دورية أكاديمية
Comparison of American and European Guideline Recommendations for Diagnostic Workup and Secondary Prevention of Ischemic Stroke and Transient Ischemic Attack.
| العنوان: | Comparison of American and European Guideline Recommendations for Diagnostic Workup and Secondary Prevention of Ischemic Stroke and Transient Ischemic Attack. |
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| المؤلفون: | Mulder MJHL; Departments of Neurology, Erasmus University Medical Center (M.J.H.L.M., T.Y.C., D.W.J.D.), Rotterdam, The Netherlands., Cras TY; Departments of Neurology, Erasmus University Medical Center (M.J.H.L.M., T.Y.C., D.W.J.D.), Rotterdam, The Netherlands.; Sint Franciscus Gasthuis (T.Y.C.), Rotterdam, The Netherlands., Shay J; Department of Neurology, The Ohio State University Wexner Medical Center, Columbus (J.S., J.F.B.)., Dippel DWJ; Departments of Neurology, Erasmus University Medical Center (M.J.H.L.M., T.Y.C., D.W.J.D.), Rotterdam, The Netherlands., Burke JF; Department of Neurology, The Ohio State University Wexner Medical Center, Columbus (J.S., J.F.B.). |
| المصدر: | Circulation [Circulation] 2024 Sep 03; Vol. 150 (10), pp. 806-815. Date of Electronic Publication: 2024 Sep 03. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0147763 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1524-4539 (Electronic) Linking ISSN: 00097322 NLM ISO Abbreviation: Circulation Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [Dallas, Tex., etc., American Heart Association, etc.] |
| مواضيع طبية MeSH: | Ischemic Attack, Transient*/prevention & control , Ischemic Attack, Transient*/diagnosis , Ischemic Stroke*/prevention & control , Ischemic Stroke*/diagnosis , Practice Guidelines as Topic* , Secondary Prevention*/methods , Secondary Prevention*/standards, Humans ; American Heart Association ; Europe ; Evidence-Based Medicine/methods ; Evidence-Based Medicine/standards ; United States |
| مستخلص: | Guidelines help to facilitate treatment decisions based on available evidence, and also to provide recommendations in areas of uncertainty. In this paper, we compare the recommendations for stroke workup and secondary prevention of ischemic stroke and transient ischemic attack of the American Heart Association (AHA)/American Stroke Association (ASA) with the European Stroke Organization (ESO) guidelines. The primary aim of this paper is to offer clinicians guidance by identifying areas where there is consensus and where consensus is lacking, in the absence or presence of high-level evidence. We compared AHA/ASA with the ESO guideline recommendations for 7 different topics related to diagnostic stroke workup and secondary prevention. We categorized the recommendations based on class and level of evidence to determine whether there were relevant differences in the ratings of evidence that the guidelines used for its recommendations. Finally, we summarized major topics of agreement and disagreement, while also prominent knowledge gaps were identified. In total, we found 63 ESO and 82 AHA/ASA recommendations, of which 38 were on the same subject. Most recommendations are largely similar, but not all are based on high-level evidence. For many recommendations, AHA/ASA and ESO assigned different levels of evidence. For the 10 recommendations with Level A evidence (high quality) in AHA/ASA, ESO only labeled 4 of these as high quality . There are many remaining issues with either no or insufficient evidence, and some topics that are not covered by both guidelines. Most ESO and AHA/ASA Guideline recommendations for stroke workup and secondary prevention were similar. However not all were based on high-level evidence and the appointed level of evidence often differed. Clinicians should not blindly follow all guideline recommendations; the accompanying level of evidence informs which recommendations are based on robust evidence. Topics with lower levels of evidence, or those with recommendations that disagree or are missing, may be an incentive for further clinical research. Competing Interests: Dr Dippel reports grants from Stryker, Medtronic, Penumbra, Cerenovus, and Thrombolytic Science, paid to the institution for research outside the submitted work. |
| فهرسة مساهمة: | Keywords: guidelines; ischemic attack, transient; ischemic stroke; secondary prevention |
| تواريخ الأحداث: | Date Created: 20240903 Date Completed: 20240903 Latest Revision: 20240919 |
| رمز التحديث: | 20240919 |
| DOI: | 10.1161/CIRCULATIONAHA.124.069651 |
| PMID: | 39226381 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1524-4539 |
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| DOI: | 10.1161/CIRCULATIONAHA.124.069651 |