Title |
S. B. Coutts et al.
|
---|---|
Published in |
International Journal of Stroke, December 2014
|
DOI | 10.1111/ijs.12439 |
Pubmed ID | |
Authors |
Shelagh B. Coutts, Theodore H. Wein, M. Patrice Lindsay, Brian Buck, Robert Cote, Paul Ellis, Norine Foley, Michael D. Hill, Sharon Jaspers, Albert Y. Jin, Brenda Kwiatkowski, Carolyn MacPhail, Dana McNamara‐Morse, Michael S. McMurtry, Tania Mysak, Andrew Pipe, Karen Silver, Eric E. Smith, Gord Gubitz, and Stroke Foundation Canada Canadian Stroke Best Practices Advisory Committee the Heart |
Abstract |
Every year, approximately 62 000 people with stroke and transient ischemic attack are treated in Canadian hospitals. The 2014 update of the Canadian Secondary Prevention of Stroke guideline is a comprehensive summary of current evidence-based recommendations for clinicians in a range of settings, who provide care to patients following stroke. Notable changes in this 5th edition include an emphasis on treating the highest risk patients who present within 48 h of symptom onset with transient or persistent motor or speech symptoms, who need to be transported to the closest emergency department with capacity for advanced stroke care; a recommendation for brain and vascular imaging (of the intra- and extracranial vessels) to be completed urgently using computed tomography/computed tomography angiography; prolonged cardiac monitoring for patients with suspective cardioembolic stroke but without evidence for atrial fibrillation on electrocardiogram or holter monitoring; and de-emphasizing the need for routine echocardiogram. The Canadian Stroke Best Practice Recommendations include a range of supporting materials such as implementation resources to facilitate the adoption of evidence to practice, and related performance measures to enable monitoring of uptake and effectiveness of the recommendations using a standardized approach. The guidelines further emphasize the need for a systems approach to stroke care, involving an interprofessional team, with access to specialists regardless of patient location, and the need to overcome geographical barriers to ensure equity in access within a universal health-care system. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 2 | 15% |
United States | 1 | 8% |
Australia | 1 | 8% |
Argentina | 1 | 8% |
Japan | 1 | 8% |
Unknown | 7 | 54% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 69% |
Practitioners (doctors, other healthcare professionals) | 2 | 15% |
Scientists | 1 | 8% |
Science communicators (journalists, bloggers, editors) | 1 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 2 | 1% |
Russia | 1 | <1% |
Unknown | 195 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 31 | 16% |
Student > Master | 27 | 14% |
Other | 24 | 12% |
Student > Doctoral Student | 22 | 11% |
Researcher | 18 | 9% |
Other | 46 | 23% |
Unknown | 30 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 89 | 45% |
Nursing and Health Professions | 23 | 12% |
Pharmacology, Toxicology and Pharmaceutical Science | 12 | 6% |
Neuroscience | 8 | 4% |
Agricultural and Biological Sciences | 5 | 3% |
Other | 24 | 12% |
Unknown | 37 | 19% |