A Comparative Analysis of Patient Demographics and Referral Trends Pre‐ and Post‐Intervention of the TIA Pathway: A Retrospective Observational Study

Background and Aims: Timely diagnosis of Transient Ischaemic Attack (TIA) is critical for stroke prevention. This study evaluated referral patterns, demographic predictors, and diagnostic outcomes before and after a service improvement intervention at North Tees and Hartlepool NHS Foundation Trust. Methods: < 0.05). A multivariable logistic regression was performed to identify independent predictors, with odds ratios (ORs) and 95% confidence intervals (CIs) used to assess the strength and precision of associations. Results: = 0.16). Conclusion: TIA diagnosis is strongly associated with age and referral source. Service changes improved referral standardisation, with digital pathways becoming the dominant mode of referral. Clinical judgment appears to play an important role, as reflected in the higher diagnostic yield of consultant referrals. These findings highlight the importance of considering key demographic and system-level factors in stroke prevention pathways.