London, United Kingdom 2013 Poster Session Red Cerebrovasc Dis 2013; 35 (suppl 3)1-854 483 Figure 1. Correlation between death/survival at 30-Day and ICH score 373 Management and economics Effect of increasing acute neurovascular service capacity and TIA/stroke prevalence M.O. McCarron1, J. McKee2 Altnagelvin Neurology Centre, Derry, UNITED KINGDOM1, Stroke Service, Altnagelvin hospi-tal, Londonderry, UNITED KINGDOM2 Background Stroke services received increased resources in Northern Ireland in 2008. No epidemiological stroke data existed. We determined the prevalence of TIA/stroke before and after 2008 at a neurovascular clinic in a district general hospital (DGH). Methods Neurovascular clinic capacity was increased with a stroke nurse and physician appointments, which facilitated three clinics per week for patients with suspected TIA or stroke and a daily service for high risk patients (ABCD2 criteria). We compared the prevalence of patient presentations with TIA/ stroke in two phases: 2006-2007 with 2010-2012. Statistical analyses employed the chi square and Mann Whitney U tests. Results Over 24 months of phase 1 (2006-2007), 231 patients, mean age 58.1 (SD 17.4) years were as-sessed. During 36 months of phase 2 (2010-2012) 916 patients were assessed, mean age 61.0 (SD16.4) years. Clinical capacity increased almost threefold. The prevalence of presenting TIA/ stroke did not differ (116 of 231 versus 458 of 916, p=not significant). Median delay from clinical onset of suspected TIA/stroke to assessment decreased from 28 to 9 days (P<0.001) years. Conclusions Improvement in TIA/stroke management was not associated with a decrease in disease prevalence at this neurovascular clinic, probably reflecting previously unrecognised cerebrovascular disease.
Karger_ESC London_2013
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