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Drug and Therapeutics Bulletin 1998;36:51-54; doi:10.1136/dtb.1998.36751
Copyright © 1998 by the BMJ Publishing Group Ltd.

Management soon after a stroke

In this article, we consider the management of patients in the first few hours and days following a stroke. In the UK, around 80% of first strokes are caused by cerebral infarction (ischaemic stroke), 10% by primary intracerebral haemorrhage (haemorrhagic stroke) and 5% by subarachnoid haemorrhage;1 in 5% of cases, the pathological type of the stroke is not clear.1 Among patients who have an ischaemic stroke, around 3-4% have a recurrence of stroke2–4 and 10% die,5 within the first 2-4 weeks; about 10% have a recurrence of stroke within 1 year.6 Among patients who have an intracerebral haemorrhage around 50% die within 30 days5 and around 60% within 1 year.1 Here we concentrate on the early management of adults with ischaemic or haemorrhagic stroke.


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  • Chen, Z., Sandercock, P., Pan, H., Counsell, C., Collins, R., Liu, L., Xie, J., Warlow, C., Peto, R. (2000). Indications for Early Aspirin Use in Acute Ischemic Stroke : A Combined Analysis of 40 000 Randomized Patients From the Chinese Acute Stroke Trial and the International Stroke Trial. Stroke 31: 1240-1249 [Abstract] [Full Text]