Stroke management: updated recommendations for treatment along the care continuum

Document Type

Journal Article


Faculty of Computing, Health and Science


School of Psychology and Social Science




This article was originally published as: Wright, L., Hill, K., Bernhardt, J., Lindley, R., Ada, L., Bajorek, B., Barber, A., Beer, C., Golledge, J., Gustafsson, L., Hersh, D. J., Kenardy, J., Perry, L., Middleton, S., Brauer , S., & Nelson, M. (2012). Stroke management: updated recommendations for treatment along the care continuum. Internal Medicine Journal, 42(5), 562-569.


The Australian Clinical Guidelines for Stroke Management 2010 represents an update of the Clinical Guidelines for Stroke Rehabilitation and Recovery (2005) and the Clinical Guidelines for Acute Stroke Management (2007). For the first time, they cover the whole spectrum of stroke, from public awareness and prehospital response to stroke unit and stroke management strategies, acute treatment, secondary prevention, rehabilitation and community care. The guidelines also include recommendations on transient ischaemic attack. The most significant changes to previous guideline recommendations include the extension of the stroke thrombolysis window from 3 to 4.5h and the change from positive to negative recommendations for the use of thigh-length antithrombotic stockings for deep venous thrombosis prevention and the routine use of prolonged positioning for contracture management.