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Báo cáo khoa học: "Acute stroke: we have the treatments and we have the evidence we need to use them"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Acute stroke: we have the treatments and we have the evidence we need to use them. | Available online http ccforum.eom content 11 2 124 Commentary Acute stroke we have the treatments and we have the evidence -we need to use them Terence J Quinn Jesse Dawson and Kennedy R Lees Gardiner Institute of Cardiovascular and Medical Sciences Western Infirmary Dumbarton Road Glasgow G11 6NT UK Corresponding author Terence J Quinn Tjq1t@clinmed.gla.ac.uk Published 17 April 2007 This article is online at http ccforum.com content 11 2 124 2007 BioMed Central Ltd Critical Care 2007 11 124 doi 10.1186 cc5731 Abstract Despite huge global burden stroke disease has traditionally received little attention in the general medical press. We review a series of four acute stroke research articles published in a themed issue of the Lancet. Claiborne-Johnston and coworkers presented a scoring system to stratify risk of stroke following transient ischaemic attack. Chalela and colleagues demonstrated that magnetic resonance imaging is superior to computed tomography in detecting acute ischaemic stroke and that fears of missing intracranial haemorrhage are unfounded. The SITS-MOST Safe Implementation of Thrombolysis in Stroke - Monitoring Study group reported positive experience of translating acute stroke thrombolysis trials into routine clinical practice in Europe and the PROSIT Project on Stroke Services in Italy group studied acute effects of admission to a dedicated stroke unit. The message from all of these reports is that evidence-based successful management of acute stroke is possible and that investment in health infrastructure and changing mind sets of health practitioners to improve stroke care will deliver benefits. The global burden of stroke is immense. Six million people will die from stroke this year with millions more left disabled. Despite these alarming figures we under-utilize proven acute stroke treatments. As such we welcome the recent stroke themed issue of the Lancet. The research articles presented in the journal mirror the stroke patient journey - .