National survey of clinical practices and perspectives in the management of ischaemic stroke patients with minor neurological deficits

Current guideline-driven practice in the Netherlands leads to hospital admission for nearly all patients with ischaemic stroke. However, our survey reveals substantial heterogeneity among neurologists and trainees regarding the willingness to consider direct ED discharge under specific conditions. If certain criteria are met, a majority would opt for ED discharge, with 89% accepting a risk of up to 5% for early neurological deterioration. These findings underscore the need for evidence-based admission strategies, potentially enabling safe ED discharge for selected patients and more efficient use of hospital resources.