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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004506naa a2200529 4500
001oai:lup.lub.lu.se:619370f2-fdeb-42e6-aaeb-a0c96c16a13a
003SwePub
008220509s2022 | |||||||||||000 ||eng|
0247 a https://lup.lub.lu.se/record/619370f2-fdeb-42e6-aaeb-a0c96c16a13a2 URI
0247 a https://doi.org/10.1177/239698732210786962 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Kremer, Christineu Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital4 aut0 (Swepub:lu)med-ckm
2451 0a European Stroke Organisation guidelines on stroke in women : Management of menopause, pregnancy and postpartum
264 c 2022-03-29
264 1b SAGE Publications,c 2022
520 a Pregnancy, postpartum and menopause are regarded as periods women are more vulnerable to ischaemic events. There are conflicting results regarding stroke risk and hormone replacement therapy (HRT) during menopause. Stroke in pregnancy is generally increasing with serious consequences for mother and child; therefore, recommendations for acute treatment with intravenous thrombolysis (IVT) and/or mechanical thrombectomy (MT) are needed. The aim of this guideline is to support and guide clinicians in treatment decisions in stroke in women. Following the “Grading of Recommendations and Assessment, Development and Evaluation (GRADE)” approach, the guidelines were developed according to the European Stroke Organisation (ESO) Standard Operating Procedure. Systematic reviews and metanalyses were performed. Based on available evidence, recommendations were provided. Where there was a lack of evidence, an expert consensus statement was given. Low quality of evidence was found to suggest against the use of HRT to reduce the risk of stroke (ischaemic and haemorrhagic) in postmenopausal women. No data was available on the outcome of women with stroke when treated with HRT. No sufficient evidence was found to provide recommendations for treatment with IVT or MT during pregnancy, postpartum and menstruation. The majority of members suggested that pregnant women can be treated with IVT after assessing the benefit/risk profile on an individual basis, all members suggested treatment with IVT during postpartum and menstruation. All members suggested treatment with MT during pregnancy. The guidelines highlight the need to identify evidence for stroke prevention and acute treatment in women in more vulnerable periods of their lifetime to generate reliable data for future guidelines.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
653 a guidelines
653 a menopause
653 a postpartum
653 a pregnancy
653 a Stroke
653 a women
7001 a Gdovinova, Zuzanau Pavol Jozef Safarik University in Kosice4 aut
7001 a Bejot, Yannicku University of Burgundy4 aut
7001 a Heldner, Mirjam R.u University of Bern4 aut
7001 a Zuurbier, Susannau Academic Medical Center of University of Amsterdam (AMC)4 aut
7001 a Walter, Silkeu Saarland University4 aut
7001 a Lal, Avtaru European Stroke Organisation4 aut
7001 a Epple, Corinau Klinikum Hanau4 aut
7001 a Lorenzano, Svetlanau Sapienza University of Rome4 aut
7001 a Mono, Marie Luiseu Bern University Hospital4 aut
7001 a Karapanayiotides, Theodoreu Aristotle University of Thessaloniki4 aut
7001 a Krishnan, Kailashu Nottingham University Hospitals NHS Trust4 aut
7001 a Jovanovic, Dejanau Clinical Center of Serbia4 aut
7001 a Dawson, Jesseu University of Glasgow4 aut
7001 a Caso, Valeriau University of Perugia4 aut
7102 a Neurologi, Lundb Sektion IV4 org
7730 t European Stroke Journald : SAGE Publicationsg 7:2q 7:2x 2396-9873x 2396-9881
8564 u http://dx.doi.org/10.1177/23969873221078696x freey FULLTEXT
8564 8u https://lup.lub.lu.se/record/619370f2-fdeb-42e6-aaeb-a0c96c16a13a
8564 8u https://doi.org/10.1177/23969873221078696

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