The second demonstrated the cost effectiveness of thrombectomy therapy and best medical therapy compared with best medical therapy alone, when performed 6 to, The evidence for thrombectomy within 6 hours of symptom onset was from populations selected using, To help determine what clinical characteristics make this intervention suitable, it is important to consider the. Includes care pathway algorithm, counselling, and secondary prevention. Regarding the recommendation not to offer high-intensity mobilisation within the first 24 hours of symptom onset, a published within-trial cost-effectiveness analysis from the Australian hospital perspective was identified. b) Annual and hourly mean concentrations for nitrogen dioxide (NO, c) Annual and daily mean concentrations for particulate matter of 10 micrometres or less in diameter (PM, d) Annual mean concentration for fine particulate matter of 2.5 micrometres or less in diameter (PM. However, in the committee's experience, the earlier that aspirin can be administered the better this will also be for patient outcomes in this group. This can help adults who have had a stroke and their family or carers to make changes to their care according to their needs. It is staffed by a specialist stroke multidisciplinary team, who have access to equipment for monitoring and rehabilitation. However, services are already being encouraged to implement TIA clinics 7 days a week. Adults who have had a stroke have their rehabilitation goals reviewed at regular intervals. This site is intended for UK healthcare professionals, Consensus guideline on the holistic management of patients requiring anticoagulation. b) Evidence of local processes to ensure that children, young people and adults with chronic respiratory or cardiovascular conditions attending routine health appointments are given advice on what to do when outdoor air quality is poor. Local authorities should be strategic leaders of local initiatives to address air pollution, working in a coordinated way with key partners to ensure a consistent and planned approach. Any review should take into account any additional needs, such as physical, sensory or learning disabilities, and the needs of people who do not speak or read English. All tiers of local government including county, district and unitary authorities, as well as regional bodies and transport authorities. The committee agreed that. A concise easy-to-read summary on the risk assessment and post-exposure management of patients who may be at risk of rabies infection. a) Proportion of adults who have had a stroke who have their rehabilitation goals agreed within, Numerator – the number in the denominator who have their rehabilitation goals agreed within. NICE guideline NICE stroke and TIA guideline. Further research is recommended to assess the diagnostic yield (a measure of how many people with atrial fibrillation are diagnosed) of these devices for atrial fibrillation when used in people who have had a cryptogenic stroke, (a prognostic score to identify people at high risk of stroke after a TIA), (a discrete area in the hospital that is staffed by a specialist stroke multidisciplinary team: it has access to equipment for monitoring and rehabilitating patients; regular multidisciplinary team meetings occur for goal setting), (loss or impairment of the ability to use and comprehend language, usually resulting from brain damage), (apraxia of speech is a difficulty in initiating and executing the voluntary movement needed to produce speech when there is no weakness of speech muscles; it may cause difficulty producing the correct speech or changes in the rhythm or rate of speaking), (a logo placed on medical devices sold within the European Economic Area to show they conform to EU safety, health or environmental requirements and are compliant with EU legislation), (difficulty in planning and executing movement), (a service for people after stroke which allows transfer of care from an inpatient environment to a primary care setting to continue rehabilitation, at the same level of intensity and expertise that they would have received in the inpatient setting), European Carotid Surgery Trialists' Collaborative Group, (face arm speech test, a test used to screen for a diagnosis of stroke or TIA), (blindness in one half of the visual field of one or both eyes), Medicines and Healthcare products Regulatory Agency, (an inability to orient towards and attend to stimuli, including body parts, on the side of the body affected by the stroke), North American symptomatic carotid endarterectomy trial, National Institutes of Health Stroke Scale, (a stroke with symptoms that last for more than 24 hours but later resolve, leaving no permanent disability), (a device that supports or corrects the function of a limb or the torso), (recognition of stroke in the emergency room, a scale used to confirm a diagnosis of stroke or TIA), (a process of identifying people with particular impairments; people can then be offered information, further assessment and appropriate treatment, screening may be performed as a precursor to more detailed assessment), (a stroke service designed to deliver stroke rehabilitation either in hospital or in the community), (an environment in which multidisciplinary stroke teams deliver stroke care in a dedicated ward which has a bed area, dining area, gym, and access to assessment kitchens), (transient ischaemic attack – stroke symptoms and signs that resolve within 24 hours), Bites and stings – antimicrobial prescribing, Rehabilitation for adults with complex psychosis, Anaphylaxis: assessment and referral after emergency treatment, Anaemia management in people with chronic kidney disease, Hyperphosphataemia in chronic kidney disease, Sickle cell disease: acute painful episode, Genomic biomarker-based treatment for solid tumours, Metastatic malignant disease of unknown primary origin, Suspected cancer recognition and referral, Hyperglycaemia in acute coronary syndromes, Myocardial infarction with ST-segment elevation, Myocardial infarction: rehabilitation and preventing further cardiovascular disease, Cardiovascular disease: identifying and supporting people most at risk of dying early, Prophylaxis against infective endocarditis, Chronic fatigue syndrome myalgic encephalomyelitis, Diabetes and other endocrine, nutritional and metabolic conditions, Endocrine, nutritional and metabolic conditions, Lifestyle weight management services for overweight or obese adults, Lifestyle weight management services for overweight or obese children and young people, Dyspepsia and gastro-oesophageal reflux disease, Surgical management of otitis media with effusion in children, Preventing sexually transmitted infections and under-18 conceptions, Intrapartum care for women with existing medical conditions, Intrapartum care for women with obstetric complications, Developmental follow-up of children and young people born preterm, Specialist neonatal respiratory care in preterm babies, Antenatal care for uncomplicated pregnancies, Pregnancy and complex social factors: service provision, Urinary incontinence and pelvic organ prolapse in women, Antimicrobial prescribing for common infections, Bronchiectasis (non-cystic fibrosis) – antimicrobial prescribing, Cellulitis and erysipelas – antimicrobial prescribing, Self-limiting respiratory tract and ear infections – antibiotic prescribing, Bacterial meningitis and meningococcal septicaemia in under 16s, Prevention and control of healthcare-associated infections, Antisocial behaviour and conduct disorders in children and young people, Obsessive-compulsive disorder and body dysmorphic disorder, Attachment difficulties in children and young people, Common mental health disorders in primary care, Dementia, disability and frailty in later life: mid-life approaches to delay or prevent onset, Harmful sexual behaviour among children and young people, Health of people in the criminal justice system, Learning disabilities and behaviour that challenges, Mental health problems in people with learning disabilities, Coexisting severe mental illness and substance misuse: assessment and management in healthcare settings, Service user experience in adult mental health services, Transition between community or care home and inpatient mental health settings, Social care for older people with multiple long-term conditions, Urinary incontinence in neurological disease, Oral health improvement for local authorities and their partners, Community pharmacies: promoting health and wellbeing, Vitamin D: supplement use in specific population groups, Mental wellbeing and independence in older people, Social and emotional wellbeing for children and young people, Smokeless tobacco cessation: South Asian communities, Smoking: tobacco harm-reduction approaches, End of life care for people with life-limiting conditions, Looked-after babies, children and young people, Transition from children's to adults' services, Care and support of people growing older with learning disabilities, Excess winter deaths and illnesses associated with cold homes, Coexisting severe mental illness and substance misuse: community health and social care services, People’s experience in adult social care services, Service delivery, organisation and staffing, Emergency and acute medical care in over 16s: service delivery and organisation, Safe staffing for nursing in adult inpatient wards in acute hospitals, Managing medicines for people receiving social care in the community, Transition between inpatient hospital settings and community or care home settings for adults with social care needs, Opioids for pain relief in palliative care, Safe midwifery staffing for maternity settings, Controlled drugs: safe use and management, Managing long-term sickness absence and capability to work, Workplace health: policy and management practices, Stroke – everything NICE says in an interactive flowchart, Initial assessment and treatment: acute stroke, Initial assessment and treatment: ischaemic stroke, Initial assessment and treatment: haemorrhagic stroke, Acute stroke: management in a specialist stroke unit, Managing movement difficulties after a stroke, People's experience in adult social care services, Prompt admission to specialist acute stroke units, Regular review of health and social care needs, Reducing emissions from public sector vehicle fleets, Advice for people with chronic respiratory or cardiovascular conditions, Accident prevention (see unintentional injuries among under-15s), Acute coronary syndromes (see chest pain), Acute hospitals (adult inpatient wards), safe staffing for nursing, ADHD (see attention deficit hyperactivity disorder), Adult carers (see supporting adult carers), Adverse drug reactions (see drug allergy), Allergy, food (see food allergy in children and young people), Allergy, severe reaction (see anaphylaxis), Amyotrophic lateral sclerosis (see motor neurone disease), Ankylosing spondylitis (see spondyloarthritis), Antibiotic prescribing for diabetic foot infections (see foot care for people with diabetes), Antibiotics for early-onset neonatal infection (see early-onset neonatal infection), Antibiotics in respiratory tract and ear infections, Antimicrobials for bronchiectasis (non-cystic fibrosis), Antimicrobials for cellulitis and erysipelas, Antisocial personality disorder (see personality disorders), Anxiety (see generalised anxiety disorder), Axial spondyloarthritis (see spondyloarthritis), Behaviour that challenges and learning disabilities, Benign prostatic hyperplasia (see lower urinary tract symptoms in men), Blackouts (see transient loss of consciousness), Bladder infection (see urinary tract infections), Body dysmorphic disorder (see obsessive-compulsive disorder), Borderline personality disorder (see personality disorders), Bowel cancer prevention (see colonoscopic surveillance), Bowel incontinence (see faecal incontinence), Brain cancer (see brain tumours and metastases), Breast cancer, early and locally advanced, Breastfeeding (see maternal and child nutrition), Cancer of unknown primary origin (see metastatic malignant disease of unknown primary origin), Catheter-associated UTIs (see urinary tract infections), Challenging behaviour and learning disabilities, Child maltreatment (see child abuse and neglect), Childbirth (see fertility, pregnancy and childbirth), Children's attachment (see attachment difficulties in children and young people), Children's palliative care, for people with life-limiting conditions (see end of life care for people with life-limiting conditions), Cholelithiasis, cholecystitis and choledocholithiasis (see gallstone disease), Chronic kidney disease, anaemia management, Chronic kidney disease, hyperphosphataemia, Cold homes, reducing preventable excess winter deaths (see excess winter deaths and illnesses associated with cold homes), Colorectal cancer prevention (see colonoscopic surveillance), Community-acquired pneumonia (see pneumonia), Complex psychosis, rehabilitation for adults (see rehabilitation for adults with complex psychosis), Complex social factors and pregnancy: service provision, Conduct disorders and antisocial behaviour in children and young people, Cough (see self-limiting respiratory tract and ear infections – antibiotic prescribing), Criminal justice system, health of people in, Deep vein thrombosis (see venous thromboembolism), Dental perioperative care (see perioperative care), Dental services, local authority improvement approaches (see oral health improvement for local authorities and their partners), Diverticulitis (see diverticular disease), Diverticulosis (see diverticular disease), Dual diagnosis (see coexisting severe mental illness and substance misuse: assessment and management in healthcare settings), Dual diagnosis (see coexisting severe mental illness and substance misuse: community health and social care services), End of life care for infants, children and young people (see end of life care for people with life-limiting conditions), Endocarditis prophylaxis (see prophylaxis against infective endocarditis), Enteral nutrition (see nutrition support in adults), Falls in older people (see preventing falls in older people), Fibroids, uterine (see heavy menstrual bleeding), Fractured neck of femur (see hip fracture), Gastric cancer (see oesophageal and gastric cancer), Gastroenteritis in children (see diarrhoea and vomiting in children), Gastro-oesophageal reflux disease and dyspepsia, Glue ear (see surgical management of otitis media with effusion in children), Gynaecological conditions (see urogenital conditions), Haematemesis (see acute upper gastrointestinal bleeding), Haematological cancers (see blood and bone marrow cancers), Healthcare-associated infections, prevention and control, Heartburn (see dyspepsia and gastro-oesophageal reflux disease), Histology-independent treatment for solid tumours, Hospital-acquired pneumonia (see pneumonia), Hypercholesterolaemia, familial (see familial hypercholesterolaemia), Hypercholesterolaemia, non-familial (see cardiovascular disease prevention), Hyperkinetic disorder (see attention deficit hyperactivity disorder), Incontinence, urinary in neurological disease, Independence and mental wellbeing in older people, Indoor air quality at home (see air pollution), Infant feeding (see maternal and child nutrition), Inflammatory bowel disease (see Crohn's disease), Inflammatory bowel disease (see ulcerative colitis), Interstitial lung disease (see idiopathic pulmonary fibrosis), Intraoperative care (see perioperative care), Labour, care for women with existing medical conditions (see intrapartum care for women with existing medical conditions), Labour, care for women with obstetric complications (see intrapartum care for women with obstetric complications), Larynx, mouth and throat cancer (see upper aerodigestive tract cancer), Learning disabilities, mental health problems, Leukaemia (see blood and bone marrow cancers), Life-limiting conditions, end of life care (see end of life care for people with life-limiting conditions), Lipid modification (see cardiovascular disease prevention), Long-term sickness absence and capability to work, Lymphoma (see blood and bone marrow cancers), Maternity settings, safe midwifery staffing, Medicines adherence (see medicines optimisation), Meningitis, bacterial and meningococcal septicaemia, Menorrhagia (see heavy menstrual bleeding), Mental health disorders (common) in primary care, Mental health services, adult service user experience, Mental illness (severe) and substance misuse, coexisting (see coexisting severe mental illness and substance misuse: community health and social care services), Metabolic conditions (see endocrine, nutritional and metabolic conditions), Monitoring ill patients (see acutely ill patients in hospital), Mouth, larynx and throat cancer (see upper aerodigestive tract cancer), Multiple long-term conditions (see multimorbidity), Multiple pregnancy (see twin and triplet pregnancy), Myalgic encephalomyelitis, chronic fatigue syndrome, Myocardial infarction without ST-segment elevation (see chest pain), Neonatal infection (see early-onset neonatal infection), Neurological disease, urinary incontinence, Nocturnal enuresis (see bedwetting in children and young people), Non-ST-segment elevation myocardial infarction (see chest pain), Nose conditions (see ear, nose and throat conditions), Nutritional conditions (see endocrine, nutritional and metabolic conditions), Older people with social care needs and multiple long-term conditions (see social care for older people with multiple long-term conditions), Older people: independence and mental wellbeing, Otitis media (acute) (see self-limiting respiratory tract and ear infections – antibiotic prescribing), Otitis media with effusion, surgical management in children, Outdoor air quality and health (see air pollution), Overactive bladder (see urinary incontinence), Overweight or obese adults, lifestyle weight management services, Overweight or obese children and young people, lifestyle weight management services, Palliative care, for people with life-limiting conditions (see end of life care for people with life-limiting conditions), Parenteral nutrition (see nutrition support in adults), People with learning disabilities, mental health problems, Postoperative care (see perioperative care), Pre-eclampsia (see hypertension in pregnancy), Pregnancy (see fertility, pregnancy and childbirth), Pregnancy, preventing teenage (see preventing sexually transmitted infections and under-18 conceptions), Pregnancy, twins and triplets (see twin and triplet pregnancy), Premature labour and birth (see preterm labour and birth), Premature ovarian insufficiency (see menopause), Preoperative care (see perioperative care), Psoriatic arthritis (see spondyloarthritis), Psychosis with coexisting substance misuse (see coexisting severe mental illness and substance misuse: assessment and management in healthcare settings), Psychosis, complex, rehabilitation for adults (see rehabilitation for adults with complex psychosis), Pulmonary embolism (see venous thromboembolism), Pyelonephritis (see urinary tract infections), Reactive arthritis (see spondyloarthritis), Renal failure, acute (see acute kidney injury), Renal failure, established (see chronic kidney disease), Renal replacement therapy (see chronic kidney disease), Respiratory syncytial virus infection (see bronchiolitis in children), Respiratory tract and ear infections (self-limiting), antibiotic prescribing, Septicaemia, meningococcal and bacterial meningitis (see bacterial meningitis and meningococcal septicaemia), Severe mental illness and substance misuse, coexisting (see coexisting severe mental illness and substance misuse: community health and social care services), Sexually transmitted infections, prevention, Shoulder replacement (see joint replacement), Sinusitis (see self-limiting respiratory tract and ear infections – antibiotic prescribing), Skin cancer prevention (see sunlight exposure: risks and benefits), Social care services, people's experience, Social factors (complex) in pregnancy: service provision, Sore throat (see self-limiting respiratory tract and ear infections – antibiotic prescribing), Spinal cord compression, metastatic (see metastatic spinal cord compression), ST-elevation myocardial infarction (see myocardial infarction with ST elevation), Stomach cancer (see oesophageal and gastric cancer), Substance misuse and severe mental illness, coexisting (see coexisting severe mental illness and substance misuse: community health and social care services), Surgical site infection (see prevention and control of healthcare-associated infections), Suspected neurological conditions recognition and referral (see neurological conditions), Teenage pregnancy prevention (see preventing sexually transmitted infections and under-18 conceptions), Termination of pregnancy (see abortion care), Throat conditions (see ear, nose and throat conditions), Throat, larynx and mouth cancer (see upper aerodigestive tract cancer), Tobacco cessation (smokeless): South Asian communities, Type 1 and type 2 diabetes in children and young people, Urological conditions (see urogenital conditions), Vaccinations (see immunisation for children and young people), Weight management services (lifestyle) for overweight or obese adults, Weight management services (lifestyle) for overweight or obese children and young people, Winter deaths and illnesses associated with cold homes (see excess winter deaths and illnesses associated with cold homes), Young offender institutions, health of people in, Air pollution: outdoor air quality and health, assess and reduce the environmental impact of implementing NICE recommendations, Stroke and transient ischaemic attack in over 16s: diagnosis and initial management, Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition, Alteplase for treating acute ischaemic stroke, Clopidogrel and modified-release dipyridamole for the prevention of occlusive vascular events, Therapeutic hypothermia for acute ischaemic stroke, Transcutaneous neuromuscular electrical stimulation for oropharyngeal dysphagia in adults, Extracranial to intracranial bypass for intracranial atherosclerosis, Transcervical extracorporeal reverse flow neuroprotection for reducing the risk of stroke during carotid artery stenting, Endoscopic carbon dioxide laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia, Mechanical clot retrieval for treating acute ischaemic stroke, Percutaneous closure of patent foramen ovale to prevent recurrent cerebral embolic events, Endovascular stent insertion for intracranial atherosclerotic disease, Carotid artery stent placement for symptomatic extracranial carotid stenosis, Carotid artery stent placement for asymptomatic extracranial carotid stenosis, Functional electrical stimulation for drop foot of central neurological origin, Laser-assisted cerebral vascular anastomosis without temporary arterial occlusion, Implantable cardiac monitors to detect atrial fibrillation after cryptogenic stroke, Artificial intelligence for analysing CT brain scans, Mechanical thrombectomy devices for acute ischaemic stroke, Ekso exoskeleton for rehabilitation in people with neurological weakness or paralysis, ODFS Pace and Pace XL functional electrical stimulation devices for treating drop foot, air pollution: outdoor air quality and health quality standard, Royal College of Physicians’ Sentinel Stroke National Audit Programme (SSNAP), Stroke and transient ischaemic attack in over 16s: diagnosis and initial management.

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