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DOI: 10.1055/s-0043-1771495
Proposed Model to Improve Acute Stroke Care in Central India
Abstract
There is an urgent need to develop a national program and allocation of resources to improve stroke care in India. Management of stroke requires a multidisciplinary approach and close collaboration not only among physicians from different specialties but also among paramedical personnel and patient transport services. Here we propose a healthcare model of providing acute stroke therapies to patients in central India to minimize the wide supply mismatch we face in providing adequate care to our patients. Observations and the proposed model presented below were based on personal experience and a review of the literature on stroke care available in central India.
Keywords
intravenous thrombolysis - mechanical thrombectomy - mechanical thrombectomy - mechanical thrombolysis - stroke - stroke care in IndiaPublication History
Article published online:
10 August 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Lazarus JV, Ortiz A, Tyrovolas S. et al; GBD 2019 Spain Collaborators. A GBD 2019 study of health and Sustainable Development Goal gains and forecasts to 2030 in Spain. Sci Rep 2022; 12 (01) 21154
- 2 Jones SP, Baqai K, Clegg A. et al. Stroke in India: a systematic review of the incidence, prevalence, and case fatality. Int J Stroke 2022; 17 (02) 132-140
- 3 Kuybu O, Javalkar V, Amireh A. et al. Implications of the use of mechanical thrombectomy on outcome in large vessel occlusion following the 2015 landmark trials. J Neurointerv Surg 2021; 13 (01) 4-7
- 4 Sundar K, Panwar A, Yagaval DR, Huded V, Sylaja PN. Mission Thrombectomy 2020 (MT2020)—India's biggest healthcare challenge yet. J Stroke Med 2020; 3 (02) 62-71
- 5 Sulena S, Kumawat BL, Sharma AK. Awareness of stroke among stroke patients in a tertiary-care level hospital in northwest India. Int J Med Sci Public Health 2016; 5: 1-5
- 6 Srivastava AK, Prasad K. A study of factors delaying hospital arrival of patients with acute stroke. Neurol India 2001; 49 (03) 272-276
- 7 Qureshi AI, Ishfaq MF, Rahman HA, Thomas AP. Hemicraniectomy versus conservative treatment in large hemispheric ischemic stroke patients: a meta-analysis of randomized controlled trials. J Stroke Cerebrovasc Dis 2016; 25 (09) 2209-2214
- 8 Gross BA, Jankowitz BT, Friedlander RM. Cerebral intraparenchymal hemorrhage: a review. JAMA 2019; 321 (13) 1295-1303
- 9 Mendelow AD, Gregson BA, Rowan EN, Murray GD, Gholkar A, Mitchell PM. STICH II Investigators. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial. Lancet 2013; 382 (9890) 397-408