Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1109
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dc.contributorPandian, Jeyaraj Duraien_US
dc.contributorWilliams, Akanksha G.en_US
dc.contributorKate, Mahesh P.en_US
dc.contributorNorrving, Boen_US
dc.contributorMensah, George A.en_US
dc.contributorDavis, Stephenen_US
dc.contributorRoth, Gregory A.en_US
dc.contributorThrift, Amanda G.en_US
dc.contributorKengne, Andre P.en_US
dc.contributorKissela, Brett M.en_US
dc.contributorYu, Chuanhuaen_US
dc.contributorKim, Danielen_US
dc.contributorRojas-Rueda, Daviden_US
dc.contributorTirschwell, David L.en_US
dc.contributorAbd-Allah, Foaden_US
dc.contributorFortuné, Gankpéen_US
dc.contributordeVeber, Gabrielleen_US
dc.contributorHankey, Graeme J.en_US
dc.contributorJonas, Jost B.en_US
dc.contributorSheth, Kevin N.en_US
dc.contributorDokova, Klaraen_US
dc.contributorMehndiratta, Man Mohanen_US
dc.contributorGeleijnse, Johanna M.en_US
dc.contributorGiroud, Mauriceen_US
dc.contributorBejot, Yannicken_US
dc.contributorSacco, Ralphen_US
dc.contributorSahathevan, Rameshen_US
dc.contributorHamadeh, Randah R.en_US
dc.contributorGillum, Richarden_US
dc.contributorWesterman, Ronnyen_US
dc.contributorAkinyemi, Rufus Olusolaen_US
dc.contributorBarker-Collo, Suzanneen_US
dc.contributorTruelsen, Thomasen_US
dc.contributorCaso, Valeriaen_US
dc.contributorRajagopalan, Vasanthanen_US
dc.contributorVenketasubramanian, Narayanaswamyen_US
dc.contributorVlassovi, Vasiliy V.en_US
dc.contributorFeigin, Valery L.en_US
dc.date.accessioned2018-02-09T05:50:01Z-
dc.date.available2018-02-09T05:50:01Z-
dc.date.issued2017-
dc.identifier.govdoc01095en_US
dc.identifier.issn0251-5350en_US
dc.identifier.urihttp://hdl.handle.net/11054/1109-
dc.description.abstractThe burden of stroke in low- and middle-income countries (LMICs) is large and increasing, challenging the already stretched health-care services. To determine the quality of existing stroke-care services in LMICs and to highlight indigenous, inexpensive, evidence-based implementable strategies being used in stroke-care. A detailed literature search was undertaken using PubMed and Google scholar from January 1966 to October 2015 using a range of search terms. Of 921 publications, 373 papers were shortlisted and 31 articles on existing stroke-services were included. We identified efficient models of ambulance transport and pre-notification. Stroke Units (SU) are available in some countries, but are relatively sparse and mostly provided by the private sector. Very few patients were thrombolysed; this could be increased with telemedicine and governmental subsidies. Adherence to secondary preventive drugs is affected by limited availability and affordability, emphasizing the importance of primary prevention. Training of paramedics, care-givers and nurses in post-stroke care is feasible. In this systematic review, we found several reports on evidence-based implementable stroke services in LMICs. Some strategies are economic, feasible and reproducible but remain untested. Data on their outcomes and sustainability is limited. Further research on implementation of locally and regionally adapted stroke-services and cost-effective secondary prevention programs should be a priority.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2018-02-06T03:04:29Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2018-02-09T05:50:01Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2018-02-09T05:50:01Z (GMT). No. of bitstreams: 0 Previous issue date: 2017en
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/28848165en_US
dc.titleStrategies to improve stroke care services in low- and middle-income countries: a systematic review.en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleNeuroepidemiologyen_US
dc.bibliographicCitation.volume49en_US
dc.bibliographicCitation.issue1-2en_US
dc.bibliographicCitation.stpage45en_US
dc.bibliographicCitation.endpage61en_US
dc.subject.healththesaurusSTROKEen_US
dc.subject.healththesaurusSTROKE SERVICESen_US
dc.subject.healththesaurusSTROKE UNITSen_US
dc.subject.healththesaurusPREVENTABLE OUTCOME ANALYSISen_US
dc.subject.healththesaurusCOSTS AND COST ANALYSISen_US
dc.subject.healththesaurusREGIONALen_US
dc.identifier.doi10.1159/000479518en_US
Appears in Collections:Research Output

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