Beyond Conventional Stroke Guidelines: Setting Priorities

878 Words4 Pages
Norving, B., (2007). Beyond Conventional Stroke Guidelines: Setting Priorities. Stroke. 28: 2185-2190. DOI: 10.1161/STROKEAHA,106.481457 Background- Strokes are one of the top five leading causes of death globally, and one of the major causes of serious and long-term disability. Because of the individuality of the issue, and the manner in which so many react different when having a stroke, the carative priorities are more than not intuitive. This article suggests that rather than intuition based on past knowledge, a standard priority-setting procedure would benefit all stakeholders. Methodology- Coordinating with Sweden's National Board of Health and Welfare, researchers collected literature on initial care for potential stroke victims, then collected data from various hospitals focusing on four items: 1) the severity of the stroke or complications; 2) the effect of the medical action; 3) strength of scientific evidence for that action; 4) cost-effectiveness as cost-per-year/cost-per-patient. Findings- Overall, of 102 core procedures identified, 28 were placed in the not effective list and 16 to the research and development list. Other diagnostic and aggressive methods were ranked for efficacy within a clinical setting specifically based on a positive outcome for patients. Conclusions- The authors were surprised at the divergence of diagnostic procedures and interventions for stroke victims; as well as those procedures that have a low-priority or should not
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