{"id":"https://openalex.org/W2806938009","doi":"https://doi.org/10.3390/healthcare6020057","title":"From Inpatient to Ambulatory Care: The Introduction of a Rapid Access Transient Ischaemic Attack Service","display_name":"From Inpatient to Ambulatory Care: The Introduction of a Rapid Access Transient Ischaemic Attack Service","publication_year":2018,"publication_date":"2018-06-01","ids":{"openalex":"https://openalex.org/W2806938009","doi":"https://doi.org/10.3390/healthcare6020057","mag":"2806938009","pmid":"https://pubmed.ncbi.nlm.nih.gov/29865148","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6023360"},"language":"en","primary_location":{"id":"doi:10.3390/healthcare6020057","doi":"https://doi.org/10.3390/healthcare6020057","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3390/healthcare6020057","pdf_url":"https://www.mdpi.com/2227-9032/6/2/57/pdf?version=1527839211","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2227-9032/6/2/57/pdf?version=1527839211","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047964960","display_name":"Mohana P. Maddula","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098492","display_name":"Tauranga Hospital","ror":"https://ror.org/00yr70j54","country_code":"NZ","type":"healthcare","lineage":["https://openalex.org/I4210098492"]}],"countries":["NZ"],"is_corresponding":true,"raw_author_name":"Mohana Maddula","raw_affiliation_strings":["Tauranga Hospital, Bay of Plenty District Health Board, Tauranga 3112, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tauranga Hospital, Bay of Plenty District Health Board, Tauranga 3112, New Zealand","institution_ids":["https://openalex.org/I4210098492"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Laura Adams","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098492","display_name":"Tauranga Hospital","ror":"https://ror.org/00yr70j54","country_code":"NZ","type":"healthcare","lineage":["https://openalex.org/I4210098492"]}],"countries":["NZ"],"is_corresponding":false,"raw_author_name":"Laura Adams","raw_affiliation_strings":["Tauranga Hospital, Bay of Plenty District Health Board, Tauranga 3112, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tauranga Hospital, Bay of Plenty District Health Board, Tauranga 3112, New Zealand","institution_ids":["https://openalex.org/I4210098492"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084114177","display_name":"Jonathan Donnelly","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098492","display_name":"Tauranga Hospital","ror":"https://ror.org/00yr70j54","country_code":"NZ","type":"healthcare","lineage":["https://openalex.org/I4210098492"]}],"countries":["NZ"],"is_corresponding":false,"raw_author_name":"Jonathan Donnelly","raw_affiliation_strings":["Tauranga Hospital, Bay of Plenty District Health Board, Tauranga 3112, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tauranga Hospital, Bay of Plenty District Health Board, Tauranga 3112, New Zealand","institution_ids":["https://openalex.org/I4210098492"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5047964960"],"corresponding_institution_ids":["https://openalex.org/I4210098492"],"apc_list":{"value":2700,"currency":"CHF","value_usd":3258},"apc_paid":{"value":2700,"currency":"CHF","value_usd":3258},"fwci":0.1641,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.4787907,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"6","issue":"2","first_page":"57","last_page":"57"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9550999999046326,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9550999999046326,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.03500000014901161,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/transient-ischemic-attack","display_name":"transient ischemic attack","score":0.9980000257492065},{"id":"https://openalex.org/keywords/rapid-access-clinic","display_name":"rapid access clinic","score":0.8519999980926514},{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.8960000276565552},{"id":"https://openalex.org/keywords/service-redesign","display_name":"service redesign","score":0.6179999709129333},{"id":"https://openalex.org/keywords/stroke-risk-stratification","display_name":"stroke risk stratification","score":0.8190000057220459},{"id":"https://openalex.org/keywords/waiting-time","display_name":"waiting time","score":0.4909999966621399},{"id":"https://openalex.org/keywords/neuroimaging","display_name":"neuroimaging","score":0.7919999957084656},{"id":"https://openalex.org/keywords/carotid-ultrasound","display_name":"carotid ultrasound","score":0.9950000047683716},{"id":"https://openalex.org/keywords/health-care-inequities","display_name":"health care inequities","score":0.48500001430511475}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.861138105392456},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.6011714935302734},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5854735970497131},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.5673381090164185},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.512610137462616},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.453066885471344},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.43932658433914185},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.38738179206848145},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22868376970291138},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.09354940056800842},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3390/healthcare6020057","doi":"https://doi.org/10.3390/healthcare6020057","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3390/healthcare6020057","pdf_url":"https://www.mdpi.com/2227-9032/6/2/57/pdf?version=1527839211","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:4979224","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6023360","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:29865148","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29865148","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare (Basel, Switzerland)","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6023360","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6023360/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare (Basel)","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3390/healthcare6020057","doi":"https://doi.org/10.3390/healthcare6020057","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3390/healthcare6020057","pdf_url":"https://www.mdpi.com/2227-9032/6/2/57/pdf?version=1527839211","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2806938009.pdf","grobid_xml":"https://content.openalex.org/works/W2806938009.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1502078491","https://openalex.org/W1989690682","https://openalex.org/W1997283376","https://openalex.org/W2106435303","https://openalex.org/W2118663843","https://openalex.org/W2130234815","https://openalex.org/W2317323904","https://openalex.org/W2399445588","https://openalex.org/W2414005875","https://openalex.org/W6715435443"],"related_works":["https://openalex.org/W2142685522","https://openalex.org/W2118663843","https://openalex.org/W2414005875","https://openalex.org/W1990052098","https://openalex.org/W2254482549","https://openalex.org/W2040202646","https://openalex.org/W3170369527","https://openalex.org/W4389444527","https://openalex.org/W4414332977","https://openalex.org/W2142358985"],"abstract_inverted_index":{"Background:":[0],"Transient":[1],"Ischaemic":[2],"Attacks":[3],"(TIA)":[4],"should":[5],"be":[6,107],"treated":[7],"as":[8,31],"a":[9,97,119,215],"medical":[10],"emergency.":[11],"While":[12],"high-risk":[13,38,50,87,207],"TIAs":[14],"have":[15,36],"higher":[16],"stroke":[17],"risks":[18],"than":[19],"low-risk":[20,33,59,199],"patients,":[21,197,200],"there":[22],"is":[23],"an":[24],"inherent":[25],"limitation":[26],"to":[27,75,94,133,140,147,158,164,172],"this":[28],"risk":[29],"stratification,":[30],"some":[32],"patients":[34,45,51,60,81,105,126],"may":[35],"undiagnosed":[37],"conditions.":[39],"Inequity":[40],"of":[41,69,115,125,131,188,213],"care":[42],"for":[43,64,79,86,194,206],"TIA":[44,71,102,196],"was":[46,73,92],"observed,":[47],"such":[48],"that":[49],"received":[52],"urgent":[53,190],"assessment":[54,78,191],"through":[55],"acute":[56,84,204],"admission,":[57],"while":[58,201],"faced":[61],"long":[62],"waits":[63],"clinical":[65,141],"consultation.":[66],"A":[67,113],"redesign":[68],"the":[70,123,129,178,186,203],"service":[72,184,220],"planned":[74],"offer":[76],"timely":[77],"all":[80,173,195],"and":[82,110,166,192],"avoid":[83],"admission":[85,205],"patients.":[88,208],"Methods:":[89],"Service":[90],"reconfiguration":[91],"undertaken":[93],"set":[95],"up":[96],"daily":[98],"weekday":[99],"rapid":[100,217],"access":[101,218],"clinic":[103,116],"where":[104],"would":[106],"assessed,":[108],"investigated,":[109],"treated.":[111],"Results:":[112],"re-audit":[114],"performance":[117],"showed":[118],"significant":[120,152],"increase":[121],"in":[122,128,155],"number":[124],"seen":[127,154],"ages":[130],"18":[132],"52.":[134],"The":[135,182],"median":[136,156],"time":[137,157],"from":[138,144],"referral":[139],"consultation":[142],"improved":[143],"10":[145,170],"days":[146,163,171],"1.":[148],"There":[149],"were":[150],"similar":[151],"improvements":[153],"brain":[159],"imaging":[160],"(from":[161,169],"10.5":[162],"1),":[165],"carotid":[167],"ultrasound":[168],"scans":[174],"being":[175],"performed":[176],"on":[177],"same":[179],"day).":[180],"Conclusions:":[181],"redesigned":[183],"achieved":[185],"objective":[187],"offering":[189],"investigations":[193],"including":[198],"avoiding":[202],"We":[209],"share":[210],"our":[211],"experience":[212],"establishing":[214],"successful":[216],"ambulatory":[219],"without":[221],"any":[222],"additional":[223],"resources.":[224]},"counts_by_year":[{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2018-06-13T00:00:00"}