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The state of stroke...
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Owolabi, Mayowa O.University of Ibadan
(författare)
The state of stroke services across the globe : Report of World Stroke Organization–World Health Organization surveys
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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2021-05-27
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SAGE Publications,2021
Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:196b2d3d-8287-4a6f-a487-0119b3a08fef
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https://lup.lub.lu.se/record/196b2d3d-8287-4a6f-a487-0119b3a08fefURI
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https://doi.org/10.1177/17474930211019568DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Ämneskategori:ref swepub-contenttype
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Background: Improving stroke services is critical for reducing the global stroke burden. The World Stroke Organization–World Health Organization–Lancet Neurology Commission on Stroke conducted a survey of the status of 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 data on stroke services along four pillars of the stroke quadrangle (surveillance, prevention, acute stroke, and rehabilitation) in 84 countries across World Health Organization regions and economic strata. The World Health Organization also conducted 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, and participation in research) were reported in low-income countries than high-income countries. The overall global score for prevention was 40.2%. Stroke units were present in 91% of high-income countries in contrast to 18% of low-income countries (p < 0.001). Acute stroke treatments were offered in ∼ 60% of high-income countries compared to 26% of low-income countries (p = 0.009). Compared to high-income countries, LMICs provided less rehabilitation services including in-patient rehabilitation, home assessment, community rehabilitation, education, early hospital discharge program, and presence of rehabilitation protocol. 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 integrated prevention activities and essential acute stroke care services, and provision of interdisciplinary care for stroke rehabilitation.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Thrift, Amanda G.Monash University
(författare)
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Martins, SheilaHospital de Clinicas de Porto Alegre
(författare)
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Johnson, WalterLoma Linda University Medical Center
(författare)
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Pandian, JeyarajChristian Medical College & Hospital
(författare)
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Abd-Allah, FoadCairo University
(författare)
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Varghese, CherianWorld Health Organization Centre for Health Development
(författare)
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Mahal, AjayUniversity of Melbourne
(författare)
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Yaria, JosephUniversity City College Hospital, Ibadan
(författare)
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Phan, Hoang T.
(författare)
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Roth, GregoryNational University of Ireland Galway
(författare)
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Gall, Seana L.
(författare)
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Beare, RichardMonash University
(författare)
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Phan, Thanh G.
(författare)
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Mikulik, RobertUniversity Hospital Brno
(författare)
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Norrving, BoLund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Klinisk strokeforskning,Forskargrupper vid Lunds universitet,Stroke policy och kvalitetsregisterforskning,LUBIN Lab- Lunds laboratorium för neurokirurgisk hjärnskadeforskning,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Clinical Stroke Research Group,Lund University Research Groups,Stroke policy and quality register research,LUBIN Lab- Lund Brain Injury laboratory for Neurosurgical research(Swepub:lu)neur-bno
(författare)
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Feigin, Valery L.Auckland University of Technology
(författare)
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University of IbadanMonash University
(creator_code:org_t)
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Stroke Experts Collaboration Group
Sammanhörande titlar
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Ingår i:International Journal of Stroke: SAGE Publications16:8, s. 889-9011747-49301747-4949
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Owolabi, Mayowa ...
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Thrift, Amanda G ...
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Martins, Sheila
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Johnson, Walter
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Pandian, Jeyaraj
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Abd-Allah, Foad
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Varghese, Cheria ...
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Mahal, Ajay
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Yaria, Joseph
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Phan, Hoang T.
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Roth, Gregory
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Gall, Seana L.
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Beare, Richard
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Phan, Thanh G.
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Mikulik, Robert
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Norrving, Bo
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