How is stroke care organised in Europe?

Arnao, Valentina; Popović, Nemanja; Caso, Valeria

doi:10.1016/j.lpm.2016.10.004

Cited by 13 publications

(14 citation statements)

References 19 publications

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“…The National Stroke Prevention and Treatment Programme, launched in 1997, was the implementation of the Helsingborg Declaration, drafted in 1995 for the World Health Oganization (WHO), and specified the principles of the modern treatment of stroke in all European Union countries [46,47,48,49]. In 2003, within the National Programme of Prophylaxis and Treatment of Cardiovascular Diseases (POLKARD), which was continued as the National Programme for Equalising Access to Preventive Measures and Treatment of Cardiovascular Diseases, attempts were made to integrate the fields of medicine dealing with the treatment of cardiovascular diseases for common prevention, entailing a comprehensive approach to all risk factors and popularising modern, integrated procedures in cardiovascular diseases [50,51]. Other activities aimed at preventing and reducing the effects of cerebrovascular diseases included redirecting EU funds for Regional Operational Programmes in Poland for the National Programme for the Prevention of Cerebrovascular Diseases (ICD 10:I60-I69) for 2017-2020 [52].…”

Section: Discussionmentioning

confidence: 99%

“…This is the first comprehensive programme aimed at improving the treatment of stroke in Europe. The ESO-EAST programme was initiated by the European Stroke Organisation and is being implemented in Eastern European countries through the participation of stroke specialists, professional organisations and local authorities in all those countries [51]. The implementation of the programme started in 2015 and will be concluded in 2019.…”

Section: Discussionmentioning

confidence: 99%

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Stroke epidemiology based on experience from Krasnik county in eastern Poland

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Furtak–Niczyporuk

2020

Ann Agric Environ Med.

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Introduction. Cerebrovascular diseases in Poland constitute a bigger threat to life in men than in women, especially after the age of 60. Death rates indicate higher stroke over-mortality in the rural population rather than the urban. At the same time, stroke is the main cause of long-term disability, since half of the patients are unable to independently perform daily activities, which makes them dependent on other people. Materials and method. The study was conducted in the Independent Public Healthcare Institution in Kraśnik, eastern Poland. It covered the medical records of 1,500 patients, 780 women (52%) and 720 men (48%), aged 20-100, diagnosed with cerebral infarction. The patients were hospitalised between 2011-2016 in the Neurology Ward with a Stroke Unit, the Internal Medicine Ward, and the Anaesthetics and Intensive Care Ward. Results. The stroke patients hospitalised in the Independent Public Healthcare Institution in Kraśnik were residents of urban communes (59.1% of subjects) and rural communes (40.9%). The most often diagnosed type of stroke was due to embolism of the cerebral arteries (I63.4) in women (63.48%). In men, the most most often diagnosed type was cerebral infarction due to thrombosis of the cerebral arteries (I63.3; 51.33%). Stroke in 36.15% of the female subjects resulted in death. In male subjects, death occurred in 26.11% of the cases. Conclusions. Women aged around 78-years-old were the most likely to suffer a stroke. In men, it occurred eight years earlier. Despite residents of urban areas being hospitalised due to stroke more often, deaths caused by this disease were recorded the most frequently among rural residents. It can be concluded that primary stroke prevention is the only effective measure for reducing morbidity and premature mortality in the population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Stroke epidemiology based on experience from Krasnik county in eastern Poland

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Kos

Furtak–Niczyporuk

2020

Ann Agric Environ Med.

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“…Все три уровня обеспечивают тромболизис, тогда как в КИЦ проводят также эндоваскулярное лечение. В Ломбардии (Италия) инсультная сеть объединяет 36 инсультных отделений на территории площадью 23,861 км 2 и фактически обеспечивает в регионе помощью всех больных с инсультом [18]. В Греции (валовой внутренний продукт -18637 дол.…”

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“…Некоторые страны (например, Швейцария) в системе управления инсультом строго придерживаются текущих рекомендаций ESO [18].…”

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Stroke units in the world and Ukraine: requirements, realities and prospects

Pedachenko¹,

Nikiforova²

2018

Ukr Neurosurg J

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Trends of recanalization therapies and state of art for ischemic stroke treatment in Campania region, Italy

et al. 2022

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Background According to the last Italian report by the Ministry of Health in 2018, the estimated number of acute ischemic strokes (AIS) in Campania is 10,000/year, with an expected number of 1390 intravenous thrombolysis (IVT) and 694 mechanical thrombectomies (MT). In 2017, only 1.5% of expected patients received IVT and 0.2% MT. This study analyzed the trend of IVT and MT in 2019–2020 and depicted the state of art of Stroke Care in Campania. Methods From the regional health task force, we obtained the hospital discharge forms from all private and public hospitals in Campania; we selected patients with a principal diagnosis of AIS and measured the rate of patients admitted to neurology units and the rate of IVT, MT, and IVT + MT for both 2019 and 2020. Results In 2019, we observed 4817 admissions for AIS; 2858/4817 (59.3%) patients were admitted to neurology units. Out of 4817 patients, 192 received IVT, 165 MT, and 131 IVT + MT (488 treated patients; 10.1%). In 2020, we observed 4129 admissions for AIS; 2502/4129 (62.7%) patients were admitted to neurology units. Out of 4129 patients, 198 received IVT, 250 MT, and 180 IVT + MT (628 treated patients; 15.2%). These results showed that despite a reduction of AIS admissions in 2020, the relative and absolute rate of recanalization treatments increased. However, the number of patients who were not admitted to neurology units nor received acute treatments remained dramatically high. Conclusion Despite the development of acute treatments, the Campania Stroke Network still needs significative efforts to improve.

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How is stroke care organised in Europe?

Cited by 13 publications

References 19 publications

Stroke epidemiology based on experience from Krasnik county in eastern Poland

Stroke epidemiology based on experience from Krasnik county in eastern Poland

Stroke units in the world and Ukraine: requirements, realities and prospects

Trends of recanalization therapies and state of art for ischemic stroke treatment in Campania region, Italy

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