Table 1 Included studies assessing delay in presentation among patients with TIA
Author, publication dateNumber of patients (TIA/total)SettingMethodPatientsFactors assessedSignificant factorsMedian delay (IQR)
Giles et al.$, 200614241/241Population wide and in TIA clinics, UKRegister, interviewTIABehaviourDay of week, motor symptoms50% same day, 25% ⩾2 days
Rosamond et al., 19981513/1521 ED in the USRegister, interviewStroke & TIAPerceptual factorsReduced EMS use in TIA*2.0 hours (0.4 hours to 5.0 hours)
Reduced ambulance use in TIA*
Delay in TIA > delay in IS
Wester et al., 19991659/32915 EDs in SwedenRegister, interviewStroke & TIAPerceptual factorsReduced EMS use in TIA*4.0 hours
Failure to recognise TIA or react
Delay TIA < delay IS
Schroeder et al., 200017122/5597 EDs in the USRegister, interviewStroke & TIAPerceptual factorsReduced EMS use in TIA*3.5 hours (1.4 hours to 9.1 hours)
Yoneda et al., 20011815/2441 ED in JapanRegisterStroke & TIADelay20% TIA patients >24 hr delay33% <6 hours, 80% <24 hours
Rossnagel et al., 200419145/5584 EDs in GermanyRegister, interviewStroke & TIAPerceptual factorsDelay TIA < delay IS151 mins
Lasserson et al.#, 200820359/793UK population studyRegisterMinor stroke & TIAOnset time, recognition as strokeDay of week, time of symptom onset (during GP surgery hours vs presention out of GP surgery hours§)Contacting GP surgery during surgery hours: 4 hours (1.0 hours to 45.5 hours)
Contacting ED during GP surgery hours: 0.7 hours (0.38 hours to 2 hours)
Contacting GP surgery out of GP surgery hours:§ 12 hours (2.1 hours to 43 hours)
Contacting ED out of GP surgery hours:§ 0.9 hours (0.3 hours to 2.7 hours)
Maestroni et al., 20082174/3751 ED in ItalyRegisterStroke & TIAEMS useReduced EMS use in TIA*4.9 hours (2.8 hours to 11.2 hours)
Palomeras, et al., 20082234/2921 ED in SpainRegister, interviewStroke & TIABehaviour, perceptual factorsDelay TIA < delay IS76% <3 hours
  • *Reduced in TIA group compared to ischaemic stroke group; between 8am and 6.30pm; whole cohort of patients; §between 6.30pm and 8am; $patients in the Oxford Vascular Study5 and those attending local hospital-based specialist TIA outpatient clinics, April 2002 and March 2003; #patients in the Oxford Vascular Study5 from April 2002 until March 2006.

  • ED, emergency department; EMS, emergency medical services; GP, general practitioner; IS ischaemic stroke; TIA, transient ischaemic attack.