23.08.2015 Views

Quel est la fréquence d’un AIT ?

Les Accidents Ischémiques Transitoires.pdf

Les Accidents Ischémiques Transitoires.pdf

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Faut-il hospitaliser les patients ayant fait un <strong>AIT</strong> ?Circu<strong>la</strong>ire ministérielle 22 mars 2007• Recommandations ANAES 2004 :– L’hospitalisation en service spécialisé <strong>est</strong> recommandée :• si elle permet d’obtenir plus rapidement les examens complémentaires ;• en cas d’<strong>AIT</strong> récidivants et récents et d’<strong>AIT</strong> survenant sous traitementantiagrégant p<strong>la</strong>quettaire ;• si le terrain le justifie (comorbidité, âge, isolement social).• Recommandations Américaines (ASA 2009) :– It is reasonable to hospitalize patients with TIA if they present within 72hours of the event and any of the following criteria are present:• ABCD 2 score of 3 (C<strong>la</strong>ss IIa, Level of Evidence C).• ABCD 2 score of 0 to 2 and uncertainty that diagnostic workup can be completed within 2days as an outpatient (C<strong>la</strong>ss IIa, Level of Evidence C).• ABCD 2 score of 0 to 2 and other evidence that indicates the patient’s event was caused byfocal ischemia (C<strong>la</strong>ss IIa, Level of Evidence C).

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