{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T18:22:25Z","timestamp":1781720545970,"version":"3.54.5"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T00:00:00Z","timestamp":1471305600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,9,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The UK National Institute for Health and Care Excellence (NICE) guidelines state that carotid endarterectomy should be scheduled within 2 weeks of symptoms. The recent National Stroke Strategy has reduced the time interval to 48 h. This study aimed to review the possible delays.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study analysed patients with confirmed transient ischaemic attack (TIA) or minor stroke, referred to a single tertiary centre clinic and followed up 1 month after the event. A questionnaire was used to collect data on the rapid-access clinic pathway, and details of previous medication and treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 150 patients presented with a confirmed TIA or minor stroke during a 5-month interval (June to October 2014). Fifty-one (34\u00b70 per cent) had a history of TIA or stroke and 35 (23\u00b73 per cent) had undergone an \u2018index\u2019 event in the 5 days before presentation. Forty-five patients (30\u00b70 per cent) experienced a reduction or loss of vision. Of this group, 32 had a deficit in vision only, none of whom attributed these symptoms to a cerebrovascular event. Overall 92 (61\u00b73 per cent) of the 150 patients had a delay in presentation to medical services. Forty-seven (31\u00b73 per cent) had residual symptoms at the clinic appointment. Eighty-eight patients (58\u00b77 per cent) did not think they were having a stroke and 54 (36\u00b70 per cent) were unaware of the National Stroke Strategy (FAST campaign\u00a0\u2013\u00a0Face, Arm, Speech, Time).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Two-thirds of patients were not aware they were having a stroke, one-third were unaware of the FAST campaign and nearly one-third presented with eye symptoms. Inclusion of eye symptoms and reaffirmation of the need to react might avoid unnecessary delays in the presentation of patients with TIA and minor stroke.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.10199","type":"journal-article","created":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T13:42:47Z","timestamp":1471354967000},"page":"1462-1466","source":"Crossref","is-referenced-by-count":10,"title":["Delays in the presentation to stroke services of patients with transient ischaemic attack and minor stroke"],"prefix":"10.1093","volume":"103","author":[{"given":"K","family":"Hurst","sequence":"first","affiliation":[{"name":"Nuffield Department of Surgical Sciences, John Radcliffe Hospital , Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Lee","sequence":"additional","affiliation":[{"name":"Nuffield Department of Surgical Sciences, John Radcliffe Hospital , Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Sideso","sequence":"additional","affiliation":[{"name":"Nuffield Department of Surgical Sciences, John Radcliffe Hospital , Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Giles","sequence":"additional","affiliation":[{"name":"Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital , Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Handa","sequence":"additional","affiliation":[{"name":"Nuffield Department of Surgical Sciences, John Radcliffe Hospital , Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2016,8,16]]},"reference":[{"key":"2024052209250437300_bjs10199-bib-0001","doi-asserted-by":"crossref","first-page":"e138","DOI":"10.1161\/01.STR.0000080935.01264.91","article-title":"Very early risk of stroke after a first transient ischemic attack","volume":"34","author":"Lovett","year":"2003","journal-title":"Stroke"},{"key":"2024052209250437300_bjs10199-bib-0002","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1016\/S0140-6736(07)61448-2","article-title":"Early use of Existing Preventive Strategies for Stroke (EXPRESS) study. 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