作者: Patrice Lindsay , Karen L. Furie , Stephen M. Davis , Geoffrey A. Donnan , Bo Norrving
DOI: 10.1111/IJS.12371
关键词: Global health 、 Action plan 、 Strategic planning 、 Psychological intervention 、 Health care 、 Stroke recovery 、 Guideline 、 Medicine 、 Medical emergency 、 Stroke
摘要: Every two seconds, someone across the globe suffers a symptomatic stroke. 'Silent' cerebrovascular disease insidiously contributes to worldwide disability by causing cognitive impairment in elderly. The risk of is disproportionately higher low middle income countries where there may be barriers stroke care. last decades have seen major transformation field with emergence evidence-based approaches prevention, acute management, and recovery. current challenge lies implementing these interventions, particularly regions high incidences limited healthcare resources. Global Stroke Services Action Plan was conceived as tool identifying key elements care continuum health models. At minimal level resource availability, delivery based at local clinic staffed predominantly non-physicians. In this environment, laboratory tests diagnostic studies are scarce, much emphasis placed on bedside clinical skills, teaching, prevention. essential services offers access CT scan, physicians, potential for thrombolytic therapy, however expertise still difficult access. advanced level, multidisciplinary expertise, multimodal imaging, comprehensive therapies available. A national plan should incorporate regional strengths build upon them. This practice guideline synopsis core recommendations quality indicators adapted from ten multinational guidelines. It can used establish services, target goals expanding resources, ensuring that all stages being adequately addressed, even level. document start, but more done, realm primary Despite differences message we wish convey awareness, education, treatment always feasible. Communities institutions set continuously expand their service capabilities. intended augment advocacy efforts throughout world, providing strategic optimizing outcomes.