Stroke prevention and control system in China: CSPPC-Stroke Program

Abstract

In China, stroke is a major cause of mortality, and long-term physical and cognitive impairment. To meet this challenge, the Ministry of Health China Stroke Prevention Project Committee (CSPPC) was established in April 2011. This committee actively promotes stroke prevention and control in China. With government financial support of 838.4 million CNY, 8.352 million people from 536 screening points in 31 provinces have received stroke screening and follow-up over the last seven years (2012–2018). In 2016, the CSPPC issued a plan to establish stroke centers. To shorten the pre-hospital period, the CSPPC established a stroke center network, stroke map, and stroke “Green Channel” to create three 1-h gold rescue circles, abbreviated as “1-1-1” (onset to call time <1 h; pre-hospital transfer time < 1 h, and door-to-needle time < 1 h). From 2017 to 2018, the median door-to-needle time dropped by 4.0% (95% confidence interval (CI), 1.4–9.4) from 50 min to 48 min, and the median onset-to-needle time dropped by 2.8% (95% CI, 0.4–5.2) from 180 min to 175 min. As of 31 December 2018, the CSPPC has established 380 stroke centers in mainland China. From 1 November 2018, the CSPPC has monitored the quality of stroke care in stroke center hospitals through the China Stroke Data Center Data Reporting Platform. The CSPPC Stroke program has led to a significant improvement in stroke care. This program needs to be further promoted nationwide.

The Prognostic Determinant of Interleukin-10 in Patients with Acute Ischemic Stroke: An Analysis from the Perspective of Disease Management

“…Stroke leads to the highest disabilityadjusted life-year loss of any disease in China [3]. In the past ten years, China has made outstanding achievements in stroke prevention and control [5]. However, with the increase of population aging and the poor management of chronic risk factors, future stroke prevention and treatment work still face challenges [3].…”

Plaque Length Predicts the Incidence of Microembolic Signals in Acute Anterior Circulation Stroke

“…CPL may be beneficial for rethinking etiological classifications of stroke via large and nonstenotic plaques. It has been increasingly recognized that there are limitations in Trial of Org10172 in Acute Stroke Treatment (TOAST) classifications, especially in Asian countries with higher rates of LAA (Large Artery Atherosclerosis) [ 25 – 28 ]. For example, the percentage of “undermined stroke” via TOAST classifications is much higher than that of other etiologic stroke classifications [ 26 , 29 ].…”

Bibliometric Analysis of China’s Contribution to the Knowledge System of Cerebrovascular Intervention

“…This might attribute to the reforms of China's health-care system which extended the sources of clinical cases [14]. Since the establishment of the Ministry of Health China Stroke Prevention Project Committee in April 2011, more stroke centers were constructed nationally and more people could accept endovascular treatment in time [6]. However, the sum of publications citations, average publication citations, and h-index were all still low in the ranking.…”

“…Chinese researchers have made great efforts in the development of the cerebrovascular intervention in past decades. The practice of this technique has brought meaningful bene ts to many patients [6]. But China's contribution to cerebrovascular intervention has not been well evaluated.…”