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Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update

Christensen, H. ; Ulberg, T. ; Norrving, B. LU and Caso, V. (2026) In European Stroke Journal 11(1).
Abstract
OBJECTIVES: Implementation of the Stroke Action Plan for Europe (2018-2030) (SAP-E) was initiated in 2019. It is now updated at mid-term to reflect and respond to challenges for stroke care in Europe in 2025. METHODS: The SAP-E covers the entire chain of stroke care. The sections (state of the art, current status and targets) were developed by working groups and finalised based on inputs from the Interim Review Committee and an open online meeting. Targets for 2030 were updated to reflect current knowledge, to prioritise and to increase accountability. RESULTS: All sections have been updated based on the newest evidence to reflect the state of the art and current status in 2025. CONCLUSION: Stroke remains a significant health issue in... (More)
OBJECTIVES: Implementation of the Stroke Action Plan for Europe (2018-2030) (SAP-E) was initiated in 2019. It is now updated at mid-term to reflect and respond to challenges for stroke care in Europe in 2025. METHODS: The SAP-E covers the entire chain of stroke care. The sections (state of the art, current status and targets) were developed by working groups and finalised based on inputs from the Interim Review Committee and an open online meeting. Targets for 2030 were updated to reflect current knowledge, to prioritise and to increase accountability. RESULTS: All sections have been updated based on the newest evidence to reflect the state of the art and current status in 2025. CONCLUSION: Stroke remains a significant health issue in Europe, with notable incidence and inequities in access to care. Key interventions are strongly evidence-based, cost-effective and supported by World Health Organization and European Union recommendations. Despite improvements, gaps remain across the care pathway but particularly in terms of access to stroke units, rehabilitation and follow-up. To control and reduce the burden of stroke, the main action points are: (1) national stroke plans, which encompass the entire chain of care and are reflected in reimbursement systems, (2) quality and outcome control, where impact is measured at both individual and health care system level, (3) robust and resilient health care organisation covering the entire chain of care that promotes equal access to sustainable, timely and evidence-based stroke care and (4) effective national strategies to promote and facilitate a healthy lifestyle and risk factor control. © The Author(s) 2026. Published by Oxford University Press on behalf of the European Stroke Organisation. (Less)
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author
; ; and
author collaboration
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
epidemiology, Europe, prevention, quality assurance, strategic planning, stroke, stroke services, treaties, treatment, Humans, Stroke, cerebrovascular accident, human, therapy
in
European Stroke Journal
volume
11
issue
1
article number
aakaf026
publisher
SAGE Publications
external identifiers
  • scopus:105028999596
  • pmid:41614539
ISSN
2396-9881
DOI
10.1093/esj/aakaf026
language
English
LU publication?
yes
id
efdd8dbf-2469-455c-8bf5-c04549b14731
date added to LUP
2026-04-01 08:32:04
date last changed
2026-04-02 03:00:10
@article{efdd8dbf-2469-455c-8bf5-c04549b14731,
  abstract     = {{OBJECTIVES: Implementation of the Stroke Action Plan for Europe (2018-2030) (SAP-E) was initiated in 2019. It is now updated at mid-term to reflect and respond to challenges for stroke care in Europe in 2025. METHODS: The SAP-E covers the entire chain of stroke care. The sections (state of the art, current status and targets) were developed by working groups and finalised based on inputs from the Interim Review Committee and an open online meeting. Targets for 2030 were updated to reflect current knowledge, to prioritise and to increase accountability. RESULTS: All sections have been updated based on the newest evidence to reflect the state of the art and current status in 2025. CONCLUSION: Stroke remains a significant health issue in Europe, with notable incidence and inequities in access to care. Key interventions are strongly evidence-based, cost-effective and supported by World Health Organization and European Union recommendations. Despite improvements, gaps remain across the care pathway but particularly in terms of access to stroke units, rehabilitation and follow-up. To control and reduce the burden of stroke, the main action points are: (1) national stroke plans, which encompass the entire chain of care and are reflected in reimbursement systems, (2) quality and outcome control, where impact is measured at both individual and health care system level, (3) robust and resilient health care organisation covering the entire chain of care that promotes equal access to sustainable, timely and evidence-based stroke care and (4) effective national strategies to promote and facilitate a healthy lifestyle and risk factor control. © The Author(s) 2026. Published by Oxford University Press on behalf of the European Stroke Organisation.}},
  author       = {{Christensen, H. and Ulberg, T. and Norrving, B. and Caso, V.}},
  issn         = {{2396-9881}},
  keywords     = {{epidemiology; Europe; prevention; quality assurance; strategic planning; stroke; stroke services; treaties; treatment; Humans; Stroke; cerebrovascular accident; human; therapy}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{SAGE Publications}},
  series       = {{European Stroke Journal}},
  title        = {{Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update}},
  url          = {{http://dx.doi.org/10.1093/esj/aakaf026}},
  doi          = {{10.1093/esj/aakaf026}},
  volume       = {{11}},
  year         = {{2026}},
}