Developing a National Guideline for Diagnosis, Treatment and Follow-up of Stroke
| Autor: | Rozita Davoodi, Kavian Ghandehari, Mohammad reza Ghayeni, Mohammad hossein Harirchian, Homan Bahar vahdat, Sasan Nezhad, Azadeh Soltani Far, Golnaz Sabouri, Shaghayegh Rahmani, Mahboubeh Asadi, Maryam Zare Hosseini, Mohammad Hadi Saied Modaghegh, Elahe Ghayebie, Farhad Heydarian, Hava Abdollahi, Mahdi Farhodi |
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| Jazyk: | English<br />Persian |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of Mazandaran University of Medical Sciences, Vol 28, Iss 167, Pp 1-20 (2018) |
| Druh dokumentu: | article |
| ISSN: | 1735-9260 1735-9279 |
| Popis: | Background and purpose: Lack of clear boundaries and standard reference about the diagnosis of stroke, necessary evaluations and interventions, effective treatments, and referral of stroke patients resulted in various inconsistent services. Therefore, this study aimed at developing practical national strategies for stroke in Iran. Materials and methods: Clinical guidelines about diagnosis and management of stroke were extracted from different guidelines. Three guidelines were selected according to AGREE scoring system after quality assessment and evaluation of clinical guidelines. In order to adapt the guidelines, recommendations of the three clinical guidelines were recorded in the form of clinical questions. Evidence supporting each recommendation was identified based on references and compared in terms of initial outcomes. Cost of interventions, the side effects, and clinical benefits were also studied. Finally, the national guideline for management of stroke was developed. Results: The results of this investigation were presented as clinical recommendations for diagnosis and management of stroke (2016). For example, strict control of blood glucose level and fever in patients with aneurysmal subarachnoid hemorrhage was recommended in the guideline. Conclusion: The current indigenous stroke guide for the Iranian population is believed to be of great benefit in screening, referral, diagnosis, treatment, and follow-up of stroke. |
| Databáze: | Directory of Open Access Journals |
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