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March 2015, № 3 (178)



Ershov V.I., Leontev A.Yu., Bobylev V.V., Safronova A.I. ON EFFICIENCY OF ALGORITHM OF PATIENTS WITH ACUTE ISCHEMIC STROKEIschemic stroke does not lose its relevance, which is associated with high morbidity and mortality. Despite the fact that in recent times due to serious organizational efforts to identify some positive trends, the situation remains extremely tense. Especially severe acute ischemic stroke which lasts up to 7 days. In addition, different strokes for localization, severity, dynamics of the pathological process, as well as the presence of concomitant pathology and background. All these aspects influence the course and outcome of disease. It was developed a special algorithm for the management of patients with ischemic stroke. To check the efficiency of the algorithm were taken two groups of patients: a group of algorithm and control group. The patient groups were matched by initial stroke severity, localization, pathogenic subtypes, as well as age and sex of patients. Thus, in the group of patients in the management of which the algorithm used, take into account the average severity on admission. That in turn led to a reduction of the patient to find the resuscitation bed. Results of the study proved the effectiveness of the algorithm for decision support in the management of patients with ischemic stroke in the acute phase of the disease in terms of moving the patient within a stroke unit. The algorithm can be recommended for use in the treatment of patients with this nosology. We note that for the period of study of the effectiveness of the algorithm hospitalized stroke patients through intensive care structure increased from 91 to 98 %.Key words: ischemic stoke, acute period, prognosis.

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About this article

Authors: Ershov V.I., Safronova A.I.

Year: 2015


Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

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