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Prevention and Management of Poststroke Complications

Huang, Josephine F. MD

doi: 10.1212/CON.0000000000000421
Review Articles

ABSTRACT: Purpose of Review: This article provides a synopsis of the immediate and delayed medical complications of stroke, with an emphasis on prevention and management of these complications.

Recent Findings: Meta-analysis of the trials for endovascular treatment of acute stroke shows no significant increase in hemorrhagic events. Rehabilitation guidelines published by the American Heart Association and American Stroke Association in 2016 aid in providing the best clinical practice for patients with stroke, from the time of their initial hospitalization to their return to the community.

Summary: Medical complications from stroke are common and are associated with poor clinical outcomes, increased length of hospital stays and higher rates of readmission, increased cost of care, delayed time to rehabilitation, and increased mortality. Being cognizant of the common complications encountered, taking appropriate measures to prevent them, and knowing how to manage them when they do occur are essential to the continued care of patients with stroke.

Address correspondence to Dr Josephine F. Huang, 4500 San Pablo Rd, Department of Neurology, Jacksonville, FL 32224, huang.josephine@mayo.edu.

Relationship Disclosure: Dr Huang reports no disclosure.

Unlabeled Use of Products/Investigational Use Disclosure: Dr Huang discusses the unlabeled/investigational use of tranexamic acid and ε-aminocaproic acid for intracranial hemorrhage.

© 2017 American Academy of Neurology
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