TY - JOUR
T1 - Implementation of the Stroke Action Plan for Europe 2018--2030 during coronavirus disease-2019
AU - Christensen, Hanne
AU - Pezzella, Francesca Romana
AU - Action Plan for Stroke in Europe Implementation Steering Committee
N1 - Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/2/1
Y1 - 2021/2/1
N2 - PURPOSE OF REVIEW: To describe the background, principles and implementation of the Stroke Action Plan for Europe 2018--2030 (SAP-E) in the perspective of the current COVID-19 pandemic.RECENT FINDINGS: SAP-E sets targets for the implementation of evidence-based preventive actions and stroke services to 2030. A recent mapping of stroke care in Europe has documented massive inequalities and even in high-income European countries access to reperfusion therapy and mortality after ischaemic stroke varies significantly. Organized stroke care providing stroke unit care and access to reperfusion therapies reduces mortality and long-term disability. Stroke prevention and care are highly cost-effective. The COVID-19 pandemic has challenged organized care, diverged attention from stroke and necessitated a novel approach to the implementation program because of the continued need for social distancing and reduced travelling. Consequently, meetings, training and engagement will be handled by online resources.SUMMARY: Stroke can be prevented and treated but there remain massive inequalities in Europe. SAP-E has set targets for development of stroke care. COVID-19 pandemic has led to further challenges for stroke care and implementation of the Action Plan will rely on online meetings and resources as it is yet unforeseeable when things will return to normal.VIDEO ABSTRACT: http://links.lww.com/CONR/A53.
AB - PURPOSE OF REVIEW: To describe the background, principles and implementation of the Stroke Action Plan for Europe 2018--2030 (SAP-E) in the perspective of the current COVID-19 pandemic.RECENT FINDINGS: SAP-E sets targets for the implementation of evidence-based preventive actions and stroke services to 2030. A recent mapping of stroke care in Europe has documented massive inequalities and even in high-income European countries access to reperfusion therapy and mortality after ischaemic stroke varies significantly. Organized stroke care providing stroke unit care and access to reperfusion therapies reduces mortality and long-term disability. Stroke prevention and care are highly cost-effective. The COVID-19 pandemic has challenged organized care, diverged attention from stroke and necessitated a novel approach to the implementation program because of the continued need for social distancing and reduced travelling. Consequently, meetings, training and engagement will be handled by online resources.SUMMARY: Stroke can be prevented and treated but there remain massive inequalities in Europe. SAP-E has set targets for development of stroke care. COVID-19 pandemic has led to further challenges for stroke care and implementation of the Action Plan will rely on online meetings and resources as it is yet unforeseeable when things will return to normal.VIDEO ABSTRACT: http://links.lww.com/CONR/A53.
KW - COVID-19
KW - Europe
KW - Evidence-Based Medicine
KW - Humans
KW - Pandemics
KW - Quality of Health Care
KW - Stroke/prevention & control
KW - Stroke
KW - Stroke Action Plan for Europe
KW - Coronavirus disease-2019 pandemic
KW - Implementation
KW - Quality of care
UR - http://www.scopus.com/inward/record.url?scp=85100069309&partnerID=8YFLogxK
U2 - 10.1097/WCO.0000000000000893
DO - 10.1097/WCO.0000000000000893
M3 - Review
C2 - 33278140
SN - 1350-7540
VL - 34
SP - 55
EP - 60
JO - Current Opinion in Neurology
JF - Current Opinion in Neurology
IS - 1
ER -