Evidence map›Paper›PMID 31847828›Full record

ArticleBMC family practice2019

TIA and minor stroke: a qualitative study of long-term impact and experiences of follow-up care.

Grace M Turner, Christel McMullan, Lou Atkins, Robbie Foy, Jonathan Mant, Melanie Calvert

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. A scoping review of patient and public involvement in empirical stroke research.International journal of stroke : official journal of the International Stroke Society · 2024
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Transient ischemic attack and minor stroke as "surgeons affairs": a narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Review
  15. Article
  16. Article
  17. Outcomes in Patients with Minor Stroke: Diagnosis and Management in the Post-thrombectomy Era.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Grace M TurnerInstitute of Applied Health Research, University of Birmingham, Birmingham, B15 2TT, UK. G.Turner.1@bham.ac.uk.ORCID 0000-0002-9783-9413
Christel McMullanInstitute of Applied Health Research, University of Birmingham, Birmingham, B15 2TT, UK.
Lou AtkinsCentre for Behaviour Change, University College London, London, WC1E 6BT, UK.
Robbie FoyFaculty of Medicine and Health, University of Leeds, Leeds, LS2 9JT, UK.
Jonathan MantDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, CB1 8RN, UK.
Melanie CalvertInstitute of Applied Health Research, University of Birmingham, Birmingham, B15 2TT, UK.
University of Birmingham · GBUniversity College London · GBUniversity of Cambridge · GBUniversity of Leeds · GB

Funding

Department of Health PDF-2017-10-047
6 · The paper itself

Abstract

backgroundTransient ischaemic attack (TIA) and minor stroke are often considered transient events; however, many patients experience residual problems and reduced quality of life. Current follow-up healthcare focuses on stroke prevention and care for other long-term problems is not routinely provided. We aimed to explore patient and healthcare provider (HCP) experiences of residual problems post-TIA/minor stroke, the impact of TIA/minor stroke on patients' lives, and current follow-up care and sources of support.

methodsThis qualitative study recruited participants from three TIA clinics, seven general practices and one community care trust in the West Midlands, England. Semi-structured interviews were conducted with 12 TIA/minor stroke patients and 24 HCPs from primary, secondary and community care. Data was analysed using framework analysis.

resultsA diverse range of residual problems were reported post-TIA/minor stroke, including psychological, cognitive and physical impairments. Consultants and general practitioners generally lacked awareness of these long-term problems; however, there was better recognition among nurses and allied HCPs. Residual problems significantly affected patients' lives, including return to work, social activities, and relationships with family and friends. Follow-up care was variable and medically focused. While HCPs prioritised medical investigations and stroke prevention medication, patients emphasised the importance of understanding their diagnosis, individualised support regarding stroke risk, and addressing residual problems.

conclusionHCPs could better communicate information about TIA/minor stroke diagnosis and secondary stroke prevention using lay language, and improve their identification of and response to important residual impairments affecting patients.

Indexed as

AftercareAdultEnglandFemaleHealth PersonnelHumansInterviews as TopicIschemic Attack, TransientMaleMiddle AgedQualitative ResearchQuality of LifeStrokeMinor strokeQualitativeQuality of lifeRehabilitationTransient ischemic attack

Identifiers

PMID31847828
PMCPMC6918619
OpenAlexW2996692523

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.