EBM in acute stroke
Minematsu, K.
Rinsho Shinkeigaku 42(11): 1167-1169
2002
ISSN/ISBN: 0009-918X PMID: 12784695 Document Number: 548467
Evidence-based medicine (EBM) has been emphasized in Japan for these years. In management of acute stroke, prospective stroke registries and randomized controlled trials have provided evidence that helps us examine and treat patients with acute stroke. The author advocates five important key words, DRUGS, for establishing the EBM in stroke management in Japan; 1) Stroke Data Bank, 2) Randomized Controlled Trials (RCT), 3) Stroke Unit (SU), 4) Guidelines and 5) Stroke Scales. Unfortunately evidence in the five key words has always been imported into Japan from the Western countries. We have to create the basis of the EBM in acute stroke management by establishing a Stroke Data Bank, confirming the effects of potential therapies with RCTs, spreading SUs to major hospitals, publishing guidelines for acute stroke management, and using stroke scales in our daily clinical practice.