MEMC VI Abstracts| Volume 41, ISSUE 2, P214-215, August 2011

Hospital Admission Rates for Emergency Department Patients with Transient Ischemic Attack are Higher in the United States than Canada

      The United States spends a greater proportion of its gross domestic product (GDP) on health care than any other country. One cause for this may be lower physician risk tolerance in the United States due to concern about malpractice litigation. Transient ischemic attack (TIA) is a common emergency department (ED) complaint for which hospitalization is usually of little benefit. Despite numerous publications identifying low-risk patients safe for discharge, there is still concern that a patient may develop a stroke at home, so physicians often admit their TIA patients. No previous published manuscript has compared US admission rates for TIA with those in other countries. We hypothesize that greater concerns about malpractice litigation in the United States results in higher rates of hospitalization compared to Canada. We chose Canada because the proportion of GDP spent on health care there is 1/3 lower than in the United States.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect