The Management of Stroke Rehabilitation: A Synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
| Autor: | James Sall, Johanna Elizabeth Tran, Blessen C. Eapen, Andrew Bursaw, Amy O. Bowles, M Eric Rodgers |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 01 natural sciences 03 medical and health sciences 0302 clinical medicine Internal Medicine medicine Humans 030212 general & internal medicine 0101 mathematics Serotonin and Noradrenaline Reuptake Inhibitors Veterans Affairs Stroke health care economics and organizations Rehabilitation business.industry Mood Disorders 010102 general mathematics Stroke Rehabilitation Exercise therapy General Medicine Guideline Rehabilitation care medicine.disease humanities United States Exercise Therapy Clinical Practice Motor Skills Disorders United States Department of Veterans Affairs Systematic review Family medicine Practice Guidelines as Topic Antidepressive Agents Second-Generation business Algorithms Selective Serotonin Reuptake Inhibitors |
| Zdroj: | Annals of internal medicine. 171(12) |
| ISSN: | 1539-3704 |
| Popis: | In June 2019, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) approved an update of the joint clinical practice guideline for rehabilitation after stroke. This synopsis summarizes the key recommendations from this guideline.In February 2018, the VA/DoD Evidence-Based Practice Work Group convened a joint VA/DoD guideline development effort that included clinical stakeholders and stroke survivors and conformed to the National Academy of Medicine (formerly the Institute of Medicine) tenets for trustworthy clinical practice guidelines. The guideline panel identified key questions, systematically searched and evaluated the literature, and developed 2 algorithms and 42 key recommendations using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system. Stroke survivors and their family members were invited to share their perspectives to further inform guideline development.The guideline recommendations provide evidence-based guidance for the rehabilitation care of patients after stroke. The recommendations are applicable to health care providers in both primary care and rehabilitation. Key features of the guideline are recommendations in 6 areas: timing and approach; motor therapy; dysphagia; cognitive, speech, and sensory therapy; mental health therapy; and other functions, such as returning to work and driving. |
| Databáze: | OpenAIRE |
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