Guidelines for the Early Management of Patients With Acute Ischemic Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
Guidelines for the Early Management of Patients With Acute Ischemic Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
复制标题
DOI：
10.1161/str.0b013e318284056a
复制
发表时间：
2013-03-01
期刊：
影响因子：
8.3
通讯作者：
Yonas, Howard
中科院分区：
文献类型：
--
作者：
Jauch, Edward C.;Saver, Jeffrey L.;Yonas, Howard
背景和目的--作者概述了目前评估和治疗成人急性缺血性卒中的证据和管理建议。目标受众是院前护理提供者、医生、专职卫生专业人员和负责在中风发病后48小时内护理急性缺血性中风患者的医院管理人员。这些指南取代了之前的2007年指南和2009年的更新。方法-撰写委员会的成员由美国中风协会中风委员会的科学声明监督委员会任命，代表不同领域的医学专业知识。在整个协商过程中，严格遵守美国心脏协会的利益冲突政策。小组成员被分配了与他们的专业领域相关的主题，回顾了中风文献，重点是自先前指南以来的出版物，并根据美国心脏协会中风理事会的证据等级分级算法起草了建议。结果--这些指南的目标是限制与中风相关的发病率和死亡率。该指南支持卒中护理系统的总体概念和卒中护理的细节方面，从患者识别；紧急医疗服务激活、运输和分诊；直到急诊科和卒中单元的最初几个小时。该指南讨论了早期卒中评估和一般医疗护理，以及缺血性卒中，再灌注策略等特定干预措施，以及脑复苏的一般生理优化。结论-由于许多建议基于有限的数据，关于急性缺血性卒中的治疗仍迫切需要进一步研究。(笔划。2013；44：870-947。)
Background and Purpose-The authors present an overview of the current evidence and management recommendations for evaluation and treatment of adults with acute ischemic stroke. The intended audiences are prehospital care providers, physicians, allied health professionals, and hospital administrators responsible for the care of acute ischemic stroke patients within the first 48 hours from stroke onset. These guidelines supersede the prior 2007 guidelines and 2009 updates.Methods-Members of the writing committee were appointed by the American Stroke Association Stroke Council's Scientific Statement Oversight Committee, representing various areas of medical expertise. Strict adherence to the American Heart Association conflict of interest policy was maintained throughout the consensus process. Panel members were assigned topics relevant to their areas of expertise, reviewed the stroke literature with emphasis on publications since the prior guidelines, and drafted recommendations in accordance with the American Heart Association Stroke Council's Level of Evidence grading algorithm.Results-The goal of these guidelines is to limit the morbidity and mortality associated with stroke. The guidelines support the overarching concept of stroke systems of care and detail aspects of stroke care from patient recognition; emergency medical services activation, transport, and triage; through the initial hours in the emergency department and stroke unit. The guideline discusses early stroke evaluation and general medical care, as well as ischemic stroke, specific interventions such as reperfusion strategies, and general physiological optimization for cerebral resuscitation.Conclusions-Because many of the recommendations are based on limited data, additional research on treatment of acute ischemic stroke remains urgently needed. (Stroke. 2013;44:870-947.)