engleski

Acute Neurological Stroke Treatment - A European Survey. The EFNS Task Force on Acute Neurological Stroke Care 1999

Background: In 1997 the EFNS Task Force published its recommendations for acute neurological stroke care, which in 1999 was followed by a European Stroke Care Inventory assessing the development of acute stroke care in the EFNS member countries. Objective: To compile a European report on the practices of acute stroke treatment. Methods: All 33 members of the EFNS Stroke Scientist Panel were asked to complete a questionnaire on acute stroke treatment 1999. Data were based either on hospital surveys or personal estimate of national practice, together with the personal practice of the panel member. Results: Data from 22 countries were received. Five data sets were based on surveys, 17 on personal estimates. National stroke treatment guidelines are published in 14 countries, 9 authored by neurological societies, 4 by stroke associations, 1 by a medical society. Thrombolysis was performed in neurological centers in 13 out of 16 countries performing thrombolysis. Thrombolysis was followed by heparin after 24 hours in 6 countries, after 12 hours in 1 country, immediately in 2 countries. Twelve countries performed vascular examinations in <25% of patients prior to thrombolysis. All countries used acetylsalicylic acid doses from 75 to >500 mg in acute stroke. The proportion of patients treated with heparins varied between 0% and >75%. The treatment level for temperature, hyperglycemia and hypertension varied strongly among countries. Two countries offered general hypothermia, 1 offered hyperbaric oxygen. The proportion of patients treated with hemispheric hematoma evacuation varied between 1-5% (12 countries) and 10-50% (2 countries). 13 countries performed hemicraniectomy. Conclusions: European neurology has a leading role in developing acute stroke treatment guidelines and in adopting new therapeutic methods in most countries. There is, however, a wide variation in the application of different therapeutic procedures, indicating a need for European guidelines.

acute stroke treatment

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