QJM : monthly journal of the Association of Physicians
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Randomized Controlled Trial Comparative Study
Comparison of prednisolone with piroxicam in complex regional pain syndrome following stroke: a randomized controlled trial.
Complex regional pain syndrome (CRPS) following stroke aggravates morbidity. CRPS is categorized as CRPSI when no clear nerve injury is defined, and CRPSII when associated with clear nerve injury. ⋯ In this patient group, prednisolone resulted in significant improvement in the symptoms and signs of CRPSI following stroke, compared to piroxicam. Both drugs produced an improvement in the BI score.
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Management of patients with an acute coronary syndrome (ACS) requires accurate risk stratification to guide appropriate therapy. ⋯ The TIMI risk score is a valid tool for risk stratification in unselected cases with possible acute coronary syndrome. It is superior to ECG changes and troponin alone, although this simpler method also achieves good risk stratification.