Clinical Practice Guidelines
UNC Stroke Center CPGs
Acute Ischemic Stroke
- Powers, W.J., Rabinstein A.A., Ackerson, T., Adeoye, O.M., Bambakidis, N.C….Tirschwell, D.L. (2019). Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Powers, WJ, Rabinstein AA, Ackerson, T, Adeoye, OM et al. Stroke. 2019; 50:12: e46-e99.
- Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals from the American Heart Association/American Stroke Association. Yaghi, S., Willey, J.Z., Cucchiara, B. et. al. Stroke. 2017 November 15.
Hemorrhagic Stroke
- Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Hemphill, JC, Greenbert, SM, Anderson, CS et. al. Stroke. 2015; 46: 2032-2060.
- Guidelines for the management of Aneurysmal Subarachnoid Hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Connolly, E, Rabinstein, AA, Carhuapoma, JR et. al. Stroke. 2012; 43; 1711-1737.
- Critical care management of patients following aneurysmal subarachnoid hemorrhage: Recommendations from the Neurocritical Care Society’s multidisciplinary consensus conference. Diringer, MN, Bleck, TP, Hemphill, JC et. al. Neurocritical Care. 2011
- Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Derdeyn, C.P., Zipfel, G.J., Albuquerque, F.C. et. al. Stroke. 2017; 48: e200-e224.
Transient Ischemic Attack
- Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council. Easton JD, Saver JL, Albers GW, Alberts MJ, et al. Stroke. 2009 Jun;40(6):2276-93.
Cerebral Venous Thrombosis
- Diagnosis and management of cerebral venous thrombosis. Saposnik, G, Barinagarrementeria, F, Brown, RD, Bushnell, CD, Cucchiara, B, Cushman M, deVeber, G, Ferro, JM, Tsai, FY. Stroke. 2011.
Prevention
- Guidelines for the primary prevention of stroke. Meschia, JF, Bushnell, C, Boden-Albala, B et. al. Stroke. 2014; 45:3754-3832.
- Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack. Kernan, WN, Ovbiagele, B, Black, HR et. al. Stroke. 2014; 45: 2160-2236.
- 2019 AHA/ACC/HRS Focused update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. January, CT, Wann, S, Alpert, JS et. al. Circulation. 2014 December 2.
Cerebral Edema
- Recommendations for the management of cerebral and cerebellar infarction with swelling: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Wijdicks, EF, Sheth, KN, Carter, BS et. al. 2014 April 1.
Depression
- Poststroke Depression: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Towfight, A., Ovbiagele, B., El Husseini, N. et. al. Stroke. 2017; 48: e30-e43.
Nursing
- Care of the patient with acute ischemic stroke (Prehospital and acute phase of care): Update to the 2009 comprehensive nursing care scientific statement: A scientific statement from the American Heart Association. Ashcraft, S., Wilson, S.E., Nystroke, K.V., Dusenbury, W., Wira, C.R. et al. 2021; 52 (1-15).
- Care of the patient with acute ischemic stroke (Endovascular/intensive care-postinterventional therapy): Update to the 2009 comprehensive nursing care scientific statement: A Scientific statement from the American Heart Association. Rodgers, M.L., Fox, E., Abdelhak, T., Franker, L.M., Johnson, B.J. et al. 2021; 52 (1-13).
- Care of the patient with acute ischemic stroke (Posthyperacute and prehospital discharge): Update to the 2009 comprehensive nursing care scientific statement: A scientific statement from the American Heart Association. Green, T.L, McNair, N.D., Hinkle, J.L., Middleton, S., Miller, E.T. et al. Stroke. 2021; 52 (1-19).
Rehabilitation
- Guidelines for Adult Stroke Rehabilitation and Recovery. Winstein, C.J., Stein, J., Arena, R. Stroke. 2016; 47: e90-e169.
Palliative Care
- Braun, L.T., Grady, K.L., Kutner, J.S., Adler, E., Berlinger, N….Roach, W.H. (2016). Palliative care and cardiovascular disease and stroke: A policy statement from the American Heart Association/American Stroke Association. Circulation, 134(11), e198-e225.
COVID-19
- AHA/ASA Stroke Leadership Council (2020). Temporary emergency guidance to US stroke centers during the coronavirus disease 2019 (COVID-19) pandemic. Stroke, 51(6), 1910-1912.
- Sharma, D., Rasmussen, M., Han, R., Whalin, M., Davis, M….Fraser, J.F. (2020). Anesthetic management of endovascular treatment of acute ischemic stroke during COVID-19 pandemic: Consensus statement from society for neuroscience in anesthesiology & critical care (SNACC).
- Fraser, J.F., Arthur, A.S., Chen, M., Levitt, M., Mocco, J….Klucznik, R.P. (2020). Society of neurointerventional surgery recommendations for the care of emergent neurointerventional paitents in the setting of COVID-19. Journal of Neurointerventional Surgery, 12(6).
Other Guidelines and Resources
Clinical Performance Measures for Adults Hospitalized with Acute Ischemic Stroke