Abstract

In “Patient-reported outcomes across cerebrovascular event types: More similar than different,” Katzan et al. retrospectively reviewed patient-reported measures in multiple domains over a 2-year period for 2,181 patients with ischemic stroke, TIA, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) at a single institution. After adjustment, patients with TIA had worse scores for pain, fatigue, anxiety, depression, and sleep than patients with the various forms of stroke. Spector notes that although the data for ischemic stroke, ICH, and SAH are interesting, the TIA results must be interpreted with caution because (1) there were no premorbid data on these domains, so it is unclear whether symptoms can be attributed to the TIA, and (2) some of the TIAs likely were not even ischemic. Katzan et al. agree with both of these limitations. Both Katzan et al. and Spector feel that further research of the impact of TIA on the aforementioned domains is needed. In “Patient-reported outcomes across cerebrovascular event types: More similar than different,” Katzan et al. retrospectively reviewed patient-reported measures in multiple domains over a 2-year period for 2,181 patients with ischemic stroke, TIA, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) at a single institution. After adjustment, patients with TIA had worse scores for pain, fatigue, anxiety, depression, and sleep than patients with the various forms of stroke. Spector notes that although the data for ischemic stroke, ICH, and SAH are interesting, the TIA results must be interpreted with caution because (1) there were no premorbid data on these domains, so it is unclear whether symptoms can be attributed to the TIA, and (2) some of the TIAs likely were not even ischemic. Katzan et al. agree with both of these limitations. Both Katzan et al. and Spector feel that further research of the impact of TIA on the aforementioned domains is needed.

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