Aboderin I, Venables G
School for Policy Studies, University of Bristol, UK.
J Intern Med. 1996 Oct;240(4):173-80. doi: 10.1046/j.1365-2796.1996.39861000.x.
Stroke is a leading cause of death and disability in Europe. Standards of care vary widely, and the introduction of simple standards will improve mortality and morbidity. It has been shown, in the absence of any medical treatment for acute stroke, that improving the organization of care for people with stroke significantly improves outcome. Recommendations are made for simple changes to the organization of care. Preventative measures after first stroke reduce incidence of subsequent stroke: these could be made widely available. Rehabilitation for those with persisting disability should be patient centred and commence immediately after the patient is alert and medically stable. Urgent research is required to find out which components of rehabilitation are important, and measures should be in place to ensure that all who require rehabilitation receive it from appropriately trained professionals. Population-based monitoring systems covering incidence, case fatality, mortality and disability should be put in place in all European Member States by the year 2005.
中风是欧洲主要的死亡和致残原因。护理标准差异很大，引入简单的标准将改善死亡率和发病率。研究表明，在没有针对急性中风的任何医疗治疗的情况下，改善中风患者的护理组织可显著改善预后。针对护理组织的简单改变提出了建议。首次中风后的预防措施可降低后续中风的发生率：这些措施应广泛提供。对于仍有残疾的患者，康复应以患者为中心，并在患者清醒且病情稳定后立即开始。需要进行紧急研究以确定康复的哪些组成部分很重要，并且应采取措施确保所有需要康复的人都能从经过适当培训的专业人员那里获得康复服务。到2005年，所有欧洲成员国都应建立涵盖发病率、病死率、死亡率和残疾情况的基于人群的监测系统。
