Norrving Bo, Barrick Jon, Davalos Antoni, Dichgans Martin, Cordonnier Charlotte, Guekht Alla, Kutluk Kursad, Mikulik Robert, Wardlaw Joanna, Richard Edo, Nabavi Darius, Molina Carlos, Bath Philip M, Stibrant Sunnerhagen Katharina, Rudd Anthony, Drummond Avril, Planas Anna, Caso Valeria
Department of Clinical Sciences Lund, Neurology, Skåne University Hospital, Lund University, Lund, Sweden.
Stroke Alliance for Europe, London, UK.
Eur Stroke J. 2018 Dec;3(4):309-336. doi: 10.1177/2396987318808719. Epub 2018 Oct 29.
Two previous pan-European consensus meetings, the 1995 and 2006 Helsingborg meetings, were convened to review the scientific evidence and the state of current services to identify priorities for research and development and to set targets for the development of stroke care for the decade to follow. Adhering to the same format, the European Stroke Organisation (ESO) prepared a European Stroke Action Plan (ESAP) for the years 2018 to 2030, in cooperation with the Stroke Alliance for Europe (SAFE). The ESAP included seven domains: primary prevention, organisation of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment and life after stroke. Research priorities for translational stroke research were also identified. Documents were prepared by a working group and were open to public comments. The final document was prepared after a workshop in Munich on 21-23 March 2018. Four overarching targets for 2030 were identified: (1) to reduce the absolute number of strokes in Europe by 10%, (2) to treat 90% or more of all patients with stroke in Europe in a dedicated stroke unit as the first level of care, (3) to have national plans for stroke encompassing the entire chain of care, (4) to fully implement national strategies for multisector public health interventions. Overall, 30 targets and 72 research priorities were identified for the seven domains. The ESAP provides a basic road map and sets targets for the implementation of evidence-based preventive actions and stroke services to 2030.
此前召开过两次泛欧洲共识会议,即1995年和2006年的赫尔辛堡会议,目的是审查科学证据和当前服务状况,以确定研发重点,并为后续十年制定中风护理发展目标。欧洲中风组织(ESO)遵循相同模式,与欧洲中风联盟(SAFE)合作,制定了2018年至2030年的欧洲中风行动计划(ESAP)。ESAP包括七个领域:一级预防、中风服务组织、急性中风管理、二级预防、康复、中风结局评估以及质量评估和中风后的生活。还确定了转化性中风研究的优先事项。文件由一个工作组编写,并向公众征求意见。最终文件在2018年3月21日至23日于慕尼黑举行的一次研讨会后编制完成。确定了2030年的四个总体目标:(1)将欧洲中风的绝对数量减少10%;(2)让欧洲90%或更多的中风患者在专门的中风单元接受作为一级护理的治疗;(3)制定涵盖整个护理链的国家中风计划;(4)全面实施多部门公共卫生干预的国家战略。总体而言,为这七个领域确定了30个目标和72个研究优先事项。ESAP提供了一个基本路线图,并为到2030年实施基于证据的预防行动和中风服务设定了目标。