Advanced

The global burden of stroke and need for a continuum of care.

Norrving, Bo LU and Kissela, Brett (2013) In Neurology 80(3 Suppl 2). p.5-12
Abstract
Until 4 decades ago, the rates of stroke in low- and middle-income countries were considerably lower than those in more economically robust countries. In the intervening years, however, the rates of stroke in places such as southern India and rural South Africa have approximately doubled, whereas stroke rates in more economically developed nations have decreased. What is far more striking is that rates of disability and mortality arising from stroke are at least 10 times greater in medically underserved regions of the world compared with the most developed nations. The causes of these disparities are clear: above all, there is a lack of primary care treatment to screen patients for stroke risk and to mitigate risk factors. In addition, the... (More)
Until 4 decades ago, the rates of stroke in low- and middle-income countries were considerably lower than those in more economically robust countries. In the intervening years, however, the rates of stroke in places such as southern India and rural South Africa have approximately doubled, whereas stroke rates in more economically developed nations have decreased. What is far more striking is that rates of disability and mortality arising from stroke are at least 10 times greater in medically underserved regions of the world compared with the most developed nations. The causes of these disparities are clear: above all, there is a lack of primary care treatment to screen patients for stroke risk and to mitigate risk factors. In addition, the lack of access to common drugs and basic medical equipment, as well as the lack of poststroke follow-up programs, rehabilitation, and secondary stroke prevention, means that individuals who would, in countries with better medical care, likely recover from stroke, instead have high rates of death and disability. Several global organizations, most notably the World Health Organization, have formulated and begun to implement public health programs to address these underserved regions. Their success depends on the support and expansion of these efforts so that short-term response to stroke, long-term stroke prevention and care, and screening and treatment of poststroke disabilities can be improved in underserved regions and the human and economic burden on these populations can be minimized. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Neurology
volume
80
issue
3 Suppl 2
pages
5 - 12
publisher
American Academy of Neurology
external identifiers
  • WOS:000313641600002
  • PMID:23319486
  • Scopus:84873636450
ISSN
1526-632X
DOI
10.1212/WNL.0b013e3182762397
language
English
LU publication?
yes
id
dc5a23df-d3d8-4656-8ed0-1bce9dd198c5 (old id 3438674)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23319486?dopt=Abstract
date added to LUP
2013-02-04 13:42:52
date last changed
2016-11-27 04:28:03
@misc{dc5a23df-d3d8-4656-8ed0-1bce9dd198c5,
  abstract     = {Until 4 decades ago, the rates of stroke in low- and middle-income countries were considerably lower than those in more economically robust countries. In the intervening years, however, the rates of stroke in places such as southern India and rural South Africa have approximately doubled, whereas stroke rates in more economically developed nations have decreased. What is far more striking is that rates of disability and mortality arising from stroke are at least 10 times greater in medically underserved regions of the world compared with the most developed nations. The causes of these disparities are clear: above all, there is a lack of primary care treatment to screen patients for stroke risk and to mitigate risk factors. In addition, the lack of access to common drugs and basic medical equipment, as well as the lack of poststroke follow-up programs, rehabilitation, and secondary stroke prevention, means that individuals who would, in countries with better medical care, likely recover from stroke, instead have high rates of death and disability. Several global organizations, most notably the World Health Organization, have formulated and begun to implement public health programs to address these underserved regions. Their success depends on the support and expansion of these efforts so that short-term response to stroke, long-term stroke prevention and care, and screening and treatment of poststroke disabilities can be improved in underserved regions and the human and economic burden on these populations can be minimized.},
  author       = {Norrving, Bo and Kissela, Brett},
  issn         = {1526-632X},
  language     = {eng},
  number       = {3 Suppl 2},
  pages        = {5--12},
  publisher    = {ARRAY(0xa277a88)},
  series       = {Neurology},
  title        = {The global burden of stroke and need for a continuum of care.},
  url          = {http://dx.doi.org/10.1212/WNL.0b013e3182762397},
  volume       = {80},
  year         = {2013},
}