Current approach to acute stroke management

Leo Davies; Candice Delcourt

doi:10.1111/imj.15273

Current approach to acute stroke management

Intern Med J. 2021 Apr;51(4):481-487. doi: 10.1111/imj.15273.

Authors

Leo Davies^{1

2}, Candice Delcourt^{1

2

3}

Affiliations

¹ Department of Neurology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
² Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
³ The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.

PMID: 33890368
DOI: 10.1111/imj.15273

Abstract

There have been marked improvements in the management of stroke in Australia over the past two decades. The greatest benefit has accrued from public health measures including reduced smoking rates and treatment of hypertension and hypercholesterolaemia. Recent advances in recanalisation therapy offer the chance of recovery to a subset of people who have a stroke. For many patients, stroke remains an illness with a devastating impact on their quality of life. Reducing the burden of stroke requires intervention across the health system from primary prevention through diagnosis, acute treatment, rehabilitation and secondary prevention. In this review, we will cover the changes in the epidemiology of stroke, public health measures in primary prevention of stroke, and acute management and secondary prevention of ischaemic stroke and primary intracerebral haemorrhage.

Keywords: acute management; haemorrhagic stroke; ischaemic stroke; secondary prevention; stroke.

Publication types

Review

MeSH terms

Australia / epidemiology
Brain Ischemia*
Cerebral Hemorrhage
Humans
Quality of Life
Stroke* / diagnosis
Stroke* / epidemiology
Stroke* / therapy