Stroke management: updated recommendations for treatment along the care continuum
Authors
Leah Wright
Kelvin Hill
Julie Bernhardt
Richard Lindley
Louise Ada
Beata Bajorek
Alan Barber
Christopher Beer
Jonathan Golledge
Louise Gustafsson
Deborah Hersh, Edith Cowan UniversityFollow
Justin Kenardy
L Perry
Sandy Middleton
Sandy Brauer
Mark Nelson
Document Type
Journal Article
Keywords
Acute management, Cerebrovascular disease, Clinical guideline, Rehabilitation, Strokearticle, Australia, awareness, blood clot lysis, car driving, community care, compression garment, computer assisted tomography, contracture, deep vein thrombosis, depression, diffusion weighted imaging, electrocardiogram, emergency care, emergency ward, evidence based medicine, fatigue, follow up, heart atrium fibrillation, hospital care, hospital discharge, human, long term care, lung embolism, mood disorder, nuclear magnetic resonance imaging, patient positioning, practice guideline, priority journal, secondary prevention, stroke, stroke unit, transient ischemic attack, Continuity of Patient Care, Disease Management, Humans, Practice Guidelines as Topic, Stroke, Treatment Outcome, [speech pathology]
Faculty
Faculty of Computing, Health and Science
School
School of Psychology and Social Science
RAS ID
14655
Abstract
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.
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Comments
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.