What is the best imaging strategy for acute stroke?

Abstract

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Accurate, practical and cost-effective assessment of carotid stenosis in the UK

“…In addition, as mentioned in two previous projects concerned with stroke performed for the HTA, 160,188 there is a lack of data on costs of caring for patients with stroke. This is even more surprising given that stroke is so common and responsible for a major public health burden.…”

“…The most recent and detailed study was from data collected for an HTA-funded project in 2000 prices. 160 In the HTA-funded report, a detailed microcosting exercise was performed to estimate a unit cost of a CT scan in normal hours and out of hours, in a teaching hospital, a rural general hospital and an urban general hospital. The estimates chosen and reported in Table 46 refer to those for an urban general hospital.…”

“…160 The data were derived from a detailed study on cost-effectiveness of CT scanning in stroke, and included mean length of stay for a stroke episode for independent survivor and dependent survivor, the cost of ambulatory rehabilitation, and the average annual cost of long-term care. These data were used to calculate a unit cost per year for either stroke dependent status or independent status and were used in the cost-effectiveness analysis.…”

Guidelines for acute ischemic stroke treatment: part I

“…Since time is crucial, patients with acute stroke should be given priority over other patients for brain imaging. A CT scan performed immediately is the most cost-effective strategy for the imaging evaluation in patients with acute stroke 96 . In patients with indication for thrombolytic therapy, CT should be performed within 25 minutes after patient admission, and interpretation must be obtained in the next 20 minutes 96 .…”

“…A CT scan performed immediately is the most cost-effective strategy for the imaging evaluation in patients with acute stroke 96 . In patients with indication for thrombolytic therapy, CT should be performed within 25 minutes after patient admission, and interpretation must be obtained in the next 20 minutes 96 . Some centers prefer using cranial MRI, with diffusionweighted imaging (DWI) technique, in the routine investigation of acute stroke.…”