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Management of ischaemic stroke survivors in primary care setting: the road to holistic care

Journal

INTERNAL AND EMERGENCY MEDICINE
Volume -, Issue -, Pages -

Publisher

SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s11739-023-03445-y

Keywords

Stroke; Atrial fibrillation; Anticoagulation; Primary care

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The management of ischaemic stroke survivors requires multidisciplinary collaboration. General practitioners, as the first point of contact, can provide comprehensive post-stroke care to improve patient management through antithrombotic therapy, functional rehabilitation, comorbidity intervention, and lifestyle improvement.
The management of ischaemic stroke survivors is multidisciplinary, necessitating the collaboration of numerous medical professionals and rehabilitation specialists. However, due to the lack of comprehensive and holistic follow-up, their post-discharge management may be suboptimal. Achieving this holistic, patient-centred follow-up requires coordination and interaction of subspecialties, which general practitioners can provide as the first point of contact in healthcare systems. This approach can improve the management of stroke survivors by preventing recurrent stroke through an integrated post-stroke care, including appropriate Antithrombotic therapy, assisting them to have a Better functional and physiological status, early recognition and intervention of Comorbidities, and lifestyles. For such work to succeed, close interdisciplinary collaboration between primary care physicians and other medical specialists is required in a holistic or integrated way.

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