Establishing stroke systems of care from the bottom to the top: A global perspective
Volume 7 Issue 2 January 2022, pages 61-69
Received 28th December 2021; Accepted 7th January 2022
Shiela Cristina Ouriques Martins – Professor of Neurology, Universidade Federal do Rio Grande do Sul; Chief of Neurology and Neurosurgery Hospital Moinhos de Vento; President- Elect World Stroke Organisation, Porto Alegre, Brazil.
Yohanna Kusuma – Consultant Neurologist; Head of Hyperacute Stroke Team & Neurosonology Services, PhD Candidate, National Brain Centre, Airlangga University, Jakarta, Indonesia; Deakin University, Waurn Ponds, Victoria, Australia.
Udaya Ranawaka – Professor of Neurology, Faculty of Medicine, University of Kelaniya; Honorary Consultant Neurologist, North Colombo Teaching Hospital, Ragama, Sri Lanka
Mohammad Wasay – Consultant Neurologist, Aga Khan Hospital; Professor of Neurology, Agha Khan University, Karachi, Pakistan
Maria Epifania Collantes – Consulting Neurologist, Philippine General Hospital, University of the Philippines, Manila, Philippines
Five international stroke experts shared their experiences establishing stroke services in low- and medium-income countries (LMIC) in a symposium sponsored by Boehringer Ingelheim at the Virtual 13th World Stroke Congress on Thursday, October 28th of 2021. Stroke is a major cause of death and disability worldwide and its incidence and mortality are increasing. Both age-standardised stroke mortality and rates of disability-adjusted life years have decreased. However, in people under 70 years of age, stroke incidence increased, and the highest stroke-related mortality and DALY rates are in low-income groups. These factors disproportionately affect LMICs around the world. As the experts from Brazil, Indonesia, Sri Lanka, Pakistan, and Philippines explain, LMICs face many challenges in stroke care due to deficiencies in healthcare systems and socioeconomic factors. Despite these challenges, measures can be implemented to effectively improve stroke care and prevention.
Keywords:ACUTE STROKE CARE, ANGELS, LOW- AND MEDIUM-INCOME COUNTRIES, THROMBOLYSIS, THROMBECTOMY
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