(Australian) Clinical Guidelines for Stroke Management 2017 - Chapter 2 of 8: Early assessment and diagnosis

Main Editor Stroke Foundation
Language en
Last Update Nov 21, 2019
Published Date Nov 21, 2019
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Disclaimer

These Clinical Guidelines are a general guide to appropriate practice, to be followed subject to the clinician’s judgment and the patient’s preference in each individual case. The Clinical Guidelines are designed to provide information to assist decision-making and are based on the best evidence available at the time of development. The guideline can be viewed and downloaded at www.informme.org.au - Citation: Stroke Foundation. Clinical Guidelines for Stroke Management 2017. Melbourne Australia. © No part of this publication can be reproduced by any process without permission from the Stroke Foundation. August 2017.

Sponsors The Stroke Foundation gratefully acknowledges the financial assistance provided by the Australian Government Department of Health. The development of the final recommendations has not been influenced by the views or interests of the funding body.
Abstract

This is the second in a series of eight Clinical Guideline chapters that provide evidence-based recommendations for recovery from stroke and TIA.

PICOS
PICO 5.0
P: All adults with suspected TIA
I: Risk prediction scores
C: Confirmed diagnosis of recurrent stroke
O:

PICO 6.0
P: Adults with suspected stroke
I: Clinical scales
C: Confirmed diagnosis
O:

PICO 3.0
P: Adults with acute stroke
I: Continuous ECG monitoring
C: Standard ECG
O:

PICO 5.0
P: All adults with suspected TIA in primary care setting
I: Decision support tool
C: Confirmed diagnosis of recurrent stroke
O:

PICO 6.0
P: Adults with suspected stroke
I: Stroke screening tool
C: Confirmed diagnosis
O:

PICO 3.0
P: Adults with stroke
I: Long term ECG monitoring
C: Short term ECG monitoring
O:

PICO 5.0
P: All adults with suspected TIA/minor stroke
I: Lesion on brain imaging
C: Confirmed diagnosis of recurrent stroke
O:

PICO 6.0
P: Adults with suspected stroke
I: Biomarkers
C: Confirmed diagnosis
O:

PICO 3.0
P: Adults with cardiac conditions as potential sources of stroke or TIA
I: Echocardiography
C: Reference standard
O:

PICO 5.0
P: All adults with suspected TIA
I: Rapid assessment and treatment
C: Control
O:

PICO 6.0
P: Adults with suspected stroke
I: Rapid management
C: Usual care
O:

PICO 1.1
P: Adults with suspected stroke
I: CT
C: Confirmed diagnosis of stroke
O:

PICO 1.2
P: Adults with suspected stroke
I: Thin slice non-contrast CT
C: Confirmed diagnosis of vessel occlusion
O:

PICO 1.3
P: Adults with suspected stroke
I: CT perfusion imaging
C: Confirmed diagnosis of stroke
O:

PICO 1.4
P: Adults with ischaemic stroke and CT perfusion mismatch beyond 6hr of stroke onset
I: Endovascular clot retrieval
C: Control
O:

PICO 1.5
P: Adults with ischaemic stroke and MR perfusion-diffusion mismatch beyond 3hr of stroke onset
I: Reperfusion achieved through intravenous thrombolysis with alteplase
C: Reperfusion not achieved
O:

PICO 1.6
P: Adults with ischaemic stroke and MR perfusion-diffusion mismatch beyond 6hr of stroke onset
I: Reperfusion achieved through endovascular clot retrieval
C: Reperfusion not achieved
O:

PICO 1.7
P: Patients with carotid artery stenosis
I: Imaging
C: Surgical specimen
O:

PICO 1.8
P: Patients suspected of having carotid artery stenosis
I: Ultrasound, CT and MR angiography
C: Digital subtraction angiography
O:

PICO 1.9
P: Patients eligible for endovascular clot retrieval based on clinical severity
I: Non-invasive angiography (CT or MR)
C: Patients eligible for endovascular clot retrieval based on proven large vessel occlusion on non-invasive angiography
O:

PICO 1.10
P: Adults with suspected stroke
I: MRI
C: Confirmed diagnosis of stroke
O: