Mishra Nishant K, Khadilkar Satish V
Acute Stroke Unit, Western Infirmary and Faculty of Medicine, Department of Medicine and Therapeutics, University of Glasgow, 44, Church Street, Glasgow, G11 6NT, Scotland.
Ann Indian Acad Neurol. 2010 Jan;13(1):28-32. doi: 10.4103/0972-2327.61273.
India is silently witnessing a stroke epidemic. There is an urgent need to develop a national program towards "Fighting Stroke". This program should be specific to our national needs. In order to recommend on who should lead an Indian fight-stroke program, we examined the published opinions of stroke clinicians and the official documents on stroke care training abroad. We identified the resources that already exist in India and can be utilized to develop a national fight-stroke program. Through a review of published literature, we noted different opinions that exist on who would best manage stroke. We found that because stroke is a cardiovascular disorder of the central nervous system, its management requires a multi-disciplinary approach involving clinicians with background not limited to neurology. India has very few neurologists trained in stroke medicine and they cannot care for all stroke patients of the country. We propose a mechanism that would quickly put in place a stroke care model relevant in Indian context. We recommend for tapping the clinical expertise available from existing pool of non-neurologist physicians who can be trained and certified in stroke medicine (Strokology). We have discussed an approach towards developing a national network for training and research in Strokology hoping that our recommendations would initiate discussion amongst stroke academicians and motivate the national policy makers to quickly develop an "Indian Fight Stroke Program."
印度正在悄然经历一场中风流行。迫切需要制定一项针对“抗击中风”的国家计划。该计划应符合我国的具体需求。为了就谁应领导印度的抗击中风计划提出建议，我们研究了中风临床医生已发表的意见以及国外中风护理培训的官方文件。我们确定了印度现有的可用于制定国家抗击中风计划的资源。通过对已发表文献的回顾，我们注意到对于谁最适合管理中风存在不同意见。我们发现，由于中风是中枢神经系统的心血管疾病，其管理需要多学科方法，涉及背景不限于神经学的临床医生。印度接受中风医学培训的神经科医生非常少，他们无法照顾该国所有的中风患者。我们提出一种机制，该机制将迅速建立一个适合印度情况的中风护理模式。我们建议利用现有非神经科医生群体中可用的临床专业知识，这些医生可以接受中风医学（中风学）培训并获得认证。我们讨论了一种建立中风学培训和研究国家网络的方法，希望我们的建议能引发中风学术界的讨论，并激励国家政策制定者迅速制定“印度抗击中风计划”。
