Feasibility Study on the Medical and Economic Consequences of Outpatient Management of TIAs and Minor Strokes
Feasibility Study on the Medical and Economic Consequences of Outpatient Management of TIAs and Minor Strokes
The effectiveness of outpatient management of minor TIAs and strokes in the context of a
 dedicated outpatient pathway with specialized care has been demonstrated and has resulted in
 an 80% decrease in stroke in the year followed the AIT (EXPRESS and SOS-TIA studies) At the
 same time, few studies have been conducted on their economic interest and none in France.

 Patient's typology (younger patient, no sequel, no disability) with Transient ischemic attack
 (TIA) and minor stroke (MS) makes them compatible with ambulatory management.
Only two hospitals in France can take care patients with TIA or MS in an outpatient setting
 :Bichat hospital in Paris and Toulouse University Hospital. The effectiveness of this
 management has been demonstrated since recurrence stroke risk is reduced by 80% at one year.
 An English study (EXPRESS study) [2] showed a gain of 624 pounds with an ambulatory
 management compared to a conventional one. No studies are available in France on this
 subject.

 The aim of this study is to test the feasibility of a collection of medical and economic data
 on a prospective way. The investigators collect medical (Cerebrovascular events, Stroke) and
 economic (direct and indirect costs) data concerning patients who were managed in TIA clinic
 in Toulouse Hospital. The medical data will be compiled with available French and
 International literature. The economic data will be compiled with available data in PMSI and
 health insurance database. This study aims to prepare a multicenter cohort to compare the
 cost effectiveness ratio between ambulatory and conventional management.
Inclusion Criteria:

 -  Hospitalization in the TIA clinic in Toulouse Hospital (a day clinic)

 -  Having presented within the previous 7 days a transient ischemic attack or a minor
 stroke

 -  Affiliated to a social protection system

 -  To have given no opposition to participation in the study

 Exclusion Criteria:

 -  Patients with a transient ischemic attack - mimic (such as migraine or seizure)

 -  Patients under protection of justice

 -  Pregnant and / or breastfeeding woman