Canadian Stroke Best Practice Recommendations: Acute Stroke Management, 7 th Edition Practice Guidelines Update, 2022.

Autor: Heran M; Division of Neuroradiology, University of British Columbia, Vancouver, Canada., Lindsay P; Heart and Stroke Foundation of Canada, Toronto, Canada., Gubitz G; Queen Elizabeth II Health Sciences Centre, Stroke Program, Halifax, Canada.; Division of Neurology, Dalhousie University, Halifax, Canada., Yu A; Division of Neurology, Department of Medicine, and Regional Stroke Centre, Sunnybrook Health Sciences Centre, Toronto, Canada.; Faculty of Medicine, University of Toronto, Toronto, Canada., Ganesh A; University of Calgary, Cumming School of Medicine, Department of Clinical Neurosciences and Community Health Sciences, Calgary, Canada., Lund R; Heart and Stroke Foundation of Canada, Toronto, Canada., Arsenault S; Stroke Services BC, Provincial Health Systems Authority, Vancouver, Canada., Bickford D; London Health Sciences Centre, London, Canada (Previous Appointment at Time of Participation)., Derbyshire D; Saskatchewan College of Paramedics, Paramedic Practice Committee, Saskatoon, Canada., Doucette S; Enhanced District Stroke Program, Royal Victoria Regional Health Centre, Barrie, Canada (Previous Appointment at Time of Participation)., Ghrooda E; Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, Canada., Harris D; Quality and Patient Safety Division, Interior Health, Kelowna, Canada.; Department of Emergency Medicine, University of British Columbia, Vancouver, Canada., Kanya-Forstner N; Northern Ontario School of Medicine, Sudbury, Canada.; Timmins & District Hospital, Timmins, Canada., Kaplovitch E; Faculty of Medicine, University of Toronto, Toronto, Canada.; University Health Network, Department of Medicine (Hematology), Toronto, Canada., Liederman Z; Faculty of Medicine, University of Toronto, Toronto, Canada.; University Health Network, Department of Medicine (Hematology), Toronto, Canada., Martiniuk S; Faculty of Medicine, University of Toronto, Toronto, Canada.; Schwartz-Reisman Emergency Centre, Mount Sinai Hospital, Toronto, Canada., McClelland M; Interior Health Research Department, Kelowna, Canada., Milot G; Department of Surgery, Laval University, Quebec City, Canada., Minuk J; Division of Neurology, The Integrated Health and Social Services, University Network for West Central Montreal, Montreal, Canada., Otto E; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada., Perry J; Department of Emergency Medicine, University of Ottawa, Ottawa, Canada., Schlamp R; British Columbia Emergency Health Services, Vancouver, Canada., Tampieri D; Department of Radiology, Queen's University, Kingston, Canada., van Adel B; Department of Neurointerventional Surgery, McMaster University, Hamilton, Canada., Volders D; Department of Radiology, Dalhousie University, Halifax, Canada., Whelan R; Royal University Hospital Stroke Program, Saskatoon, Canada., Yip S; Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, Canada., Foley N; WorkHORSE Consulting Group, Epidemiology, London, Canada., Smith EE; University of Calgary, Cumming School of Medicine, Department of Clinical Neurosciences and Community Health Sciences, Calgary, Canada., Dowlatshahi D; Department of Neurology, University of Ottawa, Ottawa, Canada., Mountain A; Queen Elizabeth II Health Sciences Centre, Nova Scotia Rehabilitation Centre Site, Halifax, Canada., Hill MD; University of Calgary, Cumming School of Medicine, Department of Clinical Neurosciences and Community Health Sciences, Calgary, Canada., Martin C; Heart and Stroke Foundation of Canada, Toronto, Canada., Shamy M; Department of Neurology, University of Ottawa, Ottawa, Canada.
Jazyk: angličtina
Zdroj: The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques [Can J Neurol Sci] 2024 Jan; Vol. 51 (1), pp. 1-31. Date of Electronic Publication: 2022 Dec 19.
DOI: 10.1017/cjn.2022.344
Abstrakt: The 2022 update of the Canadian Stroke Best Practice Recommendations (CSBPR) for Acute Stroke Management , 7 th edition, is a comprehensive summary of current evidence-based recommendations, appropriate for use by an interdisciplinary team of healthcare providers and system planners caring for persons with an acute stroke or transient ischemic attack. These recommendations are a timely opportunity to reassess current processes to ensure efficient access to acute stroke diagnostics, treatments, and management strategies, proven to reduce mortality and morbidity. The topics covered include prehospital care, emergency department care, intravenous thrombolysis and endovascular thrombectomy (EVT), prevention and management of inhospital complications, vascular risk factor reduction, early rehabilitation, and end-of-life care. These recommendations pertain primarily to an acute ischemic vascular event. Notable changes in the 7 th edition include recommendations pertaining the use of tenecteplase, thrombolysis as a bridging therapy prior to mechanical thrombectomy, dual antiplatelet therapy for stroke prevention, the management of symptomatic intracerebral hemorrhage following thrombolysis, acute stroke imaging, care of patients undergoing EVT, medical assistance in dying, and virtual stroke care. An explicit effort was made to address sex and gender differences wherever possible. The theme of the 7 th edition of the CSBPR is building connections to optimize individual outcomes, recognizing that many people who present with acute stroke often also have multiple comorbid conditions, are medically more complex, and require a coordinated interdisciplinary approach for optimal recovery. Additional materials to support timely implementation and quality monitoring of these recommendations are available at www.strokebestpractices.ca.
Databáze: MEDLINE
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