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<< Transient Ischemic Attack: An Evidence-Based Update (Stroke CME)

Disposition

The determination of the patients who require inpatient services versus those who are suitable for discharge is controversial, and significant practice variability exists. Variables such as inpatient bed availability, ED advanced imaging capabilities, access to follow-up versus inhouse neurologist consultation, medicolegal concerns, and patient expectations all likely contribute to admission thresholds. (See Table 14.) A retrospective analysis of 34,000 TIAs across 11 states, published in 2008, found that 53% of patients were admitted.171

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