When has service provision for transient ischaemic attack improved enough? A discrete event simulation economic modelling study.

ABSTRACT:

Objectives

The aim of this study was to examine the impact of transient ischaemic attack (TIA) service modification in two hospitals on costs and clinical outcomes.

Design

Discrete event simulation model using data from routine electronic health records from 2011.

Participants

Patients with suspected TIA were followed from symptom onset to presentation, referral to specialist clinics, treatment and subsequent stroke.

Interventions

Included existing versus previous (less same day clinics) and hypothetical service reconfiguration (7-day service with less availability of clinics per day).

Outcome measures

The primary outcome of the model was the prevalence of major stroke after TIA. Secondary outcomes included service costs (including those of treating subs

SUBMITTER: Barton P 

PROVIDER: S-EPMC5719325 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature