What criteria should I use to determine whether to refer a patient wit

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

For a patient with a suspected transient ischaemic attack (TIA), the primary criterion for referral is the suspicion itself . You should refer immediately anyone who has had a suspected TIA for specialist assessment and investigation . This assessment should occur within 24 hours of the onset of symptoms .

It is important to note that you should not use scoring systems, such as ABCD2, to assess the risk of subsequent stroke or to inform the urgency of referral for people with a suspected or confirmed TIA .

Key References

NG128 - Stroke and transient ischaemic attack in over 16s: diagnosis and initial management
CG109 - Transient loss of consciousness ('blackouts') in over 16s

What criteria should I use to determine whether to refer a patient with a transient ischaemic attack (TIA) for specialist assessment?

Key References

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