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Sökning: WFRF:(Yaria Joseph) > (2021) > The state of stroke...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005343naa a2200589 4500
001oai:lup.lub.lu.se:196b2d3d-8287-4a6f-a487-0119b3a08fef
003SwePub
008210614s2021 | |||||||||||000 ||eng|
0247 a https://lup.lub.lu.se/record/196b2d3d-8287-4a6f-a487-0119b3a08fef2 URI
0247 a https://doi.org/10.1177/174749302110195682 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Owolabi, Mayowa O.u University of Ibadan4 aut
2451 0a The state of stroke services across the globe : Report of World Stroke Organization–World Health Organization surveys
264 c 2021-05-27
264 1b SAGE Publications,c 2021
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653 a acute care
653 a high-income countries
653 a low- and middle-income countries
653 a prevention
653 a rehabilitation
653 a stroke quadrangle
653 a Stroke services
7001 a Thrift, Amanda G.u Monash University4 aut
7001 a Martins, Sheilau Hospital de Clinicas de Porto Alegre4 aut
7001 a Johnson, Walteru Loma Linda University Medical Center4 aut
7001 a Pandian, Jeyaraju Christian Medical College & Hospital4 aut
7001 a Abd-Allah, Foadu Cairo University4 aut
7001 a Varghese, Cherianu World Health Organization Centre for Health Development4 aut
7001 a Mahal, Ajayu University of Melbourne4 aut
7001 a Yaria, Josephu University City College Hospital, Ibadan4 aut
7001 a Phan, Hoang T.4 aut
7001 a Roth, Gregoryu National University of Ireland Galway4 aut
7001 a Gall, Seana L.4 aut
7001 a Beare, Richardu Monash University4 aut
7001 a Phan, Thanh G.4 aut
7001 a Mikulik, Robertu University Hospital Brno4 aut
7001 a Norrving, Bou Lund 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 research4 aut0 (Swepub:lu)neur-bno
7001 a Feigin, Valery L.u Auckland University of Technology4 aut
7102 a University of Ibadanb Monash University4 org
7102 a Stroke Experts Collaboration Group
7730 t International Journal of Stroked : SAGE Publicationsg 16:8, s. 889-901q 16:8<889-901x 1747-4930x 1747-4949
8564 u http://dx.doi.org/10.1177/17474930211019568y FULLTEXT
8564 u https://journals.sagepub.com/doi/pdf/10.1177/17474930211019568
8564 8u https://lup.lub.lu.se/record/196b2d3d-8287-4a6f-a487-0119b3a08fef
8564 8u https://doi.org/10.1177/17474930211019568

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