What is included in standard of care following middle cerebral artery (MCA) stroke?

Updated: Feb 20, 2018
  • Author: Daniel I Slater, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

Patients should be directed to medical centers designated and accredited for the interdisciplinary care of stroke patients. Improved outcome in terms of mortality, length of stay, return to home, patient function, and cost of care have all been shown to be superior in care centers consistent in American Heart Association guideline–based practices. [4] These centers must track and document consistent interdisciplinary practices in the care of stroke patients that are shown to improve outcomes. This care includes but is not exclusive to the following:

  • Appropriate and expedient use of thrombolytic therapy*

  • Dysphagia screening

  • Venous thromboembolism prophylaxis

  • Discharged on antithrombotic therapy*

  • Anticoagulation therapy for atrial fibrillation/flutter*

  • Discharged on statin medication*

  • Discharged on antihypertensive medication or documentation stating why contraindicated

  • Stroke education

  • Smoking cessation education

  • Assessed for rehabilitation

*Denotes care for ischemic but not hemorrhagic stroke.


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