Department of Neurology, Semmelweis University, Budapest, Hungary.
Int J Stroke. 2013 Jul;8(5):365-71. doi: 10.1111/j.1747-4949.2012.00845.x. Epub 2012 Sep 13.
Stroke is a major medical problem and one of the leading causes of mortality and disability all over in Europe. However, there are significant East-West differences in stroke care as well as in stroke mortality and morbidity rates. Central and Eastern European countries that formerly had centralized and socialist health care systems have serious and similar problems in organizing health and stroke care 20 years after the political transition. In Central and Eastern Europe, stroke is more frequent, the mortality rate is higher, and the victims are younger than in Western Europe. High-risk patients live in worse environmental conditions, and the socioeconomic consequences of stroke further weaken the economic development of these countries. To address these issues, a round table conference was organized. The main aim of this conference was to discuss problems to be solved related to acute and chronic stroke care in Central and Eastern European countries, and also, to exchange ideas on possible solutions. In this article, the discussed problems and possible solutions will be summarized, and introduce 'The Budapest Statement of Stroke Experts of Central and Eastern European countries'.
中风是一个主要的医学问题,也是欧洲各地死亡率和残疾率的主要原因之一。然而,中风护理以及中风死亡率和发病率在东西方存在显著差异。曾经拥有集中化和社会主义医疗保健系统的中东欧国家在政治转型 20 年后,在组织健康和中风护理方面存在严重且相似的问题。在中东欧,中风更为频繁,死亡率更高,患者比西欧更年轻。高危患者生活在更恶劣的环境条件下,中风的社会经济后果进一步削弱了这些国家的经济发展。为了解决这些问题,组织了一次圆桌会议。本次会议的主要目的是讨论与中东欧国家急性和慢性中风护理相关的待解决问题,并就可能的解决方案交换意见。本文将总结讨论的问题和可能的解决方案,并介绍“中东欧国家中风专家的布达佩斯声明”。