Stroke in the Elderly

Learning Target

 

According to the World Health Organisation (WHO), approximately 15 million people suffer from stroke each year. Around the world, the majority of strokes (75% to 89%) occur in those over 65 years of age. For each decade of life after age 55, the stroke rate doubles in both men and women. This learning module takes a detailed look at the role of age in stroke outcomes and prevalence, incidence and economic impact of stroke in the elderly.

The learning module is divided into 3 sections, each of which contain optional links to additional webcasts and self assessment questions.

 

 

Successful completion of the CME test at the end of the module will provide you with 2 CME points.

 

 

 

Stroke in the Elderly

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Editors

Stroke in the Elderly

 

Steve Davis

Stephen Davis, MD

Department of Neurology, Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia

Stephen Davis is Professor and Director of the Division of Neurosciences and Director of Department of Neurology, at The Royal Melbourne Hospital and University of Melbourne, University of Melbourne, Parkville, Victoria, Australia.

Dr Davis’ main research interests are acute management of stroke and TIA, thrombolysis for stroke and haemorrhage after rt-PA in acute ischaemic stroke, surgery for intracerebral haemorrhage, CT screening for thrombolysis, the use of PWI and DWI measures and advances in penumbra imaging with MR, antiplatelet therapies in stroke prevention, neuroprotection and feasibiliy of neuroprotective agent administration, stroke unit design, patent foramen ovale and stroke, steroids for stroke, blood pressure reduction and ACE inhibition in secondary stroke prevention, cervicocerebral artery dissections and surgery for carotid artery stenosis.

Dr Davis is or was a principle investigator in the BRAVO (blockade of the glycoprotein IIb/IIIa receptor to avoid vascular occlusion) trial, the ASK (Australian Streptokinase) trial, the GAIN International (Glycine antagonist [gavestinel] in neuroprotection) trial, the PROGRESS (Perindopril pROtection aGainst REcurrent Stroke Study) trial, the ASSIST (Acute Stroke Studies Involving Selfotel Treatment) study, the ECASS II (European-Australasian Cooperative Acute Stroke Study), the MERFS (Melbourne Risk Factor Study), the ASAP (Avoid Stroke as Soon as Possible) general practice stroke audit, and the ICH NovoSeven® trial.

Dr Davis is or has been a member of the Australian Association of Neurologists (AAN), the International Society of Hypertension (ISH), the Stroke Society of Australasia, and the International Trial Subcommittee of the International Stroke Liaison Committee, American Stroke Association. He was Chairman of the 4th World Stroke Conference in Melbourne 2000 and Chairman of the Education Committee, World Congress of Neurology, Sydney 2005.

Dr Davis has authored and co-authored more than 200 scientific papers on cerebrovascular diseases in journals such as Stroke, Lancet Neurology, Cerebrovascular Diseases, Circulation, the Journal of Hypertension, Lancet, Neurology, Current Opinion in Neurology, the American Journal of Neuroradiology, and Annals of Neurology.

  Richard Lindley

Richard Lindley

Blacktown Hospital, Sydney

Richard Lindley graduated in medicine at the University of Newcastle upon Tyne in 1986 and trained in General, Geriatric and Stroke Medicine in England, Scotland and Australia. He was awarded a Doctorate for the trial methodology research that was used for the first "mega-trial" for stroke, the International Stroke Trial. In 2003, after some ten years with the Edinburgh Stroke Group, he was appointed Moran Foundation for Older Australians Chair of Geriatric Medicine, based at the University of Sydney, Australia. His current research includes running several large-scale clinical trials in stroke such as IST-3, AVERT and INTERACT-2. In 2010, he moved his research base from Westmead Hospital to The George Institute for Global Health where he holds an Honorary Professorial Fellow appointment. He is in clinical practice in Geriatric and Stroke Medicine at Blacktown Hospital, Sydney.

   

Kennedy Lees

Kennedy Lees

University of Glasgow and Western Infirmary, Glasgow UK

Kennedy Lees is Professor of Cerebrovascular Medicine at the University of Glasgow and has been Director of the Acute Stroke Unit in the Western Infirmary in Glasgow since it was established in 1990. His research interests include acute neuroprotection and thrombolysis for stroke, stroke trial design and secondary prevention, including the use of antihypertensive drugs and their effect on cerebral blood flow. Recent research has concerned choice of outcome measures for stroke trials, the training of investigators in their use - such as the Rankin training programme - and the optimal analysis approaches.

Professor Lees has helped co-ordinate multicentre stroke trials including PROGRESS, ASSIST, MAST-E and CARESS, acted as principal investigator for the GAIN-International, IMAGES and SAINT I trials. He leads the Virtual International Stroke Trial Archive (VISTA) group, chaired the SAINT and CHANT Trials' Steering Committee, is a past chairman of the European Stroke Council and an executive member of the European Stroke Organisation. He has chaired data monitoring committees for several acute stroke trials including ICTUS, DIAS, ASSIST, mRECT trials and ECASS 3.