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Published on: January 18, 2018
Addressing Systemic Complications of Acute Stroke: A Scientific Statement From the American Heart Association
Insights
Systemic, nonneurological complications frequently occur after stroke, impacting patient recovery. This statement synthesizes evidence and offers clinical guidance to improve stroke complication management and outcomes.
Area of Science:
- Neurology
- Internal Medicine
- Critical Care Medicine
Background:
- Systemic, nonneurological complications are prevalent following ischemic and hemorrhagic strokes.
- These complications significantly impact patient outcomes but are under-researched.
- Current clinical guidance for managing these events is fragmented.
Purpose of the Study:
- To identify major systemic complications of stroke during hospitalization.
- To synthesize existing evidence and guidelines on stroke-related complications.
- To provide evidence-based recommendations for clinical care and identify research gaps.
Main Methods:
- Literature synthesis of current evidence.
- Review of existing clinical guidelines.
- Expert opinion interpretation.
Main Results:
- Stroke survivors frequently experience systemic, nonneurological complications affecting multiple organ systems.
- Evidence synthesis reveals gaps in knowledge regarding prevention and management.
- Recommendations for clinical care are derived from existing evidence and expert consensus.
Conclusions:
- Improved interdisciplinary collaboration and team-based strategies are crucial for reducing the burden of systemic complications.
- Further research is needed to develop effective prevention and management strategies.
- Implementing evidence-based care can improve outcomes for stroke survivors.
Abstract:
Systemic, nonneurological complications are common after ischemic and hemorrhagic strokes, affect different organ systems, and have a major impact on patient outcomes. Despite their obvious implications, this area in stroke management remains inadequately researched, and current literature offers fragmentary guidance for care. The purpose of this scientific statement is to elucidate the major systemic complications of strokes that occur during hospitalization, to synthesize evidence from current literature and existing guidelines, to address gaps in knowledge, and to provide a coherent set of suggestions for clinical care based on interpretation of existing evidence and expert opinion. This document advocates for improved interdisciplinary collaboration, team effort, and effective implementation strategies to reduce the burden of these events in clinical practice. It also calls for further research on strategies for preventing and managing systemic complications after stroke that improve outcomes in stroke survivors.
