2019eso卒中指南英文版.ppt

2019ESO卒中指南英文版
1
MISSION OF ESO
To reduce the incidence and burden
of stroke by changing the way
stroke is viewed Caso, Perugia, Italy; Jean-Louis Mas, Paris, France; Victor Obach, Barcelona, Spain; Peter A. Ringleb, Heidelberg, Germany; Lars Thomassen, Bergen, Norway
Guidelines Ischaemic Stroke 2019
ESO Writing Committee
Rehabilitation
Co-Chairs: Kennedy Lees, Glasgow, UK; Danilo Toni, Rome, Italy
Members: Stefano Paolucci, Rome, Italy; Juhani Sivenius, Kuopio, Finland; Katharina Stibrant Sunnerhagen, Göteborg, Sweden; Marion F. Walker, Nottingham, UK; Substantial assistance: Yvonne Teuschl, Isabel Henriques, Terence Quinn
Guidelines Ischaemic Stroke 2019
Definitions of Levels of Evidence
Level A
Established as useful/predictive or not useful/predictive for a diagnostic measure or established as effective, ineffective or harmful for a therapeutic intervention; requires at least one convincing Class I study or at least two consistent, convincing Class II studies.
Level B
Established as useful/predictive or not useful/predictive for a diagnostic measure or established as effective, ineffective or harmful for a therapeutic intervention; requires at least one convincing Class II study or overwhelming Class III evidence.
Level C
Established as useful/predictive or not useful/predictive for a diagnostic measure or established as effective, ineffective or harmful for a therapeutic intervention; requires at least two Class III studies.
Good Clinical Practice (GCP)
Recommended best practice based on the experience of the guideline development group. Usually based on Class IV evidence indicating large clinical uncertainty, such GCP points can be useful for health workers.
Guidelines Ischaemic Stroke 2019
Stroke as an Emergency
Emergency care in acute stroke depends on a four-step chain:
Rapid recognition of, and reaction to, stroke signs and symptoms
Immediate EMS contact and priority EMS dispatch
Priority transport with notification of the rece