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Stroke in the elderly.

Anjail Sharrief1, James C Grotta2

  • 1Department of Neurology, McGovern Medical School, University of Texas Health Science Center, Houston, TX, United States.

Handbook of Clinical Neurology
|November 23, 2019
PubMed
Summary

Stroke care for older adults needs improvement, especially for the very elderly. More research is vital to address knowledge gaps in stroke prevention and treatment for this growing population.

Keywords:
Atrial fibrillationElderlyFrailtyHypertensionStroke prevention

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Area of Science:

  • Neurology
  • Geriatrics
  • Public Health

Background:

  • Stroke is a leading global cause of death, with rising prevalence linked to an aging population.
  • Current evidence-based stroke treatment and prevention strategies are often underutilized in older patients.
  • Significant knowledge gaps exist regarding optimal stroke care for elderly and very elderly individuals.

Purpose of the Study:

  • To review current evidence guiding stroke prevention and treatment in the elderly.
  • To identify challenges and data limitations in managing stroke in very elderly patients.
  • To highlight critical unanswered questions in geriatric stroke care.

Main Methods:

  • Comprehensive review of existing literature on stroke care in the elderly.
  • Analysis of data guiding primary prevention, acute treatment, and complication management.
  • Identification of research gaps across the continuum of stroke care.

Main Results:

  • Aging populations worldwide face increasing stroke risk.
  • Older adults present unique challenges in stroke management due to limited specific data.
  • Existing guidelines may not fully address the needs of the very elderly.

Conclusions:

  • Stroke care for the elderly requires tailored approaches due to population-specific needs and data limitations.
  • Further research is essential to optimize stroke prevention and treatment strategies for older adults.
  • Addressing knowledge gaps is crucial for improving outcomes in geriatric stroke patients.