Inpatient Management of Acute Stroke of Unknown Type in Resource-Limited Settings. Issue 3 (20th January 2022)

• Record Type: Journal Article
• Authors: Prust, Morgan L.; Saylor, Deanna; Zimba, Stanley; Sarfo, Fred Stephen; Shrestha, Gentle S.; Berkowitz, Aaron; Vora, Nirali
• Is Part Of: Stroke. Volume 53:Issue 3(2022)
• Page Start: e108
• Page End: e117
• Publication Date: 2022-01-20
• Subjects: blood pressure -- cause of death -- clinical decision-making -- inpatient -- neuroimaging; Cerebrovascular disease -- Periodicals; Cerebral circulation -- Periodicals; 616.81
• DOI: 10.1161/STROKEAHA.121.037297
• Languages: English
• ISSNs: 0039-2499

Abstract

Abstract : Stroke is the second leading cause of death and disability worldwide, with a disproportionate burden on low- and middle-income countries. Critical elements of guideline-based stroke care developed in high-income countries are not applicable to resource-limited settings, where lack of access to neuroimaging prevents clinicians from distinguishing between ischemic stroke and intracranial hemorrhage, requiring challenging clinical decision-making, particularly in the acute setting. We discuss strategies for acute inpatient management of stroke of unknown type with a focus on blood pressure management and antiplatelet therapy when neuroimaging is unavailable, and review some of the challenges and strategies for successfully implementing stroke unit care in resource-limited health care settings.