BACKGROUND: @entity63 ( @entity63 ) is a @entity409 in a confined area of the brain. The risk of @entity64 following @entity63 is approximately 4% within the first 2 days and 9% within the first month. Therefore, early diagnosis and treatment is critical to reduce mortality and risk of @entity64 in @entity1 who have experienced a @entity63 . OBJECTIVES: This systematic review aimed to investigate the impact of the urgent evaluation and initiation of treatment of @entity1 with @entity63 on the risk of subsequent @entity64 and @entity204 . DATA SOURCES: A literature search was performed for studies published from January 1, 2007, until December 21, 2012. The search was updated monthly to April 1, 2013. RESULTS: All identified studies showed that urgent assessment and initiation of treatment of @entity63 is an effective strategy in reducing the incidence of @entity64 . Among these, a large observational study found a large effect in that the risk of @entity64 was reduced by 80%, and a Canadian study found that providing urgent care significantly reduced the rate of @entity64 in high-risk @entity1 . Another Canadian study reported a significant reduction in the rate of @entity204 among @entity1 referred to @entity64 prevention clinics, compared to @entity1 not referred to such services. One study showed that @entity1 discharged from an emergency department with standard care had significantly higher rates of @entity64 and subsequent @entity63 in the first month, compared to those who were hospitalized. However, another study showed that for @entity1 at low to moderate risk, rate of @entity64 was similar between inpatients and those managed in a @entity63 clinic. LIMITATIONS: Our analysis was restricted to the effect of the combined interventions. The magnitude of benefit of each individual component of the intervention cannot be determined through this review. CONCLUSIONS: The results of this systematic review have important clinical and health system implications. Urgent management of @entity63 @entity1 in specialized @entity63 clinics rather than regular practice results in a lower rate of @entity64 and disability.

Is Transient XXXX Attack a Medical Emergency? An Evidence-Based Analysis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity63 :: ('MESH:D007511', 'Disease') :: ['Transient ischemic attack', 'TIA'] @entity409 :: ('MESH:D008107', 'Disease') :: ['brief episode of dysfunction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity63 :: (MESH:D007511,Disease) :: ['Ischemic']
