Minerva

Subarachnoid haemorrhages and other stories . . .

BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h6572 (Published 09 December 2015) Cite this as: BMJ 2015;351:h6572

Doing this and that for stroke

Systematic reviews are meant to help clinicians and health services decide on the best kinds of care to provide patients—for example, after stroke. But random sampling of 60 reviews of non-pharmacological interventions for stroke found that most lacked information on interventions for items sought (BMJ Open 2015;5:e009051, doi:10.1136/bmjopen-2015-009051). The most incompletely described items were modifications, fidelity, materials, procedure, and tailoring (missing from all interventions in 97%, 90%, 88%, 83%, and 83% of reviews, respectively).

Struck down with SAH

Sometimes it is good to confirm clinical experience with large cohort studies. In a retrospective analysis, 40% of 1460 patients with subarachnoid haemorrhage (SAH) presented with unconsciousness (JAMA Neurol 2015, doi:10.1001/jamaneurol.2015.3188). This was associated with poor clinical grade, more subarachnoid and intraventricular blood seen on admission computed tomography, and …

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