Transient Ischaemic Attack Referral Protocol
Comprehensive Stroke Service (GP version)
TIA patients have a high risk of stroke within a few days, so refer immediately. [Stroke Team: file this form in notes].
Patient Details Name:
DoB:
Age:
Address:
Telephone:
NHS number:
GP Details Name:
Event dates/times
Practice:
Onset of index event
Date
Time
GP assessment
Telephone (bypass number):
Yes
No
Gradual onset or spread of symptoms
Seizure or loss of consciousness
Transient amnesia
Isolated vertigo with no other cranial
nerve features
Brief description of attack
ABCD2 score
Score
Please also attach referral letter
with details of PMH, DH, allergies
etc.
Age
60 years or older = 1
Less than 60 = 0
-
BP
Systolic ≥140 or diastolic ≥90 =1
Systolic <140 & diastolic <90 =0
-
Clinical Unilateral weakness = 2
Features Speech disturbed without
weakness=1
Others = 0
Duration 60 minutes or longer = 2
10 - 59 minutes = 1
<10 minutes = 0
Diabetes Known diabetic = 1
Not known to be diabetic = 0
Now use ABCD2 Score to assess
stroke risk (score of 4 or more
needs IMMEDIATE referral)
Enter total score (score range 0-7)
NOTE: Clicking the submit button will
SEND and then CLEAR the form.
Click to save and submit
-
-
© Medical Illustration RNTNEH 020 3456 5103 Unique Code: 32073
Atypical onset features
If ‘Yes’ to any of these at onset,
TIA is an unlikely diagnosis,
so consider alernative referral
route.
If in doubt discuss with Stroke
SpR (0775 373 9286)
Referral received
Referral Algorithm
Is the patient currently
experiencing any symptoms
Yes
No
Acute stroke pathway
Call 999
Has the patient had an attack within the last two
weeks plus one or more of the following:
Do not give aspirin
Yes
High-risk TIA pathway
Call Stroke SpR immediately on
0775 373 9286.
Give aspirin 300mg stat
(unless contraindicated)
• ABCD2 ≥4 (see above)
• 2 or more attacks in
the last month
• On warfarin
• AF (including
paroxysmal AF)
No
Low-risk TIA pathway
Give aspirin 300mg stat (unless contraindicated).
Give form to the patient. Ask them to fast from
midnight.
Then arrive at 8.30am at the HASU,
7th Floor, UCH Tower
Call Stroke SpR on 0775 373 9286
if any queries/questions
Publication date:
February 2016
Last review date:
February 2016
Next review date:
February 2018
Leaflet code:
UCLH/HASU/TIAPRF01
© University College London Hospitals NHS Foundation Trust
Created by Medical Illustration Unique Code: 32073