices, after-hours collaborative, and hospital in-patient and outpatient services. Participants’ index and subsequent clinical events will be adjudicated as TIA/mS or mimics by an expert panel. Study outcomes: Process outcomes—whether the patient was referred for secondary care; time from event to first patient presentation to a health professional; time from event to specialist acute-access clinic appointment; time from event to brain and vascular imaging and relevant prescriptions. Clinical outcomes—recurrent stroke and major vascular events; and health-related quality of life. Discussion: Community management of TIA/mS will be informed by this study.

KW - Family practice

KW - General Practice

KW - Ischemic Attack

KW - Transient

KW - Delivery of Health Care

KW - Health Care Quality

KW - Access

KW - and Evaluation

KW - Health Behaviour

UR - http://www.scopus.com/inward/record.url?scp=85059696585&partnerID=8YFLogxK

U2 - 10.1177/1747493018799983

DO - 10.1177/1747493018799983

M3 - Article

VL - 14

SP - 186

EP - 190

JO - International Journal of Stroke

JF - International Journal of Stroke

SN - 1747-4930

IS - 2

ER -