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Recognition of Strokes in the ICU: A Narrative Review

Despite the remarkable progress in acute treatment for stroke, in-hospital stroke is still devastating. The mortality and neurological sequelae are worse in patients with in-hospital stroke than in those with community-onset stroke. The leading cause of this tragic situation is the delay in emergent...

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Detalles Bibliográficos
Autores principales: Noda, Kotaro, Koga, Masatoshi, Toyoda, Kazunori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145112/
https://www.ncbi.nlm.nih.gov/pubmed/37103061
http://dx.doi.org/10.3390/jcdd10040182
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author Noda, Kotaro
Koga, Masatoshi
Toyoda, Kazunori
author_facet Noda, Kotaro
Koga, Masatoshi
Toyoda, Kazunori
author_sort Noda, Kotaro
collection PubMed
description Despite the remarkable progress in acute treatment for stroke, in-hospital stroke is still devastating. The mortality and neurological sequelae are worse in patients with in-hospital stroke than in those with community-onset stroke. The leading cause of this tragic situation is the delay in emergent treatment. To achieve better outcomes, early stroke recognition and immediate treatment are crucial. In general, in-hospital stroke is initially witnessed by non-neurologists, but it is sometimes challenging for non-neurologists to diagnose a patient’s state as a stroke and respond quickly. Therefore, understanding the risk and characteristics of in-hospital stroke would be helpful for early recognition. First, we need to know “the epicenter of in-hospital stroke”. Critically ill patients and patients who undergo surgery or procedures are admitted to the intensive care unit, and they are potentially at high risk for stroke. Moreover, since they are often sedated and intubated, evaluating their neurological status concisely is difficult. The limited evidence demonstrated that the intensive care unit is the most common place for in-hospital strokes. This paper presents a review of the literature and clarifies the causes and risks of stroke in the intensive care unit.
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spelling pubmed-101451122023-04-29 Recognition of Strokes in the ICU: A Narrative Review Noda, Kotaro Koga, Masatoshi Toyoda, Kazunori J Cardiovasc Dev Dis Review Despite the remarkable progress in acute treatment for stroke, in-hospital stroke is still devastating. The mortality and neurological sequelae are worse in patients with in-hospital stroke than in those with community-onset stroke. The leading cause of this tragic situation is the delay in emergent treatment. To achieve better outcomes, early stroke recognition and immediate treatment are crucial. In general, in-hospital stroke is initially witnessed by non-neurologists, but it is sometimes challenging for non-neurologists to diagnose a patient’s state as a stroke and respond quickly. Therefore, understanding the risk and characteristics of in-hospital stroke would be helpful for early recognition. First, we need to know “the epicenter of in-hospital stroke”. Critically ill patients and patients who undergo surgery or procedures are admitted to the intensive care unit, and they are potentially at high risk for stroke. Moreover, since they are often sedated and intubated, evaluating their neurological status concisely is difficult. The limited evidence demonstrated that the intensive care unit is the most common place for in-hospital strokes. This paper presents a review of the literature and clarifies the causes and risks of stroke in the intensive care unit. MDPI 2023-04-21 /pmc/articles/PMC10145112/ /pubmed/37103061 http://dx.doi.org/10.3390/jcdd10040182 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Noda, Kotaro
Koga, Masatoshi
Toyoda, Kazunori
Recognition of Strokes in the ICU: A Narrative Review
title Recognition of Strokes in the ICU: A Narrative Review
title_full Recognition of Strokes in the ICU: A Narrative Review
title_fullStr Recognition of Strokes in the ICU: A Narrative Review
title_full_unstemmed Recognition of Strokes in the ICU: A Narrative Review
title_short Recognition of Strokes in the ICU: A Narrative Review
title_sort recognition of strokes in the icu: a narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145112/
https://www.ncbi.nlm.nih.gov/pubmed/37103061
http://dx.doi.org/10.3390/jcdd10040182
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