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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Canadian stroke best practice recommendations: Secondary prevention of stroke, sixth edition practice guidelines,

Theodore Wein1,2, M Patrice Lindsay3, Robert Côté1,2

  • 11 McGill University, Canada.

International Journal of Stroke : Official Journal of the International Stroke Society
|November 25, 2017
PubMed

Insights

This updated guideline offers evidence-based strategies for preventing recurrent ischemic stroke by managing vascular risk factors. It emphasizes a systems approach and interprofessional teams for equitable stroke care.

Area of Science:

  • Neurology
  • Cardiology
  • Public Health

Background:

  • Secondary stroke prevention is crucial for reducing recurrence and improving patient outcomes.
  • Managing modifiable vascular risk factors is key to preventing ischemic stroke.
  • Existing guidelines require regular updates to incorporate new evidence and best practices.

Purpose of the Study:

  • To provide clinicians with current, evidence-based recommendations for the secondary prevention of ischemic stroke.
  • To guide the identification and management of modifiable vascular risk factors to prevent stroke recurrence.
  • To update and disseminate the Canadian Stroke Best Practice Recommendations for clinicians.

Main Methods:

  • Systematic review and synthesis of the latest scientific evidence.
  • Development of consensus-based recommendations by expert panels.
  • Inclusion of diagnostic testing, lifestyle modifications, and pharmacotherapy guidance.

Main Results:

  • The 2017 update includes new recommendations on cervical artery dissection and patent foramen ovale management.
  • Core elements for secondary stroke prevention services and performance measures are introduced.
  • Recommendations cover hypertension, hyperlipidemia, diabetes, antiplatelet/anticoagulant therapies, and carotid artery disease.

Conclusions:

  • The updated recommendations promote a systems approach to stroke care, involving interprofessional teams.
  • Emphasis is placed on overcoming geographic barriers to ensure equitable access to stroke prevention services.
  • Implementation resources and performance measures are provided to support the adoption and effectiveness of the guidelines.

Keywords:
Strokeguidelinesmanagementpreventionrisk assessment

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