What's new in the 2023 edition?
This is an exciting guideline and the first one that is developed by all 4 Nations of the United Kingdom and the Republic of Ireland.
They provide evidenced based support for clinical teams with the aim of improving stroke care throughout all 5 Nations.
Of the 538 recommendations in the guideline, nearly 300 have been updated, added or endorsed since the 2016 edition.
Highlights of some of the changes:
Recommended inpatient and ESD staffing levels.
Changes to intensity and type of therapy.
Changes to treatment of mild strokes / TIAs.
Improved access to thrombectomy and increased timelines for access to treatment.
Recognition of rehabilitation potential for all.
Use of technology to treat and / or deliver therapy.
Changes to secondary prevention strategies and increased investigation of risks.
Inclusion of long term cardio-respiratory health and exercise.
Increased support to develop self-management programmes.
Link to the new guidance and citation:
National Clinical Guideline for Stroke for the UK and Ireland. London: Intercollegiate Stroke Working Party; 2023 May 4. Available at: www.strokeguideline.org