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Submitted: 16 May 2007 Modified: 19 September 2019
HERDIN Record #: PCHRDPC040348

Management patterns for stroke by Filipino neurologists: A nationwide cross-sectional survey of locally practicing board certified Philippine Neurological Association (PNA) fellows.

 Borbon, Eduardo G,
 Roxas, Artemio G

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The Stroke Society of the Philippines (SSP) has created guidelines in the management of stroke. To determine if practice patterns of physicians caring for stroke patients conform to these guidelines, a nation-wide cross-sectional survey of locally practicing board-certified neurologists of the Philippine Neurological Association (PNA) was conducted using a 17 item close-ended questionnaire. Among 118 eligible PNA fellows, response rate was 60.2 percent. All were aware of the SSP guidelines. Important findings were the following: (1) 80 percent underestimated the published benefit of warfarin for nonvalvular atrial fibrillation (NVAF) while only 39 percent have used it in not more than three cases during the past six months of their practice; (2) In acute stroke, one recommendation is to treat only when systolic blood pressure (SBP) is greater than or equal to 220mmHg yet many (56.34 percent for bleed and 46.47 percent for infarct) would start treatment at SBP of 180mmHg; (3) 77.46 percent has not experienced giving thrombolytics in acute ischemic stroke; In conclusion, the following practice patterns of Filipino neurologists were noted: the underutilization of oral anticoagulation among patients with NVAF, the initiation of anti hypertensive drugs at systolic BP levels lower than recommended, and the limited experience with the use of thrombolytics. (Author)

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
The Philippine Journal of Neurology
Frequency
Semi-Annual
Publication Date
June- 2002
Volume
6
Issue
1
Page(s)
12-19
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Fulltext Print Format (Request Document)
Philippine Council for Health Research and Development Fulltext pdf (Request Document)

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