You can see here that 9 years ago the availability problem was recognized and yet they totally ignored the massive die off of neurons even if these stroke units are set up. I got tPA in 90 minutes causing 177 million neurons to die, yet that is miniscule to the 5.4 billion neurons dying during the neuronal cascade of death in the first week. So while availability is a problem to be solved the bigger problem is being ignored.
Applicability of stroke-unit care to low-income and middle-income countries
Published:April, 2012DOI:https://doi.org/10.1016/S1474-4422(12)70024-8
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Summary
Stroke units have become established as the central component of modern stroke services.
However, most stroke-unit trials and service developments have been done in high-income
countries, which raises the question of whether such care is relevant and applicable
to low-income and middle-income settings. To address this question, we first need
to show that stroke units are likely to provide important health gains to populations.
Second, we need to identify those components of stroke units that could be important
for a low-technology unit, and to learn from examples of stroke units in low-income
and middle-income countries. Finally, we need to understand how barriers to the establishment
of stroke units could be overcome. Although substantial challenges are present to
the development of stroke units more widely across the world, the potential gains
from such developments are substantial.
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