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. 2017 Aug 15;2(3):27.
doi: 10.3390/geriatrics2030027.

Management of Acute Stroke in the Older Person

Emma Parr  1 , Phillip Ferdinand  2 , Christine Roffe  3   4
Affiliations

Management of Acute Stroke in the Older Person

Emma Parr et al. Geriatrics (Basel). .

Abstract

The majority of people who suffer a stroke are older adults. The last two decades have brought major progress in the diagnosis and management of stroke, which has led to significant reductions in mortality, long-term disability, and the need for institutional care. However, acute, interventional and preventative treatments have mostly been trialled in younger age groups. In this article we will provide an overview of the evidence for acute stroke treatments in relation to age, discuss special considerations in the older person, and contemplate patient choice, quality of life, and end-of-life-decisions.

Keywords: acute stroke; elderly; treatment.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Global Burden of Disease Study, Collabrators Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: A systematic analysis for the global burden of disease study 2013. Lancet. 2015;386:743–800. - PMC - PubMed
    1. Murray C.J., Vos T., Lozano R., Naghavi M., Flaxman A.D., Michaud C., Ezzati M., Shibuya K., Salomon J.A., Abdalla S., et al. Disability-adjusted life years (DALYS) for 291 diseases and injuries in 21 regions, 1990–2010: A systematic analysis for the global burden of disease study 2010. Lancet. 2012;380:2197–2223. doi: 10.1016/S0140-6736(12)61689-4. - DOI - PubMed
    1. Feigin V.L., Krishnamurthi R.V., Parmar P., Norrving B., Mensah G.A., Bennett D.A., Barker-Collo S., Moran A.E., Sacco R.L., Truelsen T., et al. Update on the global burden of ischemic and hemorrhagic stroke in 1990–2013: The GBD 2013 study. Neuroepidemiology. 2015;45:161–176. doi: 10.1159/000441085. - DOI - PMC - PubMed
    1. Kammersgaard L.P., Jorgensen H.S., Reith J., Nakayama H., Pedersen P.M., Olsen T.S. Short- and long-term prognosis for very old stroke patients. The Copenhagen stroke study. Age Ageing. 2004;33:149–154. doi: 10.1093/ageing/afh052. - DOI - PubMed
    1. Willey J.Z., Ortega-Gutierrez S., Petersen N., Khatri P., Ford A.L., Rost N.S., Ali L.K., Gonzales N.R., Merino J.G., Meyer B.C., et al. Impact of acute ischemic stroke treatment in patients >80 years of age: The specialized program of translational research in acute stroke (SPORTIAS) consortium experience. Stroke. 2012;43:2369–2375. doi: 10.1161/STROKEAHA.112.660993. - DOI - PMC - PubMed

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