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Ischemic Stroke

"last update: 9 May 2024"  

- Clinical indicators for monitoring

(I)    ACUTE CARE OF ISCHEMIC STROKE & TIA

1. Emergency CT brain imaging for patients with suspected acute stroke, including the 24/7 provision of CT brain / MRI brain imaging for follow up.

2. Treatment with thrombolysis for eligible patients with acute ischaemic stroke or emergency transfere for stroke ready hospital as soon as possible.

3. Direct admission of patients with acute stroke to a hyperacute stroke unit providing active management of physiological status and homeostasis within 4 hours of arrival at hospital.

(II)  LONG-TERM MANAGEMENT AND SECONDARY PREVENTION

1. Identify and treat patient modifiable vascular risk factors e.g. DM, IHD, HTN, AF, CAS according to patient discharge summary.

2. Provide all patient with stroke or TIA with detailed plan for treatments and follow up tailored to their risk profile.