Ischemic stroke: European comparison.
Keywords:
Stroke, Nursing, prognosis and risk factors, stroke code, therapeuticsAbstract
Background: Stroke is an acute neurological disorder caused by disturbances in cerebral circulation, either by ruptured blood vessels (hemorrhagic stroke) or by obstruction of blood flow (ischemic stroke), the latter being the most common. The most common symptoms include weakness on one side of the body, difficulty speaking, vision loss, severe headache, and dizziness.
Objective: To analyze the various guidelines for managing stroke codes in different European countries, including Spain, compare these action plans with the recommendations of the European Stroke Organization, and analyze the stroke codes of the Autonomous Communities of Spain.
Methods: A narrative review was carried out according to Prisma, 2020. To compile the information, databases, search engines and institutional websites such as PubMed, Google Scholar, the publishing house Elsevier, the official websites of the National Health System of each Autonomous Community of Spain, the official website of the European Stroke Organization, the official website of the National Clinical Guideline for Stroke for the United Kingdom and Ireland and the official website of the Italian Stroke Association were used.
Results: Twenty-three articles were evaluated that addressed stroke management in different European countries, including Spain and its 17 Autonomous Communities, and the characteristics of the Stroke Units and Teams present in Spain.
Conclusions: An analysis of stroke action plans in Spain, Italy, the United Kingdom, Ireland, and Portugal reveals similarities in the treatment of acute stroke, but also significant differences in aspects such as primary and secondary prevention, hospital transfer, and rehabilitation. In Spain, although clinical management is similar across Autonomous Communities, there are inequalities in the distribution and staffing of Stroke Units and Teams.
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