Narrative Review: Stroke

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Narrative Review

Narrative Review: Death

Narrative Review: Stroke

Narrative Review: Myocardial Infarction

Narrative Review: Acute Kidney Injury

Narrative Review: Bleeding

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]

Site Patient AE Complication Event date AE code
xxx xxx x mm/dd/YYYY xxx

Diagnosis

O Ischemic Stroke, O Hemorrhagic Stroke, O Undetermined Stroke, O TIA

  • MM/DD/YYYY at xx:xx on brain MRI : [Write the MRI findings]
  • MM/DD/YYYY at xx:xx on brain CT : [Write the CT findings]

Event

Addmission date: MM/DD/YYYY

Demographic: [age] year old [gender]

Site Reported Event Onset Date: MM/DD/YYYY

Event summary:

  • Symptoms and sign:
    • Subject presented with [sign and symptom] on MM/DD/YYYY.
    • Important characteristics of the chief complaint such as severity, site, and duration.
    • Other important symptoms related to the chief complaint.
  • Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
  • Past Surgical History: [including date]
  • Medications: [relevant to the event not all]
  • Physical assessment:
    • Vital signs
    • Positive physical examinations or related negative examinations.

Event (2): [If there is more than 1 event]

Stroke/TIA definitions

Stroke:

Duration of a focal or global neurological deficit 24 h OR <24 h if available neuroimaging procedure (CT scan or brain MRI) documents a new intracranial or subarachnoid hemorrhage (hemorrhagic stroke) or central nervous system infarction (ischemic stroke) OR the neurological deficit results in death. Or there is confirmation of a stroke diagnosis by a neurologist or neurosurgical specialist.

Ischemic:

An acute episode of focal cerebral, spinal, or retinal dysfunction caused by infarction of the central nervous system tissue.

Hemorrhagic:

An acute episode of focal or global cerebral or spinal dysfunction caused by intraparenchymal, intraventricular, or subarachnoid hemorrhage.

Undetermined:

If there is insufficient information to allow categorization as ischemic or hemorrhagic.

TIA:

Duration of a focal or global neurological deficit <24 h and neuroimaging procedure (CT scan or brain MRI) does not demonstrate a new hemorrhage or infarct Or there is confirmation of a TIA diagnosis by a neurologist or neurosurgical specialist.

Procedure

  • Index Procedure Date/Time:
    • mm/dd/YYYY at xx:xx [insert date and time]
  • Index Procedure Detail:
    • On mm/dd/YYYY at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
    • Access site details
    • The site reported that there were/were not procedural complication(s). 

Laboratory data

  • Lab studies list: (Date/ name/ value)

Other Diagnostic tests

  • mm/dd/YYYY at xx:xx on MRA
  • mm/dd/YYYY at xx:xx on EEG
  • mm/dd/YYYY at xx:xx on Carotid US
  • mm/dd/YYYY at xx:xx on ECG:
  • mm/dd/YYYY at xx:xx on ECHO:
  • mm/dd/YYYY at xx:xx on Ultrasound:
  • mm/dd/YYYY at xx:xx on Endoscopy:
  • mm/dd/YYYY at xx:xx ... (Other relevant imaging and diagnostic tests)

Consults

  • Date and time of consult
  • Suggested treatments

Clinical course

  • Date and time of events,
  • Patient condition got worse or better.

Treatment and outcome

  • List of relevant medical treatments
  • Outcome [Discharge / Hospice / Death]