| Resource | Region;* no. (%) of sites | |||
|---|---|---|---|---|
| Canada n = 119 | Western region n = 34 | Central region n = 68 | Eastern region n = 17 | |
| Designated stroke prevention service | 95 (80) | 29 (85) | 55 (81) | 11 (65) |
| Capacity to provide assessment within 24 h for high-risk patients with TIA or nondisabling stroke most of the time (> 50% of requests) | 48 (40) | 17 (50) | 26 (38) | 5 (29) |
| Stroke prevention services within urban centre | 82 (69) | 20 (59) | 53 (78) | 9 (53) |
| Stroke prevention services within rural area | 37 (31) | 14 (41) | 16 (24) | 7 (41) |
| Neuroimaging | ||||
| Same-day computed tomography | 68 (57) | 22 (65) | 39 (57) | 7 (41) |
| Magnetic resonance imaging within 48 h | 28 (24) | 7 (20) | 17 (25) | 4 (24) |
| No access to any neuroimaging | 12 (10) | 4 (12) | 5 (7) | 3 (18) |
| Vascular imaging | ||||
| Same-day computed tomography angiography | 44 (37) | 15 (44) | 24 (35) | 5 (29) |
| Same-day carotid Doppler ultrasonography | 42 (35) | 14 (41) | 23 (34) | 5 (29) |
| Cardiac investigations | ||||
| Holter monitoring within 7 d | 82 (69) | 23 (68) | 47 (69) | 12 (70) |
| Any access to prolonged cardiac monitoring | 86 (72) | 20 (59) | 58 (85) | 8 (47) |
| Any access to transthoracic/transesophageal echography | 95 (80) | 28 (82) | 55 (81) | 12 (70) |
| Intervention | ||||
| Carotid endarterectomy within 14 d | 61 (51) | 16 (47) | 38 (56) | 7 (41) |
| No access to carotid endarterectomy | 13 (11) | 5 (15) | 5 (7) | 3 (18) |
| Screening practices | ||||
| Risk of recurrent stroke in atrial fibrillation (e.g., as assessed with CHADS2) | 99 (83) | 30 (88) | 56 (82) | 13 (76) |
| National Institutes of Health Stroke Scale | 38 (32) | 15 (44) | 22 (32) | 1 (6) |
| Canadian Neurological Scale | 34 (29) | 8 (24) | 17 (25) | 9 (53) |
| Cognitive impairment routinely screened | 70 (59) | 20 (59) | 45 (66) | 5 (29) |
| Depression routinely screened | 65 (55) | 17 (50) | 38 (56) | 10 (59) |
| Functional ability screened with Modified Rankin Scale | 31 (26) | 9 (26) | 19 (28) | 3 (18) |
Note: TIA = transient ischemic attack.
*Western region includes British Columbia, Alberta and Saskatchewan; Central region includes Manitoba, Ontario and Quebec; Eastern region includes Nova Scotia, New Brunswick, Prince Edward Island and Newfoundland and Labrador.