Narrative Review: Stroke

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]