La enfermedad vascular cerebral es considerada un problema de implicaciones sociales, económicas y de salud pública en la población adulta y adultos mayores. El aumento de la esperanza de vida es uno de los grandes logros de la humanidad, no obstante es también un gran desafío por las implicaciones en relación con el aumento de enfermedades crónicas, que si no se controlan llevarán a complicaciones como la enfermedad vascular cerebral, la cual representa en el mundo la primera causa de discapacidad en población adulta y la segunda causa de demencia. En países en desarrollo, como el nuestro, se estima que los costos de atención por la enfermedad vascular cerebral son de 6000 a 8000 euros, además de los costos sociales como los cuidados informales y alteraciones de la dinámica familiar en torno a los pacientes. Por lo tanto, el objetivo de esta guía de práctica clínica es definir las recomendaciones basadas en la mejor evidencia disponible para la estandarización de las acciones sobre la atención del paciente con enfermedad vascular cerebral.
Bravata DM, Wells CK, Lo AC, Nadeau SE, Melillo J, Chodkowski D, et al. Processes of care associated with acute stroke outcomes. Arch Intern Med 2010;170(9): 804-810.
Carandang R, Seshadri S, Beiser A, Kelly-Hayes M, Kase CS, Kannel WB, Wolf PA. Trends in incidence, lifetime risk, severity, and 30- day mortality of stroke over the past 50 years. JAMA 2006;296(24):2939-2946.
Mar J, Sainz-Ezkerra M, Moler-Cuiral JA. Calculation of prevalence estimates through differential equations: application to stroke-related disability. Neuroepidemiology 2008;31(1):57-66
Luengo-Fernández R, Leal J, Gray A, Petersen S, Rayner M. Cost of cardiovascular diseases in the United King-dom. Heart 2006;92(10):1384-1389. Disponible en http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC1861058/?tool=
pubmed
Cruz-Flores S, Rabinstein A, Biller J, Elkind MS, Griffith P, Gorelick PB, et al. Racial-ethnic disparities in stroke care: the American experience: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011;42(7):2091–2116.
Murray CJ, López AD. Regional patterns of disability-free life expectancy and disability-adjusted life expectancy: Global Burden of Disease Study. Lancet 1997;349(9062): 1347-1352
Sarti C, Rastenyte D, Cepaitis Z, Tuomilehto J. International trends in mortality from stroke, 1968 to 1994. Stroke 2000;31(7):1588-1601. Disponible en http://stroke. ahajournals.org/content/31/7/1588.long
Murray CJ, López AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997;349(9061):1269-1276.
WHO. The world health report 2000. Geneva: WHO; 2000.
Secretaría de Salud. Estadísticas sobre mortalidad general [internet]. México: SINAIS; 2008. Disponible en http:// sinais.salud.gob.mx
del Pilar Torres-Arreola L, Peralta-Pedrero ML, Viniegra-Osorio A, Valenzuela-Flores AA, Echevarría-Zuno S, Sandoval-Castellanos FJ, et al. Proyecto para el desarrollo de guías de práctica clínica en el Instituto Mexicano del Seguro Social. Rev Med Inst Mex Seguro Soc 2010;48(6):661-672. Disponible en http://revistamedica.imss.gob.mx/index. php?option=com_multicategories&view=article&id=860: proyecto-para-el-desarrollo-de-guias-de-practica-clinica-en-el-instituto-mexicano-del-seguro-social &Itemid=607
Guía de práctica clínica: prevención secundaria, diagnostico, tratamiento y vigilancia de la enfermedad vascular cerebral isquémica. [Monografía en internet]. México: Secretaría de Salud; 2008. Disponible en http://www.imss. gob.mx/profesionales/guiasclinicas/Documents/GER _EnfermedadVascularCerebralIsquemica.pdf
Wolfe CD, Tilling K, Beech R, Rudd AG. Variations in case fatality and dependency from stroke in Western and Central Europe. The European BIOMED Study of Stroke Care Group. Stroke 1999;30(2):350-356. Disponible en http://stroke.ahajournals.org/content/30/2/350.long
Counsell C, Dennis M, McDowall M, Predicting functional outcome in acute stroke: comparison of a simple six variable model with other predictive systems and informal clinical prediction. J Neurol Neurosurg Psychiatry 2004; 75(3):401-405. Disponible en http://www.ncbi.nlm. nih.gov/pmc/articles/PMC1738951/pdf/v075p00401.pdf
Kaplan RC, Tischwell DL, Longstreth WT, Manolio TA, Heckbert SR, Lefkowitz D, et al. Vascular events, mortality and preventive therapy following ischemic stroke in the elderly. Neurology 2005;65(6):835-842.
Sacco RL, Adams R, Albers G; Alberts MJ, Benavente O; American Heart Association; American Stroke Association Council on Stroke; Council on Cardiovascular Radiology and Intervention; American Academy of Neurology, et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention: the American Academy of Neurology affirms the value of this guideline. Stroke 2006;37(2);577-617. Disponible en http://stroke.ahajournals.org/content/37/2/577.long
Adams HP Jr, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke 2007;38(5);1655-1711. Disponible en http://stroke.ahajournals.org/content/38/5/1655.long
SIGN Scottish Intercollegiate Guidelines Network. Management of patients with stroke or TIA: assessment, investigation, immediate management and secondary prevention. A national clinical guideline. Edinburg: SIGN; 2008. p. 108
Reims HM, Kjeldsen SE, Brady WE, Dahlof RB, Devereus PB, Julius S, et al. Alcohol consumption and cardiovascular risk in hypertensives with left ventricular hypertrophy: The LIFE study. J Human Hypertens 2004;18(6):381-389.
Developmen Group of the Stroke Guideline. Iberoamerican Cochrane Centre, coordinator. Clinical Practice Guideline for Primary and Secondary Prevention of Stroke. Madrid: Quality Plan for the National Health System of the Ministry of Health and Consumer Affairs; Catalan Agency for Health Technology Assessment and Research; 2008. Clinical Practice Guideline: AATRM Number 2006/15
European Stroke Organization (ESO) Executive Committee; ESO Writing Committee. Guidelines for Management of Ischaemic Stroke and Transient Ischaemic Attack 2008. Cerebrovasc Dis 2008;25:457-450.
Critchley JA, Capewell S. Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: a systematic review. JAMA 2003;290(1):86-97.
Dey DK, Rothenberg E, Sundh V, Bosaeus I, Steen B. Waist circumference, body mass index, and risk for stroke in older people: a 15 year longitudinal population study of 70-year-old. J Am Geriatr Soc 2002;50(9):1510-1518.
Neter JE, Stam BE, Kok FJ, Grobee DE, Gelejinse JM. Influence of weight reduction on blood pressure: a meta-analysis of randomized controlled trials. Hypertension 2003;42(5):878-884.
Adams RJ, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein L, et al. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke 2008;39(5):1647-1652. Disponible en http://stroke.ahajournals.org/content/39/5/1647.full.pdf+html
Adams HP Jr, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atheroscle-rotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke 2007;38(5):1655-1711. Disponible en http://stroke. ahajournals.org/content/38/5/1655.lon
National Collaborating Centre for Chronic Conditions. Stroke. National clinical guideline for diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). London: Royal College of Physician/NICE Clinical Guideline; 2008. p. 68.
Del Zoppo GJ, Saver JL, Jauch EC, Adams HP Jr; American Heart Association Stroke Council. Expansion of the time window for treatment of acute ischemic stroke with intravenous tissue plasminogen activator: a science -advisory from the American Heart Association/American Stroke Association Stroke 2009;40(89):2945-2948. Disponible en http://stroke.ahajournals.org/content/40/8/2945.long