Stroke management: updated recommendations for treatment along the care continuum

被引:43
作者
Wright, L. [1 ]
Hill, K. M. [1 ]
Bernhardt, J. [2 ,3 ]
Lindley, R. [4 ]
Ada, L. [5 ]
Bajorek, B. V. [6 ,7 ]
Barber, P. A. [23 ]
Beer, C. [12 ,13 ,14 ]
Golledge, J. [16 ]
Gustafsson, L. [17 ]
Hersh, D. [15 ]
Kenardy, J. [18 ,19 ]
Perry, L. [8 ,9 ]
Middleton, S. [10 ,11 ]
Brauer, S. G. [20 ]
Nelson, M. R. [21 ,22 ]
机构
[1] Natl Stroke Fdn, Guidelines Program, Melbourne, Vic 3000, Australia
[2] Florey Neurosci Inst, Stroke Div, Melbourne, Vic, Australia
[3] La Trobe Univ, Melbourne, Vic, Australia
[4] Univ Sydney, Discipline Med, Sydney, NSW 2006, Australia
[5] Univ Sydney, Discipline Physiotherapy, Sydney, NSW 2006, Australia
[6] Univ Technol Sydney, Sch Pharm, Sydney, NSW 2007, Australia
[7] Royal N Shore Hosp, Sydney, NSW, Australia
[8] Univ Technol Sydney, Fac Nursing Midwifery & Hlth, Sydney, NSW 2007, Australia
[9] Sydney Eye Hosp, Sydney, NSW, Australia
[10] St Vincents & Mater Hlth Sydney, Nursing Res Inst, Sydney, NSW, Australia
[11] Australian Catholic Univ, Natl Ctr Clin Outcomes Res, Sydney, NSW, Australia
[12] Western Australian Ctr Hlth & Ageing, Med Res Ctr, Perth, WA, Australia
[13] Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6009, Australia
[14] Royal Perth Hosp, Perth, WA, Australia
[15] Edith Cowan Univ, Sch Psychol & Social Sci, Perth, WA, Australia
[16] James Cook Univ, Sch Med & Dent, Vasc Biol Unit, Townsville, Qld 4811, Australia
[17] Univ Queensland, Div Occupat Therapy, Brisbane, Qld, Australia
[18] Univ Queensland, Sch Med, Brisbane, Qld, Australia
[19] Univ Queensland, Sch Psychol, Brisbane, Qld, Australia
[20] Univ Queensland, Sch Hlth & Rehabil Sci, Div Physiotherapy, Brisbane, Qld, Australia
[21] Univ Tasmania, Discipline Gen Practice, Hobart, Tas, Australia
[22] Menzies Res Inst Tasmania, Hobart, Tas, Australia
[23] Univ Auckland, Dept Med, Auckland, New Zealand
关键词
stroke; cerebrovascular disease; clinical guideline; acute management; rehabilitation; TRANSIENT ISCHEMIC ATTACK; DISCHARGE; RISK;
D O I
10.1111/j.1445-5994.2012.02774.x
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
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 4.5 h 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.
引用
收藏
页码:562 / 569
页数:8
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