Thousands of lives saved if stroke action is swift
Suspected stroke patients must be seen as soon as possible, experts say
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Wednesday, 23, Jul 2008 12:01
Thousands of lives could be saved if all people suspected of having a stroke were admitted as quickly as possible to an acute stroke unit, experts said today.
The claim comes as the Royal College of Physicians (RCP) and the National Institute for Health and Clinical Excellence (Nice) launch the latest guidelines on how medical professionals should treat stroke, the UK's third biggest killer.
At present just one in five suspected stroke patients is admitted directly to an acute stroke unit but the guidelines say all should be admitted to such a unit within 24 hours.
They should then be assessed to see if they are eligible for thrombolysis (clot-busting drugs). It is estimated that about 4,500 people could be prevented from being disabled through stroke if they were given these drugs.
The RCP and Nice say all hospitals receiving acute medical admissions that include patients with stroke should have a specialist acute stoke unit.
They recommend that these units should have immediate access to medical staff specifically trained to treat stroke patients and deliver thrombolysis; nursing staff specifically trained to manage acute stroke; imaging and laboratory services; and rehabilitation specialist staff.
The Department of Health is undertaking a full review of stroke services to reorganise and improve stroke care and Dr Tony Judd, chair of the Nice guideline development group, said the latest recommendations require "a radical restructuring of health services".
"Instead of waiting weeks to be assessed after a transient ischaemic attack, by which time many people will already have had their stroke, the expectation should now be that patients who are at high risk are seen and treated within 24 hours," he added.
"All people who are involved with treating stroke and the general public, who are at risk of having a stroke, need to know what is in these guidelines so that fewer people in the UK have their lives devastated by this awful disease."
Commenting on the recommendations, Joe Korner, director of communications at the Stroke Association, said: "These guidelines show exactly what treatment and care everyone should get if they have a stroke.
"Too often in the past, vital stroke guidelines such as these have been put on a shelf and ignored, causing unnecessary deaths, disability and loss of independence for many thousands of people.
"But stroke is now a top priority in the health service across the UK and the guidelines will underpin the step change in stroke services that we all want to see. They need to be acted upon by health managers and commissioners throughout the country, as well as by health professionals."