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21. Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack Full Text available with Trip Pro

cholesterol; LMWH, low-molecular-weight heparin; LV, left ventricular; LVAD, left ventricular assist device; MI, myocardial infarction; PFO, patent foramen ovale; SAMMPRIS, Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis; STEMI, ST-elevation myocardial infarction; TIA, transient ischemic attack; UFH, unfractionated heparin; and VKA, vitamin K antagonist. * Includes recommendations for which the class was changed from one whole number to another (...) on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Peripheral Vascular Disease Originally published 1 May 2014 Stroke. 2014;45:2160–2236 You are viewing the most recent version of this article. Previous versions: Abstract The aim of this updated guideline is to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack. The guideline is addressed to all clinicians who manage

2014 American Heart Association

22. Canadian stroke best practice recommendations: secondary prevention of stroke, sixth edition practice guidelines

: Initial risk stratification and management of nondisabling stroke or TIA The goal of outpatient management of transient ische- mic attack and nondisabling ischemic stroke is to rap- idly identify cardiovascular risk factors, which may have precipitated the initial event, and to initiate treat- ments to reduce the risk of recurrent events. Historically, the 90-day risk of recurrent stroke follow- ing an index transient ischemic attack has been esti- mated to be relatively high, between 12% and 20 (...) , and should be seen by a neurologist or stroke specialist for evaluation, ideally within one month of symptom onset [Evidence Level C]. Refer to Section 1.2 for more information on investigations. 1.2 Diagnostic investigations 1.2.1 Initial assessment i. Patients presenting with suspected acute or recent transient ischemic attack or non-disabling ischemic stroke should undergo an initial assessment that includes brain imaging, noninvasive vascular imaging (including carotid imaging), 12-lead ECG

2018 CPG Infobase

23. Home-Based Cardiac Rehabilitation: Scientific Statement

Home-Based Cardiac Rehabilitation: Scientific Statement AACVPR/AHA/ACC SCIENTIFIC STATEMENT Home-Based Cardiac Rehabilitation A Scienti?c Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology Randal J. Thomas, MD, MS, MAACVPR, FAHA, FACC, Chair Alexis L. Beatty, MD, MAS, MAACVPR, FACC Theresa M. Beckie, PHD, MSN, FAHA LaPrincess C. Brewer, MD, MPH, FACC Todd M. Brown, MD, FAACVPR, FACC (...) of Cardiovascular and Pulmonary Rehabilitation Document Oversight Committee in July 2018; and the American College of Cardiology Clinical Policy Approval Committee in August 2018. A Data Supplement is available with this article at TheAmericanCollegeofCardiologyFoundationrequeststhatthisdocumentbecitedasfollows:ThomasRJ,BeattyAL,BeckieTM,BrewerLC,Brown TM, Forman DE, Franklin BA, Keteyian SJ, Kitzman DW, Regensteiner JG

2019 American College of Cardiology

24. Myocardial infarction: cardiac rehabilitation and prevention of further MI

Myocardial infarction: cardiac rehabilitation and prevention of further MI My Myocardial infarction: cardiac ocardial infarction: cardiac rehabilitation and pre rehabilitation and prev vention of further ention of further cardio cardiovascular disease vascular disease Clinical guideline Published: 13 November 2013 © NICE 2018. All rights reserved. Subject to Notice of rights ( rights).Y Y our responsibility our (...) % in 2011/12, with similar falls for NSTEMI. The NICE guideline on the secondary prevention of MI (NICE clinical guideline 48) was published in 2007, offering comprehensive advice to prevent further MI and progression of vascular disease in those who had already had an MI, either recently or in the past (more than 12 months ago). Since Myocardial infarction: cardiac rehabilitation and prevention of further cardiovascular disease (CG172) © NICE 2018. All rights reserved. Subject to Notice of rights

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

25. Prosthetic and Amputee Rehabilitation - Standards and Guidelines (3rd Edition)

the population demographics and geographical areas covered by each PARC, in addition to the noticeable variation of activities in different vascular units. All those with major limb amputations should be referred to a PARC to be seen by a Consultant in Rehabilitation Medicine, regardless of their potential to use a prosthetic limb. Those who adopt a more aggressive approach to limb salvage would have fewer amputations. Similarly, some Centres perform a higher proportion of below knee amputations 6 compared (...) 55 years. 53% of all upper limb referrals were transhumeral or transradial amputations. Partial hand and digit amputations account for 37% of all upper limb referrals. 3.11 Patients with multiple, more than two, amputations require significant resources for rehabilitation and reintegration. The aetiology for multiple amputations is usually vascular (with or without diabetes) but could also occur in the younger patient due to infection (eg meningitis and other causes of septicaemia) and trauma

2018 British Society of Rehabilitation Medicine

26. COPD Disease Education in Pulmonary Rehabilitation: A Workshop Report

professionals in their roles as educators. By necessity, the workshop conclusions are painted in broad strokes. However, with ongoing interest in improving quality through individualized patient assessment, educational design innovations, and scienti?c scrutiny comparable to that given to exercise training, the educational component of PR may achieve effective self-management, leading to successful behavior change and enhancement in health. Keywords: pulmonary rehabilitation; education; COPD; workshop (...) COPD Disease Education in Pulmonary Rehabilitation: A Workshop Report WORKSHOPREPORT Chronic Obstructive Pulmonary Disease Education in Pulmonary Rehabilitation An Of?cial American Thoracic Society/Thoracic Society of Australia and New Zealand/Canadian Thoracic Society/British Thoracic Society Workshop Report Felicity C. Blackstock, Suzanne C. Lareau, Linda Nici, Richard ZuWallack, Jean Bourbeau, Maria Buckley, StevenJ.Durning,TanjaW.Ef?ng,EllenEgbert,RogerS.Goldstein,William Kelly,AnnemarieLee

2018 American Thoracic Society

27. Specialist neuro-rehabilitation services

to the community. In doing so they help reduce the burden on acute and front line services and indeed are a critical component of the acute care pathway, without which networks for trauma, stroke, neurosciences etc will inevitably fail and patient outcomes will be compromised. Evidence There is now a substantial body of trial-based evidence and other research to support both the effectiveness and cost-effectiveness of specialist rehabilitation (1-6) . Despite their longer length of stay, the cost of providing (...) (including stroke units), intermediate care or community services. 2. Local (district) specialist rehabilitation services (Level 2) are typically planned over a district-level population of 350-500K, and are led or supported by a consultant trained and accredited in Rehabilitation medicine (RM), working both in hospital and the community setting. The specialist multidisciplinary rehabilitation team provides advice and support for local general rehabilitation teams. 3. Tertiary ‘specialised

2015 British Society of Rehabilitation Medicine

28. Medical Director Responsibilities for Outpatient Cardiac Rehabilitation/Secondary Prevention Programs: 2012 Update Full Text available with Trip Pro

, Schulman KA, Whellan DF . Relationship between cardiac rehabilitation and long-term risks of death and myocardial infarction among elderly Medicare beneficiaries . Circulation . 2010 ; 121 :63–70. Smith SC, Allen J, Blair SN , et al. . AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update . Circulation . 2006 ; 113 :2363–2372. Mosca L, Benjamin EM, Berra K , et al. . Effectiveness-based guidelines for the prevention (...) . Centers for Disease Control and Prevention. Receipt of outpatient cardiac rehabilitation among heart attack survivors—United States, 2005 . MMWR Morb Mortal Wkly Rep . 2008 ; 57 :89–94. Witt BJ, Jacobsen SJ, Weston SA , et al. . Cardiac rehabilitation after myocardial infarction in the community . J Am Coll Cardiol . 2004 ; 44 :988–996. Gravely-Witte S, Leung YW, Nariani R , et al. . Effects of cardiac rehabilitation referral strategies on referral and enrollment rates . Nat Rev Cardiol . 2010 ; 7 :87

2012 American Heart Association

29. Increasing Referral and Participation Rates to Outpatient Cardiac Rehabilitation: The Valuable Role of Healthcare Professionals in the Inpatient and Home Health Settings Full Text available with Trip Pro

) . Circulation . 2010 ; 122 : 1342– 1350. Suaya JA, Shepard DS, Normand SL, Ades PA, Prottas J, Stason WB . Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery . Circulation . 2007 ; 116 : 1653– 1662. Squires RW . Are cardiac rehabilitation programs underutilized by patients with coronary heart disease? Nat Clin Pract Cardiovasc Med . 2008 ; 5 : 192– 193. Cortes O, Arthur HM . Determinants of referral to cardiac rehabilitation programs in patients (...) ; 68 : 1098– 1101. Smith BA, Fields CJ, Fernandez N . Physical therapists make accurate and appropriate discharge recommendations for patients who are acutely ill . Phys Ther . 2010 ; 90 : 693– 703. Mazzini MJ, Stevens GR, Whalen D, Ozonoff A, Balady GJ . Effect of an American Heart Association Get With the Guidelines program-based clinical pathway on referral and enrollment into cardiac rehabilitation after acute myocardial infarction . Am J Cardiol . 2008 ; 101 : 1084– 1087. American Association

2012 American Heart Association

30. The Management of Upper Extremity Amputation Rehabilitation (UEAR)

limb amputations within DoD and VA. Extremity injuries occur from military combat (e.g., blast, shrapnel, and gunshot), motor vehicle accidents, and other training and industrial accidents. While improvements in immediate trauma care, advanced reconstructive surgical techniques, and rehabilitation have reduced the need for some amputations, Veterans and Service Members continue to be at significant risk for amputation. Of the total amputation population cared for within DoD advanced rehabilitation (...) The Management of Upper Extremity Amputation Rehabilitation (UEAR) VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF UPPER EXTREMITY AMPUTATION REHABILITATION Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define

2014 VA/DoD Clinical Practice Guidelines

31. 2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures

heart attack survivors - 20 states and the District of Columbia, 2013 and four states, 2015. MMWR Morb Mortal Wkly Rep . 2017 ; 66 :869–73. Suaya JA, Shepard DS, Normand SL, et al. . Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation . 2007 ; 116 :1653–62. Witt BJ, Jacobsen SJ, Weston SA, et al. . Cardiac rehabilitation after myocardial infarction in the community. J Am Coll Cardiol . 2004 ; 44 :988–96. Aragam KG, Dai D, Neely (...) With ST-Elevation Myocardial Infarction 4. 2013 ACCF/AHA Guideline for the Management of Heart Failure 5. 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk 6. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease 7. Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women—2011 Update: a guideline from the American Heart Association 8. AHA/ACCF Secondary Prevention and Risk Reduction

2018 American Heart Association

32. Rehabilitation of Lower Limb Amputation

of arteriosclerosis and diabetes, patients with these conditions are at high risk for further complications to their amputated residual limb and/or amputation of the contralateral limb. In addition, they are at higher risk for other health problems such as cardiovascular disease, cerebrovascular accident, renal disease, peripheral neuropathy, etc. While this guideline focuses on rehabilitation of patients with LLA, preservation of the residual and contralateral limb, as well as the patients’ general health (...) Rehabilitation of Lower Limb Amputation VA/DoD CLINICAL PRACTICE GUIDELINE FOR REHABILITATION OF INDIVIDUALS WITH LOWER LIMB AMPUTATION Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should

2017 VA/DoD Clinical Practice Guidelines

33. Aphasia rehabilitation best practice statements

the communicative environment, enhancing personal factors, planning for transition). The National Stroke Foundation Clinical Guidelines for Stroke Management (National Stroke Foundation, 2010) formed the basis of the statements and the CCRE in Aphasia Rehabilitation conducted further literature searches and synthesis to update and add to the NSF guidelines. The CCRE Community of Practice (COP) provided feedback on the statements through face to face and online consultations and finally, the statements were (...) notes). NHMRC levels of evidence were chosen as the 5 Aphasia Rehabilitation Best Practice Statements 2014 ComprehensivesupplementtotheAustralianAphasiaRehabilitationPathway NHMRC is the major funding body of the CCRE in Aphasia Rehabilitation and the levels align with the Australian Clinical Guidelines for Stroke Management (NSF, 2010). As the NHMRC levels of evidence do not include a level for every type of study design the following decisions have been made: ? Where the highest available evidence

2014 Clinical Practice Guidelines Portal

34. BSRM Standards for Rehabilitation Services Mapped on to the National Service Framework for Long-Term Conditions

whose needs are beyond the scope of their local rehabilitation services S5 Current BSRM recommendations for specialist rehabilitation service provision are: • A minimum of 60 beds per million population for specialist in-patient rehabilitation medicine. (This figure assumes other services are locally available for stroke rehabilitation and for rehabilitation of older people) o The minimum size of an inpatient specialist rehabilitation unit should normally be around 20 beds to achieve critical mass o (...) and their associated out-reach activities o 2.4 WTE for specialist community rehabilitation services (These figures assume additional contributions from other specialties to support local rehabilitation in the context of Stroke Medicine and Care of the Elderly settings) • No RM consultant should work single-handedly S7 Rehabilitation should be carried out by a co-ordinated inter-disciplinary team(s), including: • All the relevant clinical disciplines: doctors and nurses trained in rehabilitation, skilled

2009 British Society of Rehabilitation Medicine

35. Brain injury rehabilitation in adults

. ” This definition permits the inclusion of open or closed traumatic head injuries, and non-traumatic causes, such as vascular incidents (eg stroke), infection (eg meningitis), hypoxic injuries (eg cardiorespiratory arrest), or toxic or metabolic insult (eg hypoglycaemia). Although stroke is included in this definition of ABI, specific guidance on stroke rehabilitation can be found in SIGN 118. 5 Where available, evidence from non-stroke ABI populations has been used in this guideline. In some sections, however (...) rehabilitation of adults in the post-acute period. Other SIGN guidelines will also assist practitioners in this area, eg SIGN 107, Diagnosis and management of headache in adults; 4 SIGN 118, Management of patients with stroke: rehabilitation, prevention and management of complications and discharge planning; 5 and SIGN 119, Management of patients with stroke: identification and management of dysphagia. 6 In some people with brain injuries there may be complications that impact on rehabilitation such as pre

2013 SIGN

36. Cardiac rehabilitation

patients in CR (p=0.022). Both CR groups had fewer clinical events (all-cause mortality, MI, revascularisation, stroke/transient ischemic attack, and unstable angina requiring hospitalisation) than the matched no CR comparison group (47%, hazard ratio (HR) 0.44, 95% CI, 0.27 to 0.71, p 12 months follow up) RCTs to measure the efficacy of internet-based weight-loss interventions y studies looking at the effect of poor cognition and memory impairment on CR adherence and participation y the efficacy (...) of cardiac disease, yet a significant proportion of patients will have multiple health conditions. Cardiac rehabilitation teams are dealing with patients with cardiac disease and a wide range of comorbidities, with 30% of patients having diabetes, almost 20% having pulmonary disease, 18% having arthritis, 10% having chronic back pain, and 9% having cancer. 13 In recent years rehabilitation programmes for patients with stroke, chronic obstructive pulmonary disease, pain, and cancer have followed the model

2017 SIGN

37. Rehabilitation in the wake of covid-19 - A phoenix from the ashes

stress disorder. • Post intensive care syndrome, including ICU acquired weakness due to critical illness polyneuropathy/myopathy/both. • Other neurological consequences of the virus and critical care, such as encephalopathy, cerebrovascular events and cerebral hypoxia. • Acute confusional state, at least in the early stages of rehabilitation. • Fatigue. • Cognitive impairment. • Thromboembolic disease: o Myocardial infarction o Stroke o Pulmonary embolism • Musculoskeletal pain and discomfort (...) injury ? Progressive disease Non-neurological ? Complex MSK ? Limb- loss ? Functional ? Other: ? Vascular (stroke) ? Trauma ? Inflammatory ? Anoxic ? Toxic ? Degenerative ? Tumour ? Other: Tertiary ? Major Trauma ? Stroke Unit ? Neurosciences Secondary: ? Acute DGH ? Other Rehab unit Primary care ? Community/home ? Other: ? Assessment only ? Active rehabilitation ? Disability management ? PDOC programme ? Rapid triage and discharge planning ? Other: Rehab Complexity Score (RCS-E v14 – non trauma

2020 British Society of Rehabilitation Medicine

38. Clinical Guidelines for Stroke Management

of stroke care, across 8 chapters: Imaging Cardiac investigations Thrombolysis Neurointervention Medical interventions Surgical interventions Smoking Diet Physical activity Obesity Alcohol Weakness Loss of sensation Vision Amount of rehabilitation Cardiorespiratory fitness Sitting Standing up Standing balance Walking Upper limb activity Assessment of communication deficits Aphasia Dysarthria Apraxia of speech Cognitive communication disorder in right hemisphere stroke Assessment of cognition Executive (...) Clinical Guidelines for Stroke Management InformMe - Clinical Guidelines for Stroke Management Our websites {{ user.firstName }} {{ user.lastName }} Go back {{ user.firstName }} {{ user.lastName }} Where am I? Clinical Guidelines for Stroke Management The Clinical Guidelines for Stroke Management are evolving into , updated as new evidence emerges in accordance with the 2011 NHMRC Standard for clinical practice guidelines. They supersede the Clinical Guidelines for Stroke Management 2017

2019 Stroke Foundation - Australia

39. Society of Interventional Radiology Training Guidelines for Endovascular Stroke Treatment Full Text available with Trip Pro

used for assessment of large-vessel occlusion and/or parenchymal infarction and ischemia. Since 2009, multiple randomized trials and meta-analyses have confirmed the safety and effectiveness of intraarterial catheter-directed treatment of acute ischemic stroke with the use of current-generation mechanical thrombectomy devices for emergent large-vessel occlusion stroke ( x 4 Berkhemer, O.A., Fransen, P.S., Beumer, D , and MR CLEAN Investigators. A randomized trial of intraarterial treatment (...) mimics and psychiatric disorders. 5. Ability to evaluate imaging criteria for appropriate patient selection for acute stroke treatment. 6. Ability to differentiate acute ischemic lesions as compared with chronic lesions and/or tumors, etc. 7. Ability to recognize etiology of transient ischemic attack and acute stroke, including stenosis and embolus. 8. Knowledge of cerebrovascular hemodynamics as it relates to perfusion imaging and clinical presentation. 9. Knowledge of pharmacologic agents used

2019 Society of Interventional Radiology

40. The Diagnosis and Acute Management of Childhood Stroke, Clinical Guideline

of arteriopathy (in addition to previous transient ischaemic attack, bilateral infarction, prior diagnosis and leucocytosis) has been independently associated with the incidence of clinically overt or silent re-infarction (82). Moyamoya disease is an occlusive cerebrovascular disorder characterised by the angiographic appearance of an abnormal vascular network at the base of the brain. Moyamoya accounts for a significant percentage of arteriopathies in children, and is more commonly found in Asian populations (...) of 70 consecutive children with arterial ischaemic stroke had varicella infection in the preceding year compared with 9% published rates of varicella in the healthy population (45). A more recent case series from the United Kingdom used anonymized electronic health records from four primary care databases to identify individuals who had documented clinical chickenpox and stroke or transient ischemic attack (TIA). Five hundred and sixty eligible participants (including 60 children) were identifi ed

2017 Stroke Foundation - Australia


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