Journal article
National stroke association guidelines for the management of transient ischemic attacks
Annals of neurology, Vol.60(3), pp.301-313
2006
DOI: 10.1002/ana.20942
PMID: 16912978
Abstract
Objective: Transient ischemic attacks are common and important harbingers of subsequent stroke. Management varies widely, and most published guidelines have not been updated in several years. We sought to create comprehensive, unbiased, evidence‐based guidelines for the management of patients with transient ischemic attacks. Methods: Fifteen expert panelists were selected based on objective criteria, using publication metrics that predicted nomination by practitioners in the field. Prior published guidelines were identified through systematic review, and recommendations derived from them were rated independently for quality by the experts. Highest quality recommendations were selected and subsequently edited by the panelists using a modified Delphi approach with multiple iterations of questionnaires to reach consensus on new changes. Experts were provided systematic reviews of recent clinical studies and were asked to justify wording changes based on new evidence and to rate the final recommendations based on level of evidence and quality. No expert was allowed to contribute to recommendations on a topic for which there could be any perception of a conflict of interest. Results: Of 257 guidelines documents identified by systematic review, 13 documents containing 137 recommendations met all entry criteria. Six iterations of questionnaires were required to reach consensus on wording of 53 final recommendations. Final recommendations covered initial management, evaluation, medical treatment, surgical treatment, and risk factor management. Interpretation: The final recommendations on the care of patients with transient ischemic attacks emphasize the importance of urgent evaluation and treatment. The novel approach used to develop these guidelines is feasible, allows for rapid updating, and may reduce bias. Ann Neurol 2006
Details
- Title: Subtitle
- National stroke association guidelines for the management of transient ischemic attacks
- Creators
- S Claiborne Johnston - Department of Neurology, University of California, San Francisco, CA, United StatesMai N NGUYEN-HUYNH - Department of Neurology, University of California, San Francisco, CA, United StatesRobert D BROWN - Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN, United StatesRalph L SACCO - Departments of Neurology and Epidemiology, Neurological Institute, Columbia University College of Physicians and Surgeons, New York, NY, United StatesL Jaap Kappelle - Department of Neurology and Neurosurgery, Rudolf Magnus Institute, University Medical Center, Utrecht, NetherlandsPeter J KOUDSTAAL - Department of Neurology, Erasmus Medical Center, Rotterdam, NetherlandsJulien BOGOUSSLAVSKY - Department of Neurology; Centre Hospitalier Universitaire Vaudois, Lausanne, SwitzerlandLouis R CAPLAN - Department of Neurology, Beth Is rael Deaconess Medical Center, Boston, MA, United StatesJan VAN GIJN - Department of Neurology and Neurosurgery, Rudolf Magnus Institute, University Medical Center, Utrecht, NetherlandsAle ALGRA - Department of Neu rology and Neurosurgery, Rudolf Magnus Institute and the Julius Center for Health and Primary Care, University Medical Center, Utrecht, NetherlandsPeter M ROTHWELL - Department of Clinical Neurology, Radcliffe Infirmary, Oxford, United KingdomHarold P ADAMS - Division of Cere brovascular Diseases, Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, United StatesMiriam E SCHWARZ - Department of Neurology, University of California, San Francisco, CA, United StatesGregory W ALBERS - Department of Neurology and Neurological Sciences, Stanford Stroke Center, Palo Alto, CA, United StatesKate FULLER - Department of Neurology, University of California, San Francisco, CA, United StatesChristina E WILLIAMS - Department of Neurology, University of California, San Francisco, CA, United StatesS. Andrew JOSEPHSON - Department of Neurology, University of California, San Francisco, CA, United StatesGraeme J HANKEY - Department of Neurology, Royal Perth Hospital, Perth, AustraliaRobert G HART - Department of Medicine, Division of Neurology, University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesSteven R LEVINE - Stroke Center, Department of Neurology, Mount Sinai School of Medicine, New York, NY, United StatesJose BILLER - Departmeiit of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, IL, United States
- Resource Type
- Journal article
- Publication Details
- Annals of neurology, Vol.60(3), pp.301-313
- DOI
- 10.1002/ana.20942
- PMID
- 16912978
- NLM abbreviation
- Ann Neurol
- ISSN
- 0364-5134
- eISSN
- 1531-8249
- Publisher
- Willey-Liss; Hoboken
- Language
- English
- Date published
- 2006
- Academic Unit
- Neurology; Iowa Neuroscience Institute
- Record Identifier
- 9984020851702771
Metrics
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