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Table 3 Results from anonymous polling

From: Prioritizing guideline recommendations for implementation: a systematic, consumer-inclusive process with a case study using the Australian Clinical Guidelines for Stroke Management

Recommendation

Round 1

Round 2

Round 3

Round 4

Ambulances should take patients with suspected stroke to a hospital that has a stroke unit and can perform thrombolysis or clot retrieval

3

1

3

 

Stroke patients should be assessed by the stroke team in the emergency department, given an urgent brain scan (within 30–60 minutes), and if found to be eligible, given thrombolysis (up to 9 hours from the stroke or midpoint of sleep) and/or thrombectomy (up to 24 hours after they were last known to be well)

4

   

All patients with stroke should be admitted to hospital and be treated in a stroke unit with an interdisciplinary team, made up of medical, nursing and allied health professionals

3

8

  

Oral anticoagulation medication (blood thinners) should be prescribed for patients with ischaemic stroke and TIA who have atrial fibrillation (irregular heartbeat)

 

1

3

 

Recovery goals should be set together with the stroke survivor, their family or carer, and the stroke team. The goals should be well-defined, specific and challenging, clearly documented, and reviewed and updated regularly

    

All stroke survivors, their family and carers should be offered information that suits their individual needs and their language or communication requirements

  

3

10

  1. Bolded figure is the recommendation with the highest polling for each round of voting