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Ischemic Stroke

"last update: 9 May 2024"  

- Introduction, purpose, scope and audience

INTRODUCTION

Weighted crude incidence rates (CIRs) of stroke in Egypt is 202/100,000. Based on recent statistics; stroke is the 3rd leading cause of mortality in Egypt.

Despite significant improvement of stroke care in Egypt over the last 5 years, there is a delay in pre-hospital and in-hospital management of acute stroke patients.

Nearly 30% of patients are potential candidates for endovascular therapy, while only 20% of eligible patients received rTPA (standard of care).

SCOPE AND PURPOSE

This guideline covers the management of ischemic stroke and transient ischemic attack (TIA) in adults (i.e., people aged over 16 years).

This edition includes updated evidence with literature searches completed up to September 2022 and with some major publications since that date also included.

This guideline is not intended to overrule regulations or standards concerning the provision of services and should be considered in conjunction with them. In considering and implementing this guideline, users are advised to also consult and follow all appropriate legislation, standards and good practice.

TARGET AUDIENCE

The guideline is intended for:

·  those providing care – neurology, intensive care, emergency medicine and internal medicine doctors, nursing staff dealing with stroke patients.

·  those commissioning, providing or sanctioning stroke services;

anyone seeking to improve the care of people with stroke.