Action Plan for Stroke in Europe 2018-2030

Action Plan for Stroke in Europe 2018-2030
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DOI:
10.1177/2396987318808719
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发表时间:
2018-12-01
影响因子:
6.1
通讯作者:
Caso, Valeria
Caso, Valeria
中科院分区:
医学3区
文献类型:
--
作者:
Norrving, Bo;Barrick, Jon;Caso, Valeria

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1995年和2006年召开的两次泛欧共识会议,即赫尔辛堡会议,旨在审查科学证据和当前服务的状态,以确定研究和开发的优先事项,并为未来十年的卒中护理发展设定目标。遵循相同的格式,欧洲卒中组织(ESO)与欧洲卒中联盟(SAFE)合作制定了2018年至2030年的欧洲卒中行动计划(ESAP)。ESAP包括七个领域:一级预防、卒中服务组织、急性卒中管理、二级预防、康复、卒中结局评估和质量评估以及卒中后生活。还确定了转化性卒中研究的研究重点。文件由一个工作组编写,并公开征求公众意见。最终文件是在2018年3月21日至23日在慕尼黑举行的研讨会后编写的。确定了2030年的四个总体目标:(1)将欧洲卒中的绝对数量减少10%,(2)将欧洲90%或更多的卒中患者作为一级护理在专门的卒中单元中治疗,(3)制定涵盖整个护理链的卒中国家计划,(四)全面实施多部门公共卫生干预国家战略。总体而言,为七个领域确定了30个目标和72个研究重点。ESAP提供了一个基本路线图,并为到2030年实施循证预防行动和中风服务设定了目标。
Two previous pan-European consensus meetings, the 1995 and 2006 Helsingborg meetings, were convened to review the scientific evidence and the state of current services to identify priorities for research and development and to set targets for the development of stroke care for the decade to follow. Adhering to the same format, the European Stroke Organisation (ESO) prepared a European Stroke Action Plan (ESAP) for the years 2018 to 2030, in cooperation with the Stroke Alliance for Europe (SAFE). The ESAP included seven domains: primary prevention, organisation of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment and life after stroke. Research priorities for translational stroke research were also identified. Documents were prepared by a working group and were open to public comments. The final document was prepared after a workshop in Munich on 21-23 March 2018. Four overarching targets for 2030 were identified: (1) to reduce the absolute number of strokes in Europe by 10%, (2) to treat 90% or more of all patients with stroke in Europe in a dedicated stroke unit as the first level of care, (3) to have national plans for stroke encompassing the entire chain of care, (4) to fully implement national strategies for multisector public health interventions. Overall, 30 targets and 72 research priorities were identified for the seven domains. The ESAP provides a basic road map and sets targets for the implementation of evidence-based preventive actions and stroke services to 2030.