Mine Hayriye Sorgun1, Zerin Özaydin Aksun1, Seyda Erdoğan1, Murat Arslan2, Ayşegül Gürsoy Çoruh3, Diğdem Kuru Öz3, Nil Özyüncü4, Elif Peker3, Cansın Tulunay Kaya4, Kıvılcım Yavuz3, Mustafa Erdoğan5, Canan Togay Işıkay1

1Ankara University Faculty of Medicine, Department of Neurology, Ankara, Türkiye
2Ankara University Faculty of Medicine, Department of Audiology, Ankara, Türkiye
3Ankara University Faculty of Medicine, Department of Radiology, Ankara, Türkiye
4Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Türkiye
5Ankara University Faculty of Medicine, Department of Biostatistics, Ankara, Türkiye

Keywords: Transient ischemic attack, minor stroke, prognosis, length of hospital stay, TIA unit


Objective: Identifying the etiology and early treatment following a transient ischemic attack (TIA) or minor stroke may prevent patients from having a disabling ischemic stroke. The primary aim of this study was to increase awareness of the symptoms of TIA and minor ischemic stroke and provide early intervention via a TIA unit. In addition, the benefits provided by the TIA unit were analyzed in terms of prognosis and length of hospital stay.

Materials and Methods: Before beginning the study, brochures and posters containing information about the symptoms of a TIA and minor ischemic stroke, along with the mobile phone number of a research fellow, were distributed in the clinics and hung on the main boards of the Ankara University Faculty of Medicine Hospitals. A presentation on the TIA unit was also given to the healthcare professionals of the hospitals. Afterward, 69 patients consecutively admitted with symptoms of a TIA or minor ischemic stroke [with a National Institutes of Health Stroke Scale (NIHSS) score of ≤5] between September 16, 2019, and September 15, 2020, were prospectively included in the study group. The hospital charts of 90 consecutive patients admitted with a TIA or minor ischemic stroke (with an NIHSS score of ≤5) were retrospectively evaluated as the control group from September 16, 2018, to September 15, 2019. The timing of the etiological diagnoses and treatments, the length of the hospital stay, and the prognoses of these two groups of patients, one comprising patients admitted before and the other comprising patients admitted after the TIA unit was established, were compared.

Results: The two groups had no significant difference in vascular events and mortality. However, in the logistic regression analysis, the length of the hospital stay was significantly shorter in the study group (P = 0.015).

Conclusion: A TIA and a minor stroke should be recognized quickly, and diagnostic tests should be performed as soon as possible to shorten the period of the hospital stay and reduce the costs and complications related to longer hospitalization.

Ethics Committee Approval

Ethics Committee of Ankara University Faculty of Medicine (approval ID: 01-02-18; approval date: August 1, 2018).

Peer Review

Externally peer-reviewed.

Author Contributions

Surgical and Medical Practices: M.H.S., Z.Ö.A., S.E., M.A., A.G.Ç., D.K.Ö., N.Ö., E.P., C.T.K., K.Y., M.E., C.T.I., Concept: M.H.S., Z.Ö.A., S.E., C.T.I., Design: M.H.S., C.T.I., Data Collection or Processing: M.H.S., Z.Ö.A., S.E., M.A., Analysis or Interpretation: M.H.S., M.E., Literature Search: M.H.S., Z.Ö.A., S.E., C.T.I., Writing: M.H.S., C.T.I.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study received no financial support.