Abstract Background and aims Stroke admissions have been on rise by 28% since 2004 due to a rising aging population and the increase in risk factors affecting cardiovascular health. 1 OSA is linked to increased risk of lacunar infarcts with increasing evidence suggesting a link between OSA and cerebral small vessel disease. 2,3 OSA is also strongly related to cardioembolic strokes as it is associated with atrial fibrillation with patients on CPAP having a reduced risk of developing AF. 4,5 This QIP aims to identify if we adequately screen stroke and TIA patients for OSA and how we can improve the screening process. Methods New patients attending the TIA clinic at a tertiary hospital will be included. Current practice will be assessed prospectively over a two-week period by reviewing documentation of these patients and whether sleep-related symptoms were assessed and if any OSA screening tools were used. We will also capture any referrals made during the pre-intervention period. Our planned intervention is for blanket screening of all new TIA clinic referrals using the Epworth Sleepiness Scale (ESS) and STOP-BANG questionnaire. After implementation of the intervention, we will recollect data and analyse for any change in practice. The number of high-risk patients identified and subsequent referrals to Sleep services will be recorded. Microsoft Excel will be used for data collection and analysis. All patient-identifying data will be anonymised at the point of entry. Results We are currently designing our data collection form and selecting a time frame for pre-intervention data collection and analysis in the coming weeks. Conflict of interest Arani Ginige:nothing to disclose Maddison Stevens:Nothing to disclose Mukhtar Mukhtar Fadl Elseed:Nothing to disclose Muhammad Dawood Sohail:Nothing to disclose
Ginige et al. (Fri,) studied this question.