Clinical event adjudication: Stroke: Difference between revisions

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(New page: '''Editors-in-Chief:''' C. Michael Gibson, M.S., M.D. [mailto:mgibson@perfuse.org] {{SI}} __NOTOC__ This chapter presents definitions used in the Clinical Event Committee adjudicati...)
 
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This chapter presents definitions used in the Clinical Event Committee adjudication processes. These definitions are current as of 3/26/10.
This chapter presents definitions used in the Clinical Event Committee adjudication processes. These definitions are current as of 3/26/10.


=Stroke=
'''Stroke''' is an acute symptomatic episode of neurological dysfunction attributed to a vascular cause.
'''Stroke''' is an acute symptomatic episode of neurological dysfunction attributed to a vascular cause.



Revision as of 14:15, 7 April 2010

Editors-in-Chief: C. Michael Gibson, M.S., M.D. [1]

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This chapter presents definitions used in the Clinical Event Committee adjudication processes. These definitions are current as of 3/26/10.

Stroke

Stroke is an acute symptomatic episode of neurological dysfunction attributed to a vascular cause.

Classification

A. Ischemic Stroke
Ischemic stroke is defined as an acute symptomatic episode of focal cerebral, spinal, or retinal dysfunction caused by an infarction of central nervous system tissue.
B. Hemorrhagic Stroke
Hemorrhagic stroke is defined as an acute symptomatic episode of focal or global cerebral or spinal dysfunction caused by a nontraumatic intraparenchymal, intraventricular, or subarachnoid hemorrhage.
C. Undetermined Stroke
Undetermined stroke is defined as a stroke with insufficient information to allow categorization as A or B.

Stroke Disability

Stroke disability should be measured by a reliable and valid scale in all cases. For example, the modified Rankin Scale may be used to address this requirement:

Scale Disability
0 No symptoms at all
1 No significant disability despite symptoms; able to carry out all usual duties and activities
2 Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance
3 Moderate disability; requiring some help, but able to walk without assistance
4 Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance
5 Severe disability; bedridden, incontinent and requiring constant nursing care and attention
6 Dead