[The practice guideline 'CVA' from the Dutch College of General Practitioners; a response from the perspective of general practice].
The practice guideline from the Dutch College of General Practitioners regarding the diagnosis, treatment and follow-up of a patient with a cerebrovascular accident recommends the patient's referral to a so-called 'stroke-unit'. Thrombolysis within 3 hours after the onset of a stroke should be reconsidered, although its effectiveness remains disputable. The guideline does not explicitly address the GP's responsibility for secondary prevention. The role of the GP in the process of rehabilitation and follow-up in the years after the CVA is described in detail. In so doing, this phase gets the attention it deserves.
Rutten
G E H M
GE
Universitair Medisch Centrum Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, Postbus 85.5oo00, 3508 GA Utrecht.
D006801:Humans; D009426:Netherlands; D010821:Physicians, Family / Q000592:standards*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy*; D015912:Thrombolytic Therapy