Leitlinie Schlaganfall

 

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Zusammenfassung

Der Schlaganfall hat durch seine hohe Prävalenz, Mortalität und Folgemorbidität eine hohe Gesundheitsbedeutung und ist ein häufiger Behandlungsanlass in der Allgemeinarztpraxis. Ziel war es, eine Leitlinie für eine hochwertige Versorgung von Schlaganfall-Patienten zu entwickeln, die den hausärztlichen Versorgungsaspekten Rechnung trägt. Die Leitlinie Schlaganfall ist gemäß dem 10-Stufen-Konsensusverfahren der DEGAM entwickelt worden, dabei lag die Betonung auf Evidenzbasierung und Praktikabilität. Die hausärztliche Versorgung von Schlaganfall-Patienten betrifft in der Akutphase die Entscheidung über eine Krankenhauseinweisung und ggfs. Notfallmaßnahmen; in der Postakut-Phase nach erfolgter stationärer Behandlung ist der Auftrag die ambulante rehabilitative Nachsorge und die sekundäre Prävention. Die wesentlichen Empfehlungen der Leitlinie werden kurz vorgestellt.

Abstract

Due to their high prevalence and high rate of mortality and subsequent disablement strokes and the treatment thereof play an important role in general practice. The aim was to set up a guideline for hight quality treatment of stroke patients under the conditions of general practice. It follows the DEGAM 10-step-procedure with special emphasis on evidence-based Medicine and practicability. During the first (initial) phase the general practitioner's decisions are about immediate hospitalization or - if necessary - emergency treatment. After inpatient treatment the task is to provide for home-based rehabilitation and secondary prevention as follow-up. The major recommendations of the guideline are outlined hereafter.

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Dr. med. S. Hensler

Oppenheimer Landstr. 72

60596 Frankfurt

Email: s.hensler@em.uni-frankfurt.de