Current Recommendations and Ukrainian Realities in Intensive Care for Acute Ischemic Stroke

O.A. Galushko

Abstract


Stroke is one of the most pressing medical and social problems. Uniting together efforts, a thorough study of international experience and strong sequential activities are need to solve this problem. The paper presents an overview of current recommendations for emergency care, diagnosis, management and intensive care for patients with ischemic stroke.


Keywords


stroke; ischemic stroke; neuroimaging; basic therapy; hypertension; thrombolytic therapy; neuroprotective agents

References


Уніфікований клінічний протокол медичної допомоги. Гострі порушення мозкового кровообігу. Ішемічний інсульт. — К., 2012. — 76 с.

Acker J.E. III, Pancioli A.M., Crocco T.J., Eckstein M.K., Jauch E.C., Larrabee H., Meltzer N.M., Mergendahl W.C., Munn J.W., Prentiss S.M., Sand C., Saver J.L., Eigel B., Gilpin B.R., Schoeberl M., Solis P., Bailey J.R., Horton K.B., Stranne S.K. American Heart Association; American Stroke Association Expert Panel on Emergency Medical Services Systems, Stroke Council. Implementation strategies for emergency medical services within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council // Stroke. — 2007. — 38. — 3097-3115.

Albers G.W., Lansberg M.G., Norbash M.D., Tong D.C., O’Brien M.W., Woolfenden A.R., Marks M.P., Moseley M.E. Yield of diffusion-weighted MRI for detection of potentially relevant findings in stroke patients // Neurology. — 2000. — 54. — 1562-1567.

Alberta provincial stroke strategy (APSS). Pre-Hospital Care. Alberta Provincial Stroke Strategy Pillar 2. Pillar 2 Prehospital Working Group. — 2009 November. — 1-12.

Bart M. Demaerschalk, Rema Raman, Karin Ernstrom, Brett C. Meyer for the STRokE DOC and STRokE DOC-AZ Investigators; Univ California San Diego and Mayo Clinic Arizona, San Diego, CA and Phoenix, AZ. Efficacy of Site Independent Telemedicine: Pooled Analysis of the STRokE DOC and STRokE DOC-AZ Telemedicine Stroke Trials. Abstracts From the 2010 International Stroke Conference: Oral Presentations // Stroke. — 2010. — 41. — 246

Bryan R.N., Levy L.M., Whitlow W.D., Killian J.M., Preziosi T.J., Rosario J.A. Diagnosis of acute cerebral infarction: comparison of CT and MR imaging // AJNR Am. J. Neuroradiol. — 1991. — 12. — 611-620.

Canadian Stroke Strategy. Canadian Best Practice Recommendations for Stroke Care (updated 2008) (СSS, 2008).

Chang K., Tseng M., Tan T. Prehospital delay after acute stroke in Kaohsiung, Taiwan // Stroke. — 2004. — 35. — 700-704.

European Stroke Organization. Guidelines for Management of Ischemic Stroke, 2008 (ESO 2008).

Guidelines for the Early Management of Adults With Ischemic Stroke: a Guideline From the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups (2007) (AHA/ASA, 2007).

Keskin O., Kalemoglu M., Ulusoy R.E. A clinic investigation into prehospital and emergency department delays in acute stroke care // Med. Princ. Pract. — 2005. — 14. — 408-412.

Kleindorfer D., Panagos P., Pancioli A., Khoury J., Kissela B., Woo D., Schneider A., Alwell K., Jauch E., Miller R., Moomaw C., Shukla R., Broderick J.P. Incidence and short-term prognosis of transient ischemic attack in a population-based study // Stroke. — 2005. — 36. — 720-723.

Kwan J., Hand P., Sandercock P. A systematic review of barriers to delivery of thrombolysis for acute stroke // Age Ageing. — 2004. — 33. — 116-121.

Mosley I., Nicol M., Donnan G., Patrick I., Kerr F., Dewey H. The impact of ambulance practice on acute stroke care // Stroke. — 2007. — 38. — 2765-2770.

National clinical guideline for stroke. Third edition. Incorporating the recommendations from initial management of acute stroke and transient ischaemic attack (TIA) by the National Institute for Health and Clinical Excellence. — London: Royal College of Physicians. — 2008 (NICE, 2008).

National Stroke Foundation. Clinical Guidelines for Stroke Management 2010, Melbourne Australia (NSF, 2010).

Perkins C.J., Kahya E., Roque C.T., Roche P.E., Newman G.C. Fluid-attenuated inversion recovery and diffusion- and perfusion-weighted MRI abnormalities in 117 consecutive patients with stroke symptoms // Stroke. — 2001. — 32. — 2774-2781.

Rothwell P.M., Warlow C.P. Timing of TIAs preceding stroke: time window for prevention is very short // Neurology. — 2005. — 64. — 817-820.

Scottish Intercollegiate Guidelines Network (SIGN118, 2010). Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. A national clinical guideline (2010) (SIGN118, 2010).

Wardlaw J.M., Keir S.L., Seymour U.G., Lewis S., San­dercock P.A., Dennis M.S. et al. What is the best imaging strategy for acute stroke? // Health Technology Assessment. — 2004; 8(1). — III, IX–X. — 1-180.

Yu R.F., San Jose M.C., Manzanilla B.M., Oris M.Y., Gan R. Sources and reasons for delays in the care of acute stroke patients // J. Neurol. Sci. — 2002. — 199. — 49-54.




DOI: https://doi.org/10.22141/2224-0586.7.54.2013.88603

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