Martins Sheila Cristina Ouriques, Matuja Sarah Shali
World Stroke Organization, Geneva, Switzerland.
Medical School, Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre.
Curr Opin Neurol. 2025 Feb 1;38(1):47-53. doi: 10.1097/WCO.0000000000001332. Epub 2024 Nov 7.
The purpose of this article is to discuss the global impact of stroke, the disparities and barriers to implement stroke care, and the global efforts to improve access to acute treatments in low and middle-income countries (LMICs).
Disparities in access to stroke care are influenced by socioeconomic inequalities, geographic disparities, and limited healthcare infrastructure, particularly in LMICs. Effective stroke care requires a coordinated approach involving emergency services, rapid diagnosis, timely treatment, and early rehabilitation. However, there are significant delays in implementing evidence-based practices, particularly in areas where stroke care resources are scarce.Key barriers include geographic disparities, economic constraints, insufficient healthcare infrastructure, low public awareness, and weak policy frameworks. Addressing these challenges requires strengthening health systems, promoting universal health coverage, enhancing public and healthcare provider education, leveraging technology like telemedicine, and fostering international collaboration. Global efforts, including initiatives by the World Stroke Organization, focus on improving stroke care through infrastructure development, workforce training, and policy advocacy.
These recommended strategies aim to make stroke care accessible and effective for everyone, regardless of location or socioeconomic status, ultimately helping to reduce the global burden of stroke.
本文旨在探讨中风的全球影响、实施中风护理的差异和障碍，以及全球为改善低收入和中等收入国家（LMICs）获得急性治疗的机会所做的努力。
获得中风护理的差异受到社会经济不平等、地理差异和有限的医疗基础设施的影响，特别是在低收入和中等收入国家。有效的中风护理需要一种协调的方法，包括紧急服务、快速诊断、及时治疗和早期康复。然而，在实施循证实践方面存在重大延误，特别是在中风护理资源稀缺的地区。关键障碍包括地理差异、经济限制、医疗基础设施不足、公众意识低下和薄弱的政策框架。应对这些挑战需要加强卫生系统、促进全民健康覆盖、加强公众和医疗服务提供者教育、利用远程医疗等技术以及促进国际合作。全球努力，包括世界中风组织的倡议，侧重于通过基础设施发展、劳动力培训和政策倡导来改善中风护理。
这些推荐策略旨在使中风护理对每个人都可及且有效，无论其位置或社会经济地位如何，最终有助于减轻全球中风负担。
