Stroke Prevention Worldwide--What Could Make It Work?
Stroke Prevention Worldwide--What Could Make It Work?
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DOI：
10.1159/000441104
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发表时间：
2015
影响因子：
5.7
通讯作者：
Varghese C
中科院分区：
文献类型：
--
作者：
Norrving B;Davis SM;Feigin VL;Mensah GA;Sacco RL;Varghese C
中风的全球负担对全球健康具有持续的重大意义。本报告讨论了一些可以使中风预防工作的核心原则。中风的预防与其他非传染性疾病（NCD）有许多共同特征;因此，中风预防应成为世卫组织和成员国领导的非传染性疾病联合行动的一部分。中风预防是2011年联合国非传染性疾病行动宣言和联合国2015年后可持续发展目标的组成部分。中风预防需要跨部门的方法，政府机构、非政府组织、卫生部门以及社区、行业和个人都负有重要责任。虽然需要向最低收入国家提供官方发展援助，但对大多数国家来说，需要通过在国内重新分配资源来筹集资金。中风是一种典型的非传染性疾病，因为有压倒性的科学证据表明，通过对危险因素采取行动，中风的风险可以大大降低。预防中风也将对认知能力下降和痴呆症产生有益的影响。由于大多数中风不会导致死亡，因此中风统计不仅应关注死亡率，还应关注残疾和生活质量。所有预防措施都应在生命早期开始，并在生命周期中持续进行。预防中风是一个复杂的医学和政治问题，具有许多挑战性。所有地区都迫切需要加大预防中风的力度，现在就是采取行动的机会。
The global burden of stroke is of continual major importance for global health. The present report adresses some of the core principles what could make stroke prevention work. The prevention of stroke shares many common features with other non-communicable diseases (NCDs); stroke prevention should therefore be part of the joint actions on NCD led by the WHO and member states. Stroke prevention is an integral part both of the 2011 UN declaration on actions on NCDs, and the UN Post-2015 Sustainable Developmental Goals. Stroke prevention requires an inter-sectorial approach, with important responsibilities both of governmental bodies, non-government organizations, the health sector proper, as well as communities, industry, and indivduals. Whereas official development assistance will need to be provided for the lowest income countries, for most countries financing will need to be raised by reallocation of resources within the country. Stroke is a prototype NCD in that there is overwhelming scientific evidence that with actions on risk factors the risk of stroke can be substantially reduced. Prevention of stroke will also have beneficial effects on cognitive decline and dementia. As most strokes do not lead to death, stroke statistics should not only focus on mortality, but also disability and quality of life. All preventive actions should start early in life and continue during the life cycle. Prevention of stroke is a complex medical and a political issue with many challenges. Upscaled efforts to prevent stroke are urgently needed in all regions, and the opportunity to act is now.