Rapid Assessment and Treatment of Transient Ischemic Attacks and Minor Stroke in Canadian Emergency Departments
2015; Lippincott Williams & Wilkins; Volume: 46; Issue: 10 Linguagem: Inglês
10.1161/strokeaha.115.010454
ISSN1524-4628
AutoresNoreen Kamal, Michael D. Hill, Dylan Blacquière, Jean-Martin Boulanger, Karl Boyle, Brian Buck, Kenneth Butcher, Marie‐Christine Camden, Leanne K. Casaubon, Robert Côté, Andrew M. Demchuk, Dar Dowlatshahi, Véronique Dubuc, Thalia S. Field, Esseddeeg Ghrooda, Laura C. Gioia, David J. Gladstone, Mayank Goyal, Gordon Gubitz, Devin Harris, Robert G. Hart, Gary Hunter, Thomas Jeerakathil, Albert Jin, Khurshid Khan, Eddy Lang, Sylvain Lanthier, M. Patrice Lindsay, Ariane Mackey, Jennifer Mandzia, Manu Mehdiratta, Jeffrey Minuk, Wieslaw Oczkowski, Céline Odier, Andrew M. Penn, Jeffrey J. Perry, Jacqueline A. Pettersen, Stephen Phillips, Alexandre Y. Poppe, Gustavo Saposnik, Daniel Selchen, Michel Shamy, Mukul Sharma, Ashkan Shoamanesh, Ashfaq Shuaib, Frank L. Silver, Grant Stotts, Rick Swartz, Arturo Tamayo, Jeanne Teitelbaum, Steve Verreault, Theodore Wein, Samuel Yip, Shelagh B. Coutts,
Tópico(s)Traumatic Brain Injury and Neurovascular Disturbances
ResumoHomeStrokeVol. 46, No. 10Rapid Assessment and Treatment of Transient Ischemic Attacks and Minor Stroke in Canadian Emergency Departments Free AccessResearch ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessResearch ArticlePDF/EPUBRapid Assessment and Treatment of Transient Ischemic Attacks and Minor Stroke in Canadian Emergency DepartmentsTime for a Paradigm Shift Noreen Kamal, PhD, PEng, Michael D. Hill, MD, MSc, FRCPC, Dylan P.V. Blacquiere, MD, MSc, FRCPC, Jean-Martin Boulanger, MD, FRCPC, Karl Boyle, MB, BCh, BAO, MRCPE, MSc (Stroke Med), Brian Buck, MD, FRCPC, Kenneth Butcher, MD, FRCPC, Marie-Christine Camden, MD, FRCPC, Leanne K. Casaubon, MD, MSc, FRCPC, Robert Côté, MD, FRCPC, Andrew M. Demchuk, MD, FRCPC, Dar Dowlatshahi, MD, PhD, FRCPC, Veronique Dubuc, MD, FRCPC, Thalia S. Field, MD, MHSC, FRCPC, Esseddeeg Ghrooda, MBBCh, FRCPC, Laura Gioia, MD, FRCPC, David J. Gladstone, MD, PhD, FRCPC, Mayank Goyal, MD, FRCPC, Gordon J. Gubitz, MD, FRCPC, Devin Harris, MD, MHSc, FCFP, Robert G. Hart, MD, Gary Hunter, MD, FRCPC, Thomas Jeerakathil, MD, FRCPC, Albert Jin, PhD, MD, FRCPC, Khurshid Khan, MD, FRCPC, Eddy Lang, MD, Sylvain Lanthier, MD, OD, CSPQ, M. Patrice Lindsay, PhD, RN, Ariane Mackey, MD, FRCPC, Jennifer Mandzia, MD, PhD, FRCPC, Manu Mehdiratta, MD, FRCPC, Jeffrey Minuk, MD, MSc, FRCPC, Wieslaw Oczkowski, MD, FRCPC, Céline Odier, MD, FRCPC, Andrew Penn, MD, FRCPC, Jeffery Perry, MD, MSc, CCFP-EM, Jacqueline A. Pettersen, MD, MSc, FRCPC, Stephen J. Phillips, MBBS, FRCPC, Alexandre Y. Poppe, MD, CM, FRCPC, Gustavo Saposnik, MD, MSC, FRCPC, Daniel Selchen, MD, FRCPC, Michel Shamy, MD, MA, FRCPC, Mike Sharma, MD, MSc, FRCPC, Ashkan Shoamanesh, MD, FRCPC, Ashfaq Shuaib, MD, FRCPC, Frank Silver, MD, FRCPC, Grant Stotts, MD, FRCPC, Rick Swartz, MD, HBSc, PhD, FRCPC, Arturo Tamayo, MD, FRCPC, Jeanne Teitelbaum, MD, FRCPC, Steve Verreault, MD, FRCPC, Theodore Wein, MD, Samuel Yip, MD and Shelagh B. Coutts, MD, MSc, FRCPC Noreen KamalNoreen Kamal From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospital, Kelowna, BC (D.H.); Division of Neurology, Department of Medicine, McMaster University, Hamilton, ON (R.G.H.); Department of Medicine–Neurology, College of Medicine, University of Saskatchewan, Saskatoon, SK (G.H.); Division of Neurology, Department of Medicine, Queen's University, Kingston, ON (A.J.); Best Practice and Performance, Stroke, Heart and Stroke Foundation of Canada, Ottawa, ON (M.P.L.); Université Laval, Centre de Recherche en Neurovasculaire; CHU de Québec/Hôpital de l'Enfant-Jésus, Laval, QC (A.M.); Clinical Neurosciences Department, Western University, Southwestern Ontario Stroke Network, London, ON (J.M.); Division of Neurology, University of Toronto, Trillium Health Partners, Mississauga, ON (M.M.); Department of Neurosciences and Neurosurgery, McGill University, Jewish General Hospital, Montréal, QC (J.M.); Division of Neurology, Department of Medicine (W.O., A.S.), McMaster University, Hamilton Health Sciences, Hamilton, ON; Victoria General Hospital, Victoria, BC (A.P.); Department of Emergency Medicine, Ottawa Hospital Research Institute (J.P.) and Department of Medicine (Neurology) (M.S., G.S.), University of Ottawa, The Ottawa Hospital, Ottawa, ON; Division of Neurology & the Northern Medical Program, University of British Columbia, University Hospital of Northern British Columbia, Prince George, BC (J.A.P.); Departments of Medicine (Neurology) and Health Policy, Management and Evaluation (G.S.) and Medicine (Neurology) (D.S.), University of Toronto, St. Michael's Hospital, Toronto, ON; Division of Neurology, Department of Medicine, McMaster University, Hamilton General Hospital, Hamilton, ON (M.S.); Division of Neurology, University of Toronto, Stroke Program University Health Network, Toronto, ON (F.S.); Institute for Clinical Evaluative Sciences, Toronto, ON (F.S.); Department of Neurology, University of Toronto, Sunnybrook Hospital, Toronto, ON (R.S.); Department of Neurology, McGill University, Montreal Neurological Institute, Montréal, QC (J.T.); Département des sciences neurologiques, Hôpital de l'Enfant-Jésus, CHU de Québec-Université Laval, Québec, QC (S.V.); Department of Neurology and Neurosurgery, McGill University, Montreal General Hospital, Division of Neurology, St. Mary's Hospital Division of Neurology, Montreal, QC (T.W.); and Department of Medicine, Vancouver General Hospital, Vancouver, BC (S.Y.). , Michael D. HillMichael D. Hill From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospital, Kelowna, BC (D.H.); Division of Neurology, Department of Medicine, McMaster University, Hamilton, ON (R.G.H.); Department of Medicine–Neurology, College of Medicine, University of Saskatchewan, Saskatoon, SK (G.H.); Division of Neurology, Department of Medicine, Queen's University, Kingston, ON (A.J.); Best Practice and Performance, Stroke, Heart and Stroke Foundation of Canada, Ottawa, ON (M.P.L.); Université Laval, Centre de Recherche en Neurovasculaire; CHU de Québec/Hôpital de l'Enfant-Jésus, Laval, QC (A.M.); Clinical Neurosciences Department, Western University, Southwestern Ontario Stroke Network, London, ON (J.M.); Division of Neurology, University of Toronto, Trillium Health Partners, Mississauga, ON (M.M.); Department of Neurosciences and Neurosurgery, McGill University, Jewish General Hospital, Montréal, QC (J.M.); Division of Neurology, Department of Medicine (W.O., A.S.), McMaster University, Hamilton Health Sciences, Hamilton, ON; Victoria General Hospital, Victoria, BC (A.P.); Department of Emergency Medicine, Ottawa Hospital Research Institute (J.P.) and Department of Medicine (Neurology) (M.S., G.S.), University of Ottawa, The Ottawa Hospital, Ottawa, ON; Division of Neurology & the Northern Medical Program, University of British Columbia, University Hospital of Northern British Columbia, Prince George, BC (J.A.P.); Departments of Medicine (Neurology) and Health Policy, Management and Evaluation (G.S.) and Medicine (Neurology) (D.S.), University of Toronto, St. Michael's Hospital, Toronto, ON; Division of Neurology, Department of Medicine, McMaster University, Hamilton General Hospital, Hamilton, ON (M.S.); Division of Neurology, University of Toronto, Stroke Program University Health Network, Toronto, ON (F.S.); Institute for Clinical Evaluative Sciences, Toronto, ON (F.S.); Department of Neurology, University of Toronto, Sunnybrook Hospital, Toronto, ON (R.S.); Department of Neurology, McGill University, Montreal Neurological Institute, Montréal, QC (J.T.); Département des sciences neurologiques, Hôpital de l'Enfant-Jésus, CHU de Québec-Université Laval, Québec, QC (S.V.); Department of Neurology and Neurosurgery, McGill University, Montreal General Hospital, Division of Neurology, St. Mary's Hospital Division of Neurology, Montreal, QC (T.W.); and Department of Medicine, Vancouver General Hospital, Vancouver, BC (S.Y.). , Dylan P.V. BlacquiereDylan P.V. Blacquiere From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospital, Kelowna, BC (D.H.); Division of Neurology, Department of Medicine, McMaster University, Hamilton, ON (R.G.H.); Department of Medicine–Neurology, College of Medicine, University of Saskatchewan, Saskatoon, SK (G.H.); Division of Neurology, Department of Medicine, Queen's University, Kingston, ON (A.J.); Best Practice and Performance, Stroke, Heart and Stroke Foundation of Canada, Ottawa, ON (M.P.L.); Université Laval, Centre de Recherche en Neurovasculaire; CHU de Québec/Hôpital de l'Enfant-Jésus, Laval, QC (A.M.); Clinical Neurosciences Department, Western University, Southwestern Ontario Stroke Network, London, ON (J.M.); Division of Neurology, University of Toronto, Trillium Health Partners, Mississauga, ON (M.M.); Department of Neurosciences and Neurosurgery, McGill University, Jewish General Hospital, Montréal, QC (J.M.); Division of Neurology, Department of Medicine (W.O., A.S.), McMaster University, Hamilton Health Sciences, Hamilton, ON; Victoria General Hospital, Victoria, BC (A.P.); Department of Emergency Medicine, Ottawa Hospital Research Institute (J.P.) and Department of Medicine (Neurology) (M.S., G.S.), University of Ottawa, The Ottawa Hospital, Ottawa, ON; Division of Neurology & the Northern Medical Program, University of British Columbia, University Hospital of Northern British Columbia, Prince George, BC (J.A.P.); Departments of Medicine (Neurology) and Health Policy, Management and Evaluation (G.S.) and Medicine (Neurology) (D.S.), University of Toronto, St. Michael's Hospital, Toronto, ON; Division of Neurology, Department of Medicine, McMaster University, Hamilton General Hospital, Hamilton, ON (M.S.); Division of Neurology, University of Toronto, Stroke Program University Health Network, Toronto, ON (F.S.); Institute for Clinical Evaluative Sciences, Toronto, ON (F.S.); Department of Neurology, University of Toronto, Sunnybrook Hospital, Toronto, ON (R.S.); Department of Neurology, McGill University, Montreal Neurological Institute, Montréal, QC (J.T.); Département des sciences neurologiques, Hôpital de l'Enfant-Jésus, CHU de Québec-Université Laval, Québec, QC (S.V.); Department of Neurology and Neurosurgery, McGill University, Montreal General Hospital, Division of Neurology, St. Mary's Hospital Division of Neurology, Montreal, QC (T.W.); and Department of Medicine, Vancouver General Hospital, Vancouver, BC (S.Y.). , Jean-Martin BoulangerJean-Martin Boulanger From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospital, Kelowna, BC (D.H.); Division of Neurology, Department of Medicine, McMaster University, Hamilton, ON (R.G.H.); Department of Medicine–Neurology, College of Medicine, University of Saskatchewan, Saskatoon, SK (G.H.); Division of Neurology, Department of Medicine, Queen's University, Kingston, ON (A.J.); Best Practice and Performance, Stroke, Heart and Stroke Foundation of Canada, Ottawa, ON (M.P.L.); Université Laval, Centre de Recherche en Neurovasculaire; CHU de Québec/Hôpital de l'Enfant-Jésus, Laval, QC (A.M.); Clinical Neurosciences Department, Western University, Southwestern Ontario Stroke Network, London, ON (J.M.); Division of Neurology, University of Toronto, Trillium Health Partners, Mississauga, ON (M.M.); Department of Neurosciences and Neurosurgery, McGill University, Jewish General Hospital, Montréal, QC (J.M.); Division of Neurology, Department of Medicine (W.O., A.S.), McMaster University, Hamilton Health Sciences, Hamilton, ON; Victoria General Hospital, Victoria, BC (A.P.); Department of Emergency Medicine, Ottawa Hospital Research Institute (J.P.) and Department of Medicine (Neurology) (M.S., G.S.), University of Ottawa, The Ottawa Hospital, Ottawa, ON; Division of Neurology & the Northern Medical Program, University of British Columbia, University Hospital of Northern British Columbia, Prince George, BC (J.A.P.); Departments of Medicine (Neurology) and Health Policy, Management and Evaluation (G.S.) and Medicine (Neurology) (D.S.), University of Toronto, St. Michael's Hospital, Toronto, ON; Division of Neurology, Department of Medicine, McMaster University, Hamilton General Hospital, Hamilton, ON (M.S.); Division of Neurology, University of Toronto, Stroke Program University Health Network, Toronto, ON (F.S.); Institute for Clinical Evaluative Sciences, Toronto, ON (F.S.); Department of Neurology, University of Toronto, Sunnybrook Hospital, Toronto, ON (R.S.); Department of Neurology, McGill University, Montreal Neurological Institute, Montréal, QC (J.T.); Département des sciences neurologiques, Hôpital de l'Enfant-Jésus, CHU de Québec-Université Laval, Québec, QC (S.V.); Department of Neurology and Neurosurgery, McGill University, Montreal General Hospital, Division of Neurology, St. Mary's Hospital Division of Neurology, Montreal, QC (T.W.); and Department of Medicine, Vancouver General Hospital, Vancouver, BC (S.Y.). , Karl BoyleKarl Boyle From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospital, Kelowna, BC (D.H.); Division of Neurology, Department of Medicine, McMaster University, Hamilton, ON (R.G.H.); Department of Medicine–Neurology, College of Medicine, University of Saskatchewan, Saskatoon, SK (G.H.); Division of Neurology, Department of Medicine, Queen's University, Kingston, ON (A.J.); Best Practice and Performance, Stroke, Heart and Stroke Foundation of Canada, Ottawa, ON (M.P.L.); Université Laval, Centre de Recherche en Neurovasculaire; CHU de Québec/Hôpital de l'Enfant-Jésus, Laval, QC (A.M.); Clinical Neurosciences Department, Western University, Southwestern Ontario Stroke Network, London, ON (J.M.); Division of Neurology, University of Toronto, Trillium Health Partners, Mississauga, ON (M.M.); Department of Neurosciences and Neurosurgery, McGill University, Jewish General Hospital, Montréal, QC (J.M.); Division of Neurology, Department of Medicine (W.O., A.S.), McMaster University, Hamilton Health Sciences, Hamilton, ON; Victoria General Hospital, Victoria, BC (A.P.); Department of Emergency Medicine, Ottawa Hospital Research Institute (J.P.) and Department of Medicine (Neurology) (M.S., G.S.), University of Ottawa, The Ottawa Hospital, Ottawa, ON; Division of Neurology & the Northern Medical Program, University of British Columbia, University Hospital of Northern British Columbia, Prince George, BC (J.A.P.); Departments of Medicine (Neurology) and Health Policy, Management and Evaluation (G.S.) and Medicine (Neurology) (D.S.), University of Toronto, St. Michael's Hospital, Toronto, ON; Division of Neurology, Department of Medicine, McMaster University, Hamilton General Hospital, Hamilton, ON (M.S.); Division of Neurology, University of Toronto, Stroke Program University Health Network, Toronto, ON (F.S.); Institute for Clinical Evaluative Sciences, Toronto, ON (F.S.); Department of Neurology, University of Toronto, Sunnybrook Hospital, Toronto, ON (R.S.); Department of Neurology, McGill University, Montreal Neurological Institute, Montréal, QC (J.T.); Département des sciences neurologiques, Hôpital de l'Enfant-Jésus, CHU de Québec-Université Laval, Québec, QC (S.V.); Department of Neurology and Neurosurgery, McGill University, Montreal General Hospital, Division of Neurology, St. Mary's Hospital Division of Neurology, Montreal, QC (T.W.); and Department of Medicine, Vancouver General Hospital, Vancouver, BC (S.Y.). , Brian BuckBrian Buck From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospital, Kelowna, BC (D.H.); Division of Neurology, Department of Medicine, McMaster University, Hamilton, ON (R.G.H.); Department of Medicine–Neurology, College of Medicine, University of Saskatchewan, Saskatoon, SK (G.H.); Division of Neurology, Department of Medicine, Queen's University, Kingston, ON (A.J.); Best Practice and Performance, Stroke, Heart and Stroke Foundation of Canada, Ottawa, ON (M.P.L.); Université Laval, Centre de Recherche en Neurovasculaire; CHU de Québec/Hôpital de l'Enfant-Jésus, Laval, QC (A.M.); Clinical Neurosciences Department, Western University, Southwestern Ontario Stroke Network, London, ON (J.M.); Division of Neurology, University of Toronto, Trillium Health Partners, Mississauga, ON (M.M.); Department of Neurosciences and Neurosurgery, McGill University, Jewish General Hospital, Montréal, QC (J.M.); Division of Neurology, Department of Medicine (W.O., A.S.), McMaster University, Hamilton Health Sciences, Hamilton, ON; Victoria General Hospital, Victoria, BC (A.P.); Department of Emergency Medicine, Ottawa Hospital Research Institute (J.P.) and Department of Medicine (Neurology) (M.S., G.S.), University of Ottawa, The Ottawa Hospital, Ottawa, ON; Division of Neurology & the Northern Medical Program, University of British Columbia, University Hospital of Northern British Columbia, Prince George, BC (J.A.P.); Departments of Medicine (Neurology) and Health Policy, Management and Evaluation (G.S.) and Medicine (Neurology) (D.S.), University of Toronto, St. Michael's Hospital, Toronto, ON; Division of Neurology, Department of Medicine, McMaster University, Hamilton General Hospital, Hamilton, ON (M.S.); Division of Neurology, University of Toronto, Stroke Program University Health Network, Toronto, ON (F.S.); Institute for Clinical Evaluative Sciences, Toronto, ON (F.S.); Department of Neurology, University of Toronto, Sunnybrook Hospital, Toronto, ON (R.S.); Department of Neurology, McGill University, Montreal Neurological Institute, Montréal, QC (J.T.); Département des sciences neurologiques, Hôpital de l'Enfant-Jésus, CHU de Québec-Université Laval, Québec, QC (S.V.); Department of Neurology and Neurosurgery, McGill University, Montreal General Hospital, Division of Neurology, St. Mary's Hospital Division of Neurology, Montreal, QC (T.W.); and Department of Medicine, Vancouver General Hospital, Vancouver, BC (S.Y.). , Kenneth ButcherKenneth Butcher From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouv
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