Neurologic emergencies in resource-limited settings: A review of stroke care considerations

WHO | Chronic diseases and health promotion [Internet]. WHO. [cited 2014 Feb 25]. Available from: <http://www.who.int/chp/en/>. Factsheet3.pdf [Internet]. [cited 2013 Dec 30]. Available from: <http://www.who.int/chp/chronic_disease_report/media/Factsheet3.pdf>. Feigin, 2009, Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review, Lancet Neurol, 8, 355, 10.1016/S1474-4422(09)70025-0 ScienceDirect.com – Global Heart – The Burden of Cardiovascular and Cerebrovascular Diseases and the Conventional Risk Factors in the South Asian Population [Internet]. [cited 2012 Dec 26]. Available from: <http://www.sciencedirect.com/science/article/pii/S2211816012000026>. Kengne, 2006, The neglected burden of stroke in Sub-Saharan Africa, Int J Stroke, 1, 180, 10.1111/j.1747-4949.2006.00064.x Cooper, 2003, High blood pressure: the foundation for epidemic cardiovascular disease in African populations, Ethn Dis, 13, S48 Broderick, 2007, Stroke, 38, 2001, 10.1161/STROKEAHA.107.183689 Jauch, 2013, Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association, Stroke, 44, 870, 10.1161/STR.0b013e318284056a Goldstein, 1997, Reliability of the National Institutes of Health stroke scale. Extension to non-neurologists in the context of a clinical trial, Stroke, 28, 307, 10.1161/01.STR.28.2.307 Kothari, 1997, Early stroke recognition: developing an out-of-hospital NIH stroke scale, Acad Emerg Med, 4, 986, 10.1111/j.1553-2712.1997.tb03665.x Goldstein, 2005, Is this patient having a stroke?, JAMA, 293, 2391, 10.1001/jama.293.19.2391 Burns, 2012, Intensive care management of acute ischemic stroke, Emerg Med Clin North Am, 30, 713, 10.1016/j.emc.2012.05.002 Adams, 2007, Stroke, 38, 1655, 10.1161/STROKEAHA.107.181486 Adams, 1999, Baseline NIH stroke scale score strongly predicts outcome after stroke: a report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST), Neurology, 53, 126, 10.1212/WNL.53.1.126 Rodriguez, 2009, The hydration influence on the risk of stroke (THIRST) study, Neurocrit Care, 10, 187, 10.1007/s12028-008-9169-5 Bruno, 2002, Admission glucose level and clinical outcomes in the NINDS rt-PA stroke trial, Neurology, 59, 669, 10.1212/WNL.59.5.669 Capes, 2001, Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients: a systematic overview, Stroke, 32, 2426, 10.1161/hs1001.096194 Dave, 2010, Abnormal glucose metabolism in non-diabetic patients presenting with an acute stroke: prospective study and systematic review, QJM, 103, 495, 10.1093/qjmed/hcq062 Béjot, 2012, The deleterious effect of admission hyperglycemia on survival and functional outcome in patients with intracerebral hemorrhage, Stroke, 43, 243, 10.1161/STROKEAHA.111.632950 Allport, 2006, Frequency and temporal profile of poststroke hyperglycemia using continuous glucose monitoring, Diabetes Care, 29, 1839, 10.2337/dc06-0204 Lindsberg, 2004, Hyperglycemia in acute stroke, Stroke, 35, 363, 10.1161/01.STR.0000115297.92132.84 Olsen, 2003, European stroke initiative recommendations for stroke management-update 2003, Cerebrovasc Dis, 16, 311, 10.1159/000072554 Stroke Hyperglycemia Insulin Network Effort (SHINE) Trial. <http://clinicaltrials.gov/ct2/show/NCT01369069> [accessed on March 5, 2014]. Bruno, 2014, The Stroke Hyperglycemia Insulin Network Effort (SHINE) trial protocol: a randomized, blinded, efficacy trial of standard vs. intensive hyperglycemia management in acute stroke, Int J Stroke, 9, 246, 10.1111/ijs.12045 Bellolio, 2011, Insulin for glycaemic control in acute ischaemic stroke, Cochrane Database Syst Rev, CD005346 Summers, 2009, Comprehensive overview of nursing and interdisciplinary care of the acute ischemic stroke patient: a scientific statement from the American Heart Association, Stroke, 40, 2911, 10.1161/STROKEAHA.109.192362 Wojner-Alexander, 2005, Heads down: flat positioning improves blood flow velocity in acute ischemic stroke, Neurology, 64, 1354, 10.1212/01.WNL.0000158284.41705.A5 Rowat, 2001, Patient positioning influences oxygen saturation in the acute phase of stroke, Cerebrovasc Dis, 12, 66, 10.1159/000047683 Tyson, 2004, The effects of position on oxygen saturation in acute stroke: a systematic review, Clin Rehabil, 18, 863, 10.1191/0269215504cr840oa Greer, 2008, Impact of fever on outcome in patients with stroke and neurologic injury: a comprehensive meta-analysis, Stroke, 39, 3029, 10.1161/STROKEAHA.108.521583 Phipps, 2011, Epidemiology and outcomes of fever burden among patients with acute ischemic stroke, Stroke, 42, 3357, 10.1161/STROKEAHA.111.621425 Middleton, 2011, Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial, Lancet, 378, 1699, 10.1016/S0140-6736(11)61485-2 Saini, 2009, Effect of hyperthermia on prognosis after acute ischemic stroke, Stroke, 40, 3051, 10.1161/STROKEAHA.109.556134 Prasad, 2010, Fever is associated with doubling of odds of short-term mortality in ischemic stroke: an updated meta-analysis, Acta Neurol Scand, 122, 404, 10.1111/j.1600-0404.2010.01326.x den Hertog, 2009, The Paracetamol (Acetaminophen) In Stroke (PAIS) trial: a multicentre, randomised, placebo-controlled, phase III trial, Lancet Neurol, 8, 434, 10.1016/S1474-4422(09)70051-1 Den Hertog, 2009, Cooling therapy for acute stroke, Cochrane Database Syst Rev, CD001247 The Intravascular Cooling in the Treatment of Stroke 2/3 Trial (ICTuS2/3). <http://clinicaltrials.gov/ct2/show/NCT01123161> [accessed on March 5, 2014]. Aiyagari, 2009, Management of blood pressure for acute and recurrent stroke, Stroke, 40, 2251, 10.1161/STROKEAHA.108.531574 Leonardi-Bee, 2002, Blood pressure and clinical outcomes in the international stroke trial, Stroke, 33, 1315, 10.1161/01.STR.0000014509.11540.66 Okumura, 2005, Effects of blood pressure levels on case fatality after acute stroke, J Hypertens, 23, 1217, 10.1097/01.hjh.0000170385.76826.4a Bath, 2005, How to manage blood pressure in acute stroke, J Hypertens, 23, 1135, 10.1097/01.hjh.0000170374.33763.77 Berge, 2011, Should high blood pressure be lowered in the acute stroke?, J Hypertens, 29, 1478, 10.1097/HJH.0b013e32834a019b Oliveira-Filho, 2003, Detrimental effect of blood pressure reduction in the first 24hours of acute stroke onset, Neurology, 61, 1047, 10.1212/01.WNL.0000092498.75010.57 Vlcek, 2003, Association between course of blood pressure within the first 24hours and functional recovery after acute ischemic stroke, Ann Emerg Med, 42, 619, 10.1016/S0196-0644(03)00609-7 Castillo, 2004, Blood pressure decrease during the acute phase of ischemic stroke is associated with brain injury and poor stroke outcome, Stroke, 35, 520, 10.1161/01.STR.0000109769.22917.B0 Mistri, 2006, Pressor therapy in acute ischemic stroke: systematic review, Stroke, 37, 1565, 10.1161/01.STR.0000222002.57530.05 Qureshi, 2008, Acute hypertensive response in patients with stroke: pathophysiology and management, Circulation, 118, 176, 10.1161/CIRCULATIONAHA.107.723874 Sandset, 2011, The angiotensin-receptor blocker candesartan for treatment of acute stroke (SCAST): a randomised, placebo-controlled, double-blind trial, Lancet, 377, 741, 10.1016/S0140-6736(11)60104-9 Potter, 2009, Controlling hypertension and hypotension immediately post-stroke (CHHIPS): a randomised, placebo-controlled, double-blind pilot trial, Lancet Neurol, 8, 48, 10.1016/S1474-4422(08)70263-1 Robinson, 2010, Effects of antihypertensive treatment after acute stroke in the Continue or Stop Post-Stroke Antihypertensives Collaborative Study (COSSACS): a prospective, randomised, open, blinded-endpoint trial, Lancet Neurol, 9, 767, 10.1016/S1474-4422(10)70163-0 National Institute for Health and Clinical Excellence. Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). Royal College of Physicians, London; 2008. http://www.nice.org.uk/CG068 [accessed on January 3, 2014]. Broderick, 1999, Guidelines for the management of spontaneous intracerebral hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association, Stroke, 30, 905, 10.1161/01.STR.30.4.905 Qureshi, 2001, Spontaneous intracerebral hemorrhage, N Engl J Med, 344, 1450, 10.1056/NEJM200105103441907 Siegal, 2013, Reversal of novel oral anticoagulants in patients with major bleeding, J Thromb Thrombolysis, 35, 391, 10.1007/s11239-013-0885-0 2013, Organised inpatient (stroke unit) care for stroke, Cochrane Database Syst Rev, 9, CD000197 Meretoja, 2010, Effectiveness of primary and comprehensive stroke centers: PERFECT stroke: a nationwide observational study from Finland, Stroke, 41, 1102, 10.1161/STROKEAHA.109.577718 Di Carlo, 2011, Stroke unit care in clinical practice: an observational study in the Florence center of the European Registers of Stroke (EROS) Project, Eur J Neurol, 18, 686, 10.1111/j.1468-1331.2010.03207.x Alberts, 2010, Stroke centers: proof of concept and the concept of proof, Stroke, 41, 1100, 10.1161/STROKEAHA.110.582148 Alberts, 2011, Revised and updated recommendations for the establishment of primary stroke centers: a summary statement from the brain attack coalition, Stroke, 42, 2651, 10.1161/STROKEAHA.111.615336 2008, Guidelines for management of ischaemic stroke and transient ischaemic attack 2008, Cerebrovasc Dis, 25, 457, 10.1159/000131083 Joubert, 2008, Stroke in rural areas and small communities, Stroke, 39, 1920, 10.1161/STROKEAHA.107.501643 Salawu, 2009, Comparison of two hospital stroke scores with computerized tomography in ascertaining stroke type among Nigerians, Ann Afr Med, 8, 14, 10.4103/1596-3519.55758 Connor, 2007, Accuracy of the Siriraj and Guy’s Hospital Stroke Scores in urban South Africans, Stroke, 38, 62, 10.1161/01.STR.0000251853.62387.68 Nor, 2005, The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument, Lancet Neurol, 4, 727, 10.1016/S1474-4422(05)70201-5 Sandercock, 2014, Oral antiplatelet therapy for acute ischaemic stroke, Cochrane Database Syst Rev, 26, CD000029 Garbusinski, 2005, Stroke presentation and outcome in developing countries: a prospective study in the Gambia, Stroke, 36, 1388, 10.1161/01.STR.0000170717.91591.7d Newell, 2009, Creating a supportive environment for living with stroke in rural areas: two low-cost community-based interventions, Top Stroke Rehabil, 16, 147, 10.1310/tsr1602-147 van Swieten, 1988, Interobserver agreement for the assessment of handicap in stroke patients, Stroke, 19, 604, 10.1161/01.STR.19.5.604 Duke, 1986, Intravenous heparin for the prevention of stroke progression in acute partial stable stroke: a randomized controlled trial, Ann Intern Med, 105, 825, 10.7326/0003-4819-105-6-825 Berge, 2000, Low molecular-weight heparin versus aspirin in patients with acute ischaemic stroke and atrial fibrillation: a double-blind randomised study. HAEST Study Group Heparin in Acute Embolic Stroke Trial, Lancet, 355, 1205, 10.1016/S0140-6736(00)02085-7 Diener, 2001, Treatment of acute ischemic stroke with the low-molecular-weight heparin certoparin. Results of the TOPAS trial, Stroke, 32, 22, 10.1161/01.STR.32.1.22 Martin, 2013, Does platelet transfusion improve outcomes in patients with spontaneous or traumatic intracerebral hemorrhage?, Ann Emerg Med, 61, 58, 10.1016/j.annemergmed.2012.03.025