Sebastian Ivy A, Gandhi Dorcas B C, Sylaja Padmavati N, Paudel Raju, Kalkonde Yogeshwar V, Yangchen Yangchen, Gunasekara Harsha, Injety Ranjit J, Vijayanand Pranay J, Chawla Nistara S, Oo San, Hla Khin Myo, Tenzin Tashi, Pandian Jeyaraj D
Department of Neurology, St. Stephen's Hospital, Delhi, India.
Department of Neurology and Physiotherapy, Christian Medical College and Hospital, India.
Lancet Reg Health Southeast Asia. 2023 Oct 9;17:100289. doi: 10.1016/j.lansea.2023.100289. eCollection 2023 Oct.
The Southeast Asia Region (SEAR) accounts for nearly 50% of the developing world's stroke burden. With various commonalities across its countries concerning health services, user awareness, and healthcare-seeking behavior, SEAR still presents profound diversities in stroke-related services across the continuum of care. This review highlights the numerous systems and challenges in access to stroke care, acute stroke care services, and health care systems, including rehabilitation. The paper has also attempted to compile information on the availability of stroke specialized centers, Intravenous thrombolysis (IVT) ready centers, Endovascular therapy (EVT) ready centers, rehabilitation centers, and workforce against a backdrop of each country's population. Lastly, the efforts of WHO (SEARO)-CMCL (World Health Organization-South East Asia region, Christian Medical College & Hospital Ludhiana) collaboration towards improving stroke services and capacity among the SEAR have been described.
东南亚地区(SEAR)的中风负担占发展中世界的近50%。尽管该地区各国在卫生服务、用户意识和就医行为方面存在各种共性,但在中风相关服务的连续护理过程中,东南亚地区仍存在着深刻的差异。本综述强调了在获得中风护理、急性中风护理服务以及包括康复在内的卫生保健系统方面存在的众多体系和挑战。本文还试图在每个国家人口的背景下,汇编有关中风专科医院、静脉溶栓(IVT)就绪中心、血管内治疗(EVT)就绪中心、康复中心和工作人员可用性的信息。最后,描述了世界卫生组织(东南亚区域办事处)-基督教医学院医院(卢迪亚纳)(WHO-SEARO-CMCL)为改善东南亚地区中风服务和能力所做的努力。