'SERVICES!'. That is what is completely wrong with stroke. Services are useless when the results you are delivering are a complete failure. 100% recovery is the only goal in stroke; ANYTHING LESS IS FAILURE, how close are you to that?
Once again trying to change the subject rather than solving any of the myriad of problems in stroke for the 10 million yearly stroke survivors per year. This is why the WSO is completely worthless to survivors, they don't know what needs to be done for survivors.
The state of stroke services across the globe: Report of World Stroke Organization–World Health Organization surveys
Abstract
Background
Improving stroke services is critical for reducing the global stroke burden. The World Stroke Organization–World Health Organization–Lancet Neurology Commission on Stroke conducted a survey of the status of stroke services in low and middle-income countries (LMICs) compared to high-income countries.
Methods
Using a validated World Stroke Organization comprehensive questionnaire, we collected and compared data on stroke services along four pillars of the stroke quadrangle (surveillance, prevention, acute stroke, and rehabilitation) in 84 countries across World Health Organization regions and economic strata. The World Health Organization also conducted a survey of non-communicable diseases in 194 countries in 2019.
Results
Fewer surveillance activities (including presence of registries, presence of recent risk factors surveys, and participation in research) were reported in low-income countries than high-income countries. The overall global score for prevention was 40.2%. Stroke units were present in 91% of high-income countries in contrast to 18% of low-income countries (p < 0.001). Acute stroke treatments were offered in ∼ 60% of high-income countries compared to 26% of low-income countries (p = 0.009). Compared to high-income countries, LMICs provided less rehabilitation services including in-patient rehabilitation, home assessment, community rehabilitation, education, early hospital discharge program, and presence of rehabilitation protocol.
Conclusions
There is an urgent need to improve access(Really? What the fuck good does access do when everything in stroke is a complete failure?) to stroke units and services globally especially in LMICs. Countries with less stroke services can adapt strategies from those with better services. This could include establishment of a framework for regular monitoring of stroke burden and services, implementation of integrated prevention activities and essential acute stroke care services, and provision of interdisciplinary care for stroke rehabilitation.
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