Up to 15% of all strokes occur in hospitalized patients, many of whom are there for surgical procedures or cardiac disorders. Outcomes can be poor, with high mortality - possibly related to co-morbidities and the complexities of hospital care. Risk factors for in-hospital stroke include specific operations and procedures (such as cardiac surgery), previous medical disorders (especially a history of stroke or transient ischemic attack), and certain physiological characteristics (including fever and dehydration). More rapid diagnosis and evaluation for interventional therapies is needed. This major new book examines the causes of treatment-related stroke in most hospital-based situations. Therapeutic approaches – including interventional therapies and intra-arterial thrombolysis – are highlighted, including experimental agents and interventions where other treatment possibilities are limited. Increasing the awareness of such interventions is an important factor in reducing delays in the assessment of patients who have strokes while in hospital, thus decreasing morbidity and reducing costs.
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Alexander Tsiskaridze is Professor of Neurology and Dean of the Faculty of Medicine at Ivane Javakhishvili Tbilisi State University, and Scientific Director at the Sarajishvili Institute of Neurology, Tbilisi, Georgia.
Arne Lindgren is Professor of Neurology in the Department of Clinical Sciences, Lund University, and Senior Consultant in the Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden.
Adnan Qureshi is a Professor in the Department of Neurology at the University of Minnesota.
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