Stroke. 1998 Aug;29(8):1730-6. doi: 10.1161/01.str.29.8.1730.
Because of the enormity of the burden of stroke globally, there is a real need to develop strategies to reduce its impact. With this in mind, the World Health Organization (Division of Mental Health and Prevention of Substance Abuse) together with the National Stroke Foundation (Australia) sponsored the Asia Pacific Consensus Forum on Stroke Management in Melbourne, Australia, in October 1997. Representatives from the European Stroke Council, American Heart Association, Canadian Heart Association, Stroke Society of Australasia, and South-East Asian Stroke Association were involved, together with other delegates from Southeast Asia, Asia, North America, Europe, the Middle East, South Africa, and the subcontinent. Contributions from delegates allowed a broad set of principles to be put in place concerning stroke management that may be generalizable globally and with specific emphasis on the Asia Pacific region.
The Melbourne Declaration on Stroke Management of October 29, 1997, consisted of 9 key points made in the areas of primary prevention, acute stroke, secondary prevention, organization of stroke services, economic aspects, issues relating to developing countries, remote and rural areas, evaluation of quality of care, rehabilitation, and public health/education issues.
The consensus statement embodied in the Melbourne Declaration provides a framework for countries to establish minimum standards of stroke care and thus make a contribution toward reducing the global burden of stroke.
鉴于全球中风负担的严重性,切实需要制定策略以减轻其影响。考虑到这一点,世界卫生组织(精神卫生与药物滥用预防司)与澳大利亚国家中风基金会于1997年10月在澳大利亚墨尔本共同主办了亚太中风管理共识论坛。欧洲中风理事会、美国心脏协会、加拿大心脏协会、澳大利亚中风协会以及东南亚中风协会的代表参与其中,还有来自东南亚、亚洲、北美、欧洲、中东、南非和次大陆的其他代表。代表们的贡献使得能够制定一套广泛的关于中风管理的原则,这些原则可能在全球范围内通用,尤其侧重于亚太地区。
1997年10月29日的《墨尔本中风管理宣言》包含了在一级预防、急性中风、二级预防、中风服务组织、经济方面、与发展中国家相关的问题、偏远和农村地区、护理质量评估、康复以及公共卫生/教育问题等领域提出的9个要点。
《墨尔本宣言》中体现的共识声明为各国建立中风护理的最低标准提供了一个框架,从而有助于减轻全球中风负担。