Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Ann N Y Acad Sci. 2020 Aug;1473(1):3-10. doi: 10.1111/nyas.14379. Epub 2020 May 12.
Stroke care in India has evolved rapidly in the last decade with a focus on stroke awareness, prevention, rapid triage, treatment, and rehabilitation. But acute stroke care and poststroke rehabilitation in the country have limitations owing to the economic constraints and poor access to health care. The SARS-CoV-2/COVID-19 pandemic has made stroke care even more challenging. We outline the unfavorable circumstances in stroke care induced by the pandemic; propose mitigating measures; crisis management; and provide a comparative evaluation of stroke care between India and the United States during the pandemic. There is a need for public health systems in both developed and developing countries to improve awareness, implement proper strategies of triage, acute treatment, well-defined rehabilitation plans, telemedicine services, and virtual check-ins.
在过去的十年中,印度的中风护理得到了迅速发展,重点关注中风意识、预防、快速分诊、治疗和康复。但由于经济限制和获得医疗保健的机会有限,该国的急性中风护理和中风后康复存在局限性。SARS-CoV-2/COVID-19 大流行使中风护理更加具有挑战性。我们概述了大流行引起的中风护理的不利情况;提出了缓解措施;危机管理;并对大流行期间印度和美国的中风护理进行了比较评估。发达国家和发展中国家的公共卫生系统都需要提高认识,实施适当的分诊策略、急性治疗、明确的康复计划、远程医疗服务和虚拟签到。