Ukraine has updated its approaches to the quality diagnosis and treatment of patients with ischemic stroke – a modern standard and an evidence-based clinical guideline have been approved (MoH order of June 20, 2024 No. 1070)
The documents were developed with the methodological support and informational provision of the State Expert Center of the Ministry of Health of Ukraine (the Center), by a group of specialists in the field of neurosurgery and neurology.
The clinical guideline has been adapted by our specialists for the healthcare system of Ukraine on the basis of the clinical guideline Canadian Stroke Best Practice Recommendatiojns: Acute Stroke Management. Seventh Edition, Update 2022 © (2022) Heart and Stroke Foundation of Canada, which was selected on the basis of objective evaluation criteria using the AGREE Instrument. It is an example of best practice in organizing medical care for ischemic stroke, as well as in promoting optimal recovery and reintegration of stroke survivors. It is based on evidence-based medicine data on the effectiveness and safety of medical interventions, pharmacotherapy, and the organizational principles of its provision.
The standard defines measures for immediate examination, investigations to establish a diagnosis, and determination of indications. In particular, it contains provisions on:
- Primary medical care;
- Organization and provision of emergency medical care at the pre-hospital stage;
- Initial clinical examination and initial diagnosis at a healthcare facility providing specialized medical care;
- Revascularization treatment;
- Hospitalization in a specialized stroke unit;
- Antithrombotic therapy;
- Decompressive hemicraniectomy;
- Management of patients in a specialized stroke unit;
- Palliative care.
The evidence-based clinical guideline "Organization of care for acute ischemic stroke" and the standard of medical care "Ischemic stroke" have been included in the Register of Medical Technological Documents.
You can familiarize yourself with them on the Center’s website at the link https://www.dec.gov.ua/mtd/ishemichnyj-insult/
At the same time, the previous MoH order of 03 August 2012 No. 602 “On Approval and Implementation of Medical Technological Documents on Standardization of Medical Care for Ischemic Stroke” has become invalid.
