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The state of stroke services across the globe: Report of World Stroke Organization–World Health Organization surveys

Owolabi, MO, Thrift, AG, Martins, S, Johnson, W, Pandian, J, Abd-Allah, F, Varghese, C, Mahal, A, Yaria, J, Phan, HT ORCID: 0000-0003-0506-2924, Roth, G, Gall, SL ORCID: 0000-0002-5138-2526, Beare, R, Phan, TG, Mikulik, R, Norrving, B and Feigin, VL 2021 , 'The state of stroke services across the globe: Report of World Stroke Organization–World Health Organization surveys' , International Journal of Stroke , pp. 1-13 , doi: 10.1177/17474930211019568.

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Abstract

Background: Improving stroke services is critical for reducing the global stroke burden. The World StrokeOrganization–World Health Organization–Lancet Neurology Commission on Stroke conducted a survey of the statusof stroke services in low and middle-income countries (LMICs) compared to high-income countries.Methods: Using a validated World Stroke Organization comprehensive questionnaire, we collected and compared dataon stroke services along four pillars of the stroke quadrangle (surveillance, prevention, acute stroke, and rehabilitation) in84 countries across World Health Organization regions and economic strata. The World Health Organization alsoconducted a survey of non-communicable diseases in 194 countries in 2019.Results: Fewer surveillance activities (including presence of registries, presence of recent risk factors surveys, andparticipation in research) were reported in low-income countries than high-income countries. The overall global scorefor prevention was 40.2%. Stroke units were present in 91% of high-income countries in contrast to 18% of low-incomecountries (p Conclusions: There is an urgent need to improve access to stroke units and services globally especially in LMICs.Countries with less stroke services can adapt strategies from those with better services. This could include establishment of a framework for regular monitoring of stroke burden and services, implementation of integratedprevention activities and essential acute stroke care services, and provision of interdisciplinary care for strokerehabilitation.

Item Type: Article
Authors/Creators:Owolabi, MO and Thrift, AG and Martins, S and Johnson, W and Pandian, J and Abd-Allah, F and Varghese, C and Mahal, A and Yaria, J and Phan, HT and Roth, G and Gall, SL and Beare, R and Phan, TG and Mikulik, R and Norrving, B and Feigin, VL
Keywords: stroke, health services, prevention, management
Journal or Publication Title: International Journal of Stroke
Publisher: SAGE Publications
ISSN: 1747-4930
DOI / ID Number: 10.1177/17474930211019568
Copyright Information:

Copyright 2021 World Stroke Organization

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