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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
neuroscience
The state of stroke services across the globe: Report of World Stroke Organization–World Health Organization surveys
International Journal of Stroke, Volume 16, No. 8, Year 2021
Notification
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Description
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. © 2021 World Stroke Organization.
Authors & Co-Authors
Owolabi, Mayowa O.
Nigeria, Ibadan
University of Ibadan
Thrift, Amanda G.
Australia, Clayton
Monash University
Martins, Sheila Cristina Ouriques
Brazil, Porto Alegre
Hospital Moinhos de Vento
Johnson, Walter D.
Unknown Affiliation
Pandian, Jeyaraj Durai
India, Ludhiana
Christian Medical College & Hospital, Ludhiana
Abd-Allah, Foad
Egypt, Giza
Cairo University
Varghese, Cherian M.
Switzerland, Geneva
Organisation Mondiale de la Santé
Mahal, Ajay S.
Australia, Melbourne
University of Melbourne
Yaria, Joseph O.
Nigeria, Ibadan
University College Hospital, Ibadan
Phan, Hoang
Australia, Hobart
University of Tasmania
Roth, Gregory A.
Ireland, Galway
University of Galway
Gall, Seana L.
Australia, Hobart
University of Tasmania
Beare, Richard J.
Australia, Melbourne
Murdoch Children's Research Institute
Phan, Thanh G.
Australia, Clayton
Monash Health
Mikulík, Robert
Czech Republic, Brno
Masaryk University
Norrving, Bo
Sweden, Lund
Lunds Universitet
Feigin, Valery L.
New Zealand, Auckland
Auckland University of Technology
On Behalf Of The Stroke Experts Collaboration Group,
New Zealand, Auckland
Auckland University of Technology
Abera, Semaw Ferede
Unknown Affiliation
Addissie, Adamu
Unknown Affiliation
Adeleye, Amos Olufemi
Unknown Affiliation
Adilbekov, Yerzhan
Unknown Affiliation
Adilbekova, Bibigul
Unknown Affiliation
Adoukonou, Thierry Armel
Unknown Affiliation
Aguiar, De Sousa D.
Unknown Affiliation
Akhmetzhanova, Zauresh
Unknown Affiliation
Akinyemi, Rufus Olusola
Unknown Affiliation
Akpalu, Albert K.
Unknown Affiliation
Ameriso, Sebastián Francisco
Unknown Affiliation
Andonova, Silva Peteva
Unknown Affiliation
Abanto, Carlos
Unknown Affiliation
Awoniyi, Folorunso Emmanuel
Unknown Affiliation
Bakhiet, Raga M.
Unknown Affiliation
Basri, Hamidon
Unknown Affiliation
Bath, Philip M.
Unknown Affiliation
Bereczki, Dániel
Unknown Affiliation
Beretta, Simone
Unknown Affiliation
Berkowitz, Aaron L.
Unknown Affiliation
Bernhardt, Julie A.
Unknown Affiliation
Bērziņa, Guna
Unknown Affiliation
Bhavsar, Bhavan
Unknown Affiliation
Bovet, Pascal
Unknown Affiliation
Brainin, Michael
Unknown Affiliation
Budinčević, Hrvoje
Unknown Affiliation
Cabral, Norberto Luiz
Unknown Affiliation
Cadilhac, Dominique A.
Unknown Affiliation
Caso, Valeria
Unknown Affiliation
Chen, Christopher P.L.H.
Unknown Affiliation
Chin, Jerome Hsi Cheng
Unknown Affiliation
Christensen, Hanne Krarup
Unknown Affiliation
Chwojnicki, Kamil
Unknown Affiliation
Conforto, Adriana Bastos
Unknown Affiliation
Tedim Cruz, Vítor Tedim
Unknown Affiliation
D’Amelio, Marco
Unknown Affiliation
Danielyan, Kristine Edgar
Unknown Affiliation
Davis, Stephen M.
Unknown Affiliation
Demarin, Vida
Unknown Affiliation
Dempsey, Robert J.
Unknown Affiliation
Dichgans, Martin
Unknown Affiliation
Dokova,
Unknown Affiliation
Donnan, Geoffrey Alan
Unknown Affiliation
Durán, Juan Carlos
Unknown Affiliation
Elizondo, M. A.B.
Unknown Affiliation
Elkind, Mitchell S.V.
Unknown Affiliation
Endres, Matthias
Unknown Affiliation
Etedal, I.
Unknown Affiliation
Faris, Mustapha El Alaoui
Unknown Affiliation
Fischer, Urs Martin
Unknown Affiliation
Gankpé, Fortuné G.
Unknown Affiliation
Gavidia, Martin
Unknown Affiliation
Gaye-Saavedra, Andrés
Unknown Affiliation
Giroud, Maurice E.
Unknown Affiliation
Gongora-Rivera, Fernando
Unknown Affiliation
Hachinski, Vladimir C.I.
Unknown Affiliation
Hacke, Werner
Unknown Affiliation
Hamadeh, Randah R.
Unknown Affiliation
Hamzat, T. K.
Unknown Affiliation
Hankey, Graeme J.
Unknown Affiliation
Heldner, Mirjam R.
Unknown Affiliation
Ibrahim, Naseem M.
Unknown Affiliation
Inoue, Manabu
Unknown Affiliation
Jee, Sungju
Unknown Affiliation
Jiann-Shing, Jeng
Unknown Affiliation
Johnston, Stuart Claiborne
Unknown Affiliation
Kalkonde, Yogeshwar V.
Unknown Affiliation
Kamenova, Saltanat U.
Unknown Affiliation
Kelly, Peter J.
Unknown Affiliation
Khan, Tariq M.
Unknown Affiliation
Kiechl, Stefan G.
Unknown Affiliation
Kondybayeva, Aida M.
Unknown Affiliation
Kõrv, Janika
Unknown Affiliation
Kravchenko, Michael A.
Unknown Affiliation
Krishnamurthi, Rita V.
Unknown Affiliation
Langhorne, Peter
Unknown Affiliation
Kang, Z. L.
Unknown Affiliation
Kruja, Jera
Unknown Affiliation
Lavados Germain, Pablo M.
Unknown Affiliation
Lebedynets, Dmytro V.
Unknown Affiliation
Leung, Thomas Wai Hong
Unknown Affiliation
Liebeskind, David S.
Unknown Affiliation
Lindsay, Patty
Unknown Affiliation
López-Jaramillo, P.
Unknown Affiliation
Lotufo, P. Andrade
Unknown Affiliation
Markus, Hugh Stephen
Unknown Affiliation
Medina, Marco Tulio
Unknown Affiliation
Mehndiratta, Man Mohan
Unknown Affiliation
Mirrakhimov, Erkin
Unknown Affiliation
Murphy, Séan F.
Unknown Affiliation
Musa, Kamarul Imran
Unknown Affiliation
Nasreldein, Ahmed
Unknown Affiliation
Nogueira, Raul Gomes
Unknown Affiliation
Nolte, Christian H.
Unknown Affiliation
Noubiap, Jean Jacques
Unknown Affiliation
O'Donnell, Martin J.
Unknown Affiliation
Oraby, Mohammed Ibrahim
Unknown Affiliation
Ovbiagele, Bruce I.
Unknown Affiliation
Özdemi̇r, Atilla Özcan
Unknown Affiliation
Öztürk, Şerefnur
Unknown Affiliation
Peters, Annette
Unknown Affiliation
Piradov, Michael A.
Unknown Affiliation
Platz, Thomas
Unknown Affiliation
Potpara, Tatjana S.
Unknown Affiliation
Rathore, Farooq Azam
Unknown Affiliation
Roth, Gregory A.
Unknown Affiliation
Sacco, Ralph L.
Unknown Affiliation
Sahathevan, Ramesh
Unknown Affiliation
Saposnik, Gustavo
Unknown Affiliation
Sarfo, Fred Stephen
Unknown Affiliation
Sheth, Kevin Navin
Unknown Affiliation
Suwanwela, Nijasri Charnnarong
Unknown Affiliation
Sylaja, Padmavathyamma Narayanapillai
Unknown Affiliation
Thakur, Kiran Teresa
Unknown Affiliation
Toni, Danilo S.
Unknown Affiliation
Torales, Julio
Unknown Affiliation
Truelsen, Thomas Clement
Unknown Affiliation
Tsiskaridze, Alexander
Unknown Affiliation
Tulloch-Reid, Marshall Kerr
Unknown Affiliation
Vanacker, Peter
Unknown Affiliation
Venketasubramanian, Narayanaswamy
Unknown Affiliation
Wahab, Kolawole Wasiu
Unknown Affiliation
Wang, Wenzhi
Unknown Affiliation
Wijeratne, Tissa
Unknown Affiliation
Wolfe, Charles Da
Unknown Affiliation
Yock-Corrales, Adriana
Unknown Affiliation
Yonemoto, Naohiro
Unknown Affiliation
Yperzeele, Laetitia
Unknown Affiliation
Statistics
Citations: 67
Authors: 146
Affiliations: 15
Identifiers
Doi:
10.1177/17474930211019568
ISSN:
17474930
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative