national-clinical-guidelines-for-stroke-fourth-edition

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Appendix 1 Evidence table reviewers In addition to the members of the working party, the following individuals also reviewed evidence and we are grateful for their time and expertise. Ms Sara Alderdice Norfolk Community Health & Care NHS Trust Mrs Helen Armitage Guy’s and St Thomas’ NHS Foundation Trust Professor Ann Ashburn University of Southampton Dr Stephen Ashford North West London Hospitals NHS Trust and King’s College London Miss Preetpal Atwal North West London Hospitals NHS Trust Miss Tracey Barron College of Paramedics Dr Jane Barton Sheffield Health & Social Care NHS Foundation Trust Dr Andrew Bateman Princess of Wales Hospital, Cambridgeshire Mrs Fotoula Blias Norfolk Community Health & Care NHS Trust Miss Angeline Bonney University College London NHS Foundation Trust Miss Sabrina Booth Sheffield Teaching Hospitals NHS Foundation Trust Professor Jane Burridge University of Southampton Mrs Berenice Carter York Hospitals NHS Foundation Trust Dr Janet Cockburn University of Reading Dr Emma Cooke St George’s Healthcare NHS Trust, London Dr Mary Cramp University of East London Mrs Janet Darby University of Nottingham Mrs Tammy Davidson-Thompson Norfolk Community Health & Care NHS Trust Mrs Jackie Davies Cardiff & Vale University Health Board Mr David Davis South East Coast Ambulance Service NHS Foundation Trust Mrs Nicole Dodsworth Guy’s and St Thomas’ NHS Foundation Trust Professor Pamela Enderby University of Sheffield Mrs Joanna Fletcher-Smith University of Nottingham Mrs Michelle Gibbs King’s College London Dr Jo Gibson University of Central Lancashire Dr Louise Gilbertson Southern Health NHS Foundation Trust, Southampton Dr David Gillespie Astley Ainslie Hospital, Scotland Ms Filomena Gomes King’s College London Mrs Mary Grant University of Nottingham Dr Linda Hammett National Hospital for Neurology and Neurosurgery Mrs Sarah Haynes Royal Hospital for Neuro-disability Ms Susannah Hinchliff Norfolk Community Health & Care NHS Trust Dr Val Hopwood Coventry University Mrs Jane Horne University of Nottingham Dr Ann-Marie Hughes University of Southampton Mrs Kathryn Jarvis University of Liverpool Dr Fiona Jones St George’s University, London Mrs Stephanie Jones University of Central Lancashire Dr Najma Khan-Bourne King’s College Hospital NHS Foundation Trust Dr Nicola Kitching Brain and Spinal Injury Centre, Manchester Dr Praveen Kumar University of the West of England Dr Michael Leathley University of Central Lancashire Dr Pip Logan University of Nottingham Ms Kay Martin Peterborough City Care Centre Ms Fay McCaffer Cardiff & Vale University Health Board Mrs Carolee McLaughlin Belfast City Hospital © Royal College of Physicians 2012 181
National clinical guideline for stroke Mrs Charlotte Mistry Norfolk & Norwich University Hospitals NHS Foundation Trust MissNatalie Mohr North Bristol NHS Trust Dr Meriel Norris Brunel University, London Dr Anthony Pereira St George’s Hospital, London Mr Daniel Philips East of England Ambulance Service NHS Trust Professor Tom Quinn University of Surrey Dr Kate Radford University of Central Lancashire Dr Jill Ramsay University of Birmingham Dr Shuli Reich Hertfordshire Community Services NHS Trust Ms Kate Richardson Norfolk & Norwich University Hospitals NHS Foundation Trust Mr Mark Smith NHS Lothian Ms Beth Stevens Poole Hospital Mrs Melanie Stevenson Norfolk Community Health & Care NHS Trust Mrs Kate Tucker Cardiff Metropolitan University Mrs Alyson Warland Brunel University, London Professor Caroline Watkins University of Central Lancashire Mrs Dorothy Wilson Norfolk Community Health & Care NHS Trust 182 © Royal College of Physicians 2012
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National clinical guideline for str
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The Royal College of Physicians The
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The Intercollegiate Stroke Working
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Conflicts of interest All working p
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Key recommendations Number Recommen
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Acknowledgements The Intercollegiat
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Glossary ABCD2 score Prognostic sco
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2 Commissioning of stroke services
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2.1.2 Implications needed by patien
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2.4 Commissioning rehabilitation se
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3 Organisation of stroke services 3
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symptoms who screen positive using
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● nursing staff specifically trai
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3.5.1 Recommendation 3.5.2 Source A
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3.8 Transfers of care - discharge f
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B Clinicians in all settings should
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E have protocols to guide the use o
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Evidence to recommendations It is r
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evidence from randomised trials is
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4 Acute phase care 4.0 Introduction
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E All patients with residual neurol
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esources to respond to the need. Pr
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D People with an acute non-disablin
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D Consensus; quality marker eight o
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[K] Any person with acute ischaemic
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prevent rebleeding are urgent. CT s
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anticoagulants including direct thr
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Evidence to recommendations Studies
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● risk of developing skin pressur
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4.16 Positioning Impairment of moto
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section covers only the immediate,
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7 Long-term management 7.0 Introduc
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● where appropriate refer the per
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Page 156 and 157: ● ensure that all relevant inform
Page 158 and 159: C People with stroke should be offe
Page 160 and 161: ● avoiding the use of overhead ar
Page 162 and 163: Carers (informal, unpaid) (7.6.1) A
Page 164 and 165: ● any continuing specialist treat
Page 166 and 167: Lipid-lowering therapy (5.6.1) B Al
Page 168 and 169: Occupational therapy concise guide
Page 170 and 171: C Bilateral arm training involving
Page 172 and 173: ● be referred to a specialist in
Page 174 and 175: problems, such as using notebooks,
Page 176 and 177: Physiotherapy concise guide for str
Page 178 and 179: medically unstable, by an appropria
Page 180 and 181: numerical rating scale), the modifi
Page 182 and 183: Cognitive impairments - general (6.
Page 184 and 185: E Patients with suspected TIA who a
Page 186 and 187: Lipid-lowering therapy (5.6.1) A Al
Page 188 and 189: ● ask about and identify any abso
Page 190 and 191: formal review at least every 6 mont
Page 192 and 193: Depression and anxiety (6.35.1) A A
Page 194 and 195: Perception (6.42.1) A Any person wh
Page 196 and 197: days per week, at a level that enab
Page 198 and 199: language function should be assesse
Page 200: ● organising and supporting venue
Page 206 and 207: Appendix 2 Peer reviewers Commissio
Page 208 and 209: Dr Katerina Hilari City University
Page 210 and 211: QM7 Urgent response All patients wi
Page 212 and 213: References Abbott AL (2009) Medical
Page 214 and 215: Cirstea MC, Levin MF (2007) Improve
Page 216 and 217: Fung TT, Chiuve SE, McCullough ML,
Page 218 and 219: Koyuncu E, Nakipoglu YG, Dogan A, O
Page 220 and 221: Mitchell PH, Veith RC, Becker KJ, B
Page 222 and 223: Rothwell P, Eliasziw M, Gutnikov S,
Page 224: therapy for stroke inpatients. Clin
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