Diagnosing brief stroke-like (TIA) events in the emergency room
Diagnosis of Transient Ischemic Attacks in the Emergency Department
This project will look at how adults who come to the emergency room with a transient ischemic attack (TIA) are managed to see if extra tests, treatments, and referrals match their cardiovascular risk.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 300 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University Hospital, Strasbourg, France Academic / other |
| Locations | 1 site (Strasbourg) |
| Trial ID | NCT07339787 on ClinicalTrials.gov |
What this trial studies
This is a retrospective observational review of adults coded with a TIA in the CHU de Strasbourg emergency department between January 1 and December 12, 2024. Researchers will compile ED records via the regional emergency observatory coding to record which additional examinations, treatments, and specialist referrals were performed. The study will compare those management decisions with patients' cardiovascular risk to determine whether care intensity aligns with risk. Findings will describe variability in practice and identify gaps in access to neurovascular expertise, particularly for low-risk versus high-risk patients.
Who should consider this trial
Good fit: Adults (age ≥18) who presented to the CHU de Strasbourg emergency department with a transient neurological deficit that had fully resolved by arrival during the study period are eligible.
Not a fit: People with persistent neurological deficits consistent with stroke, patients not seen in the CHU de Strasbourg ED during the specified dates, or those with non-TIA diagnoses will not be included and will not directly benefit from this analysis.
Why it matters
Potential benefit: If patterns show mismatch between risk and care, the results could inform clearer triage and referral pathways so high-risk patients get specialist attention while low-risk patients avoid unnecessary testing.
How similar studies have performed: Other hospitals with dedicated TIA clinics have reported reduced early recurrence and cardiovascular morbidity after implementing rapid-access TIA care, so the model has supporting evidence even though this study focuses on management variability.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult (≥18 years old) * Having consulted the emergency department or been diagnosed with TIA during the period from January 1, 2024, to December 12, 2024 (records will be compiled via coding at the East Rescue regional emergency observatory) * TIA will be defined as a sudden, transient neurological deficit that had disappeared by the time of arrival at the emergency department Exclusion Criteria: \- Subjects with a suspected diagnosis of TIA, i.e., with a sudden, transient neurological deficit that had disappeared by the time of arrival at the emergency department.
Where this trial is running
Strasbourg
- Service d'Urgences Médico-Chirurgicales Adules - CHU de Strasbourg - France — Strasbourg, France (Recruiting)
Study contacts
- Study coordinator: Pierrick LE BORGNE, MD
- Email: Pierrick.LEBORGNE@chru-strasbourg.fr
- Phone: 33 3.88.12.86.90
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.