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Notfallmedizin up2date 2023; 18(01): 9-16
DOI: 10.1055/a-1925-0975
DOI: 10.1055/a-1925-0975
SOP/Arbeitsablauf
SOP Schlaganfall
Der Schlaganfall ist ein lebensbedrohlicher neurologischer Notfall, der seinen Namen vom „schlagartigen“ Beginn ableitet, dabei aber zwei gegensätzlich zu behandelnde Entitäten umfasst: die häufigere Ischämie (85%) und die seltenere Hirnblutung (15%). Der wichtigste Faktor in der Versorgung, vor allem der Ischämie, ist die Zeit, die vom Erkennen der Symptome bis zur Einleitung einer zielgerichteten Therapie vergeht („Time is Brain“).
Publication History
Article published online:
13 March 2023
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Literatur
- 1 Feigin VL, Nguyen G, Cercy K. et al. Global, regional, and Country-specific Lifetime Risk of Stroke, 1990–2016. N Engl J Med 2018; 379: 2429-2437
- 2 Feigin VL, Stark BA, Johnson CO. et al. Global, regional, and national Burden of Stroke and its Risk Factors, 1990–2019: a systematic Analysis for the Global Burden of Disease Study 2019. Lancet Neurol 2021; 20: 795-820
- 3 Feigin VL, Nichols E, Alam T. et al. Global, regional, and national Burden of neurological Disorders, 1990–2016: a systematic Analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2019; 18: 459-480
- 4 Nadarajan V, Perry RJ, Johnson J. et al. Transient ischaemic Attacks: Mimics and Chameleons. Pract Neurol 2014; 14: 23-31
- 5 Duvekot MHC, Venema E, Rozeman AD. et al. Comparison of eight prehospital Stroke Scales to detect intracranial large-vessel Occlusion in suspected Stroke (PRESTO): a prospective observational Study. Lancet Neurol 2021; 20: 213-221
- 6 Pérez de la Ossa N, Abilleira S, Jovin TG. RACECAT Trial Investigators. et al. Effect of Direct Transportation to Thrombectomy-Capable Center vs Local Stroke Center on Neurological Outcomes in Patients With Suspected Large-Vessel Occlusion Stroke in Nonurban Areas: The RACECAT Randomized Clinical Trial. JAMA 2022; 327: 1782-1794
- 7 Gerschenfeld G, Muresan I-P, Blanc R. et al. Two Paradigms for Endovascular Thrombectomy After Intravenous Thrombolysis for Acute Ischemic Stroke. JAMA Neurol 2017; 74: 549-556
- 8 Romoli M, Paciaroni M, Tsivgoulis G. et al. Mothership versus Drip-and-Ship Model for Mechanical Thrombectomy in Acute Stroke: A Systematic Review and Meta-Analysis for Clinical and Radiological Outcomes. J Stroke 2020; 22: 317-323
- 9 Harbison J, Hossain O, Jenkinson D. et al. Diagnostic Accuracy of Stroke Referrals From Primary Care, Emergency Room Physicians, and Ambulance Staff Using the Face Arm Speech Test. Stroke 2003; 34: 71-76
- 10 Kothari RU, Pancioli A, Liu T. et al. Cincinnati Prehospital Stroke Scale: Reproducibility and Validity. Ann Emerg Med 1999; 33: 373-378
- 11 Aroor S, Singh R, Goldstein LB. BE-FAST (Balance, Eyes, Face, Arm, Speech, Time): Reducing the Proportion of Strokes Missed Using the FAST Mnemonic. Stroke 2017; 48: 479-481
- 12 Tsivgoulis G, Kargiotis O, De Marchis G. et al. Off-label Use of intravenous Thrombolysis for acute ischemic Stroke: a critical Appraisal of randomized and Real-World Evidence. Ther Adv Neurol Disord 2021; 14: 1756286421997368
- 13 Berge E, Whiteley W, Audebert H. et al. European Stroke Organisation (ESO) Guidelines on intravenous Thrombolysis for acute ischaemic Stroke. Eur Stroke J 2021; 6: I-LXII
- 14 Saver JL. Time Is Brain – Quantified. Stroke 2006; 37: 263-266
- 15 Meretoja A, Strbian D, Mustanoja S. et al. Reducing in-hospital Delay to 20 Minutes in Stroke Thrombolysis. Neurology 2012; 79: 306-313
- 16 Thomalla G, Boutitie F, Fiebach JB. et al. Stroke With Unknown Time of Symptom Onset. Stroke 2017; 48: 770-773
- 17 Demeestere J, Wouters A, Christensen S. et al. Review of Perfusion Imaging in Acute Ischemic Stroke. Stroke 2020; 51: 1017-1024
- 18 Meretoja A, Weir L, Ugalde M. et al. Helsinki Model cut Stroke Thrombolysis Delays to 25 Minutes in Melbourne in only 4 Months. Neurology 2013; 81: 1071-1076