Stroke: working toward a prioritized world agenda
| Autor: | Yulun Wang, Antoine Hakim, Seth P. Finklestein, Jeffrey L. Saver, Brett E. Skolnick, Larry B. Goldstein, Miia Kivipelto, Bhupat Desai, Markku Kaste, Alastair M. Buchan, Peter M. Rothwell, Osmo Saarelma, Skvortsova Vi, Bhargava Trivedi, Theresa A. Jones, Mark Bayley, Geoffrey A. Donnan, Costantino Iadecola, Karen L. Furie, Alan Bryer, Vladimir Hachinski, Gary A. Ford, Jaakko Tuomilehto, Marc Fisher, Pamela W. Duncan, Graeme J. Hankey, Natan M. Bornstein, Eng H. Lo, Lee H. Schwamm, Mark P. Goldberg, Lawrence K. Wong, Michael Brainin, Steven C. Cramer, Robert Teasell, Sheila Cristina Ouriques Martins, Cornelius Weiller, Wolf-Dieter Heiss, Jeff Kleim, Sidney C. Smith, Philip B. Gorelick, Lori A. Enney, Yukito Shinohara, Stephen M. Davis, Bo Norrving, Stephen Prudhomme, Ralph Nitkin, John C. Morris, Werner Hacke, Lalit Kalra, Ralph L. Sacco, Nils Wahlgren, Martin M. Bednar, Didier Leys |
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| Rok vydání: | 2010 |
| Předmět: |
Technology
Biomedical Research National Health Programs Databases Factual International Cooperation 030204 cardiovascular system & hematology Cardiorespiratory Medicine and Haematology Global Health 0302 clinical medicine prevention Global health Registries Cooperative Behavior Stroke Health Education education.field_of_study Evidence-Based Medicine treatment Health Policy translational Health services research Stroke Rehabilitation Brain Prognosis stroke 3. Good health Risk analysis (engineering) Work (electrical) Neurology Health education Education Medical Continuing Health Services Research Public Health Cardiology and Cardiovascular Medicine Telemedicine medicine.medical_specialty Population Clinical Sciences Guidelines as Topic History 21st Century Article rehabilitation 03 medical and health sciences Nursing Patient Education as Topic Primary prevention medicine Organizational Objectives Animals Humans education Psychiatry Health policy Advanced and Specialized Nursing Internet Neurology & Neurosurgery Health Priorities business.industry Extramural Public health Neurosciences Evidence-based medicine Recovery of Function History 20th Century medicine.disease Clinical neurology Stroke Turns 40 Neurology (clinical) Working group business 030217 neurology & neurosurgery |
| Zdroj: | Hachinski, Vladimir; Donnan, Geoffrey A; Gorelick, Philip B; Hacke, Werner; Cramer, Steven C; Kaste, Markku; et al.(2010). Stroke: working toward a prioritized world agenda.. Stroke, 41(6), 1084-1099. doi: 10.1161/STROKEAHA.110.586156. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/079956pj Hachinski, Vladimir; Donnan, Geoffrey A; Gorelick, Philip B; Hacke, Werner; Cramer, Steven C; Kaste, Markku; et al.(2010). Stroke: working toward a prioritized world agenda.. International journal of stroke : official journal of the International Stroke Society, 5(4), 238-256. doi: 10.1111/j.1747-4949.2010.00442.x. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/3mk0h35j |
| ISSN: | 1524-4628 |
| DOI: | 10.1161/STROKEAHA.110.586156. |
| Popis: | Background and Purpose— The aim of the Synergium was to devise and prioritize new ways of accelerating progress in reducing the risks, effects, and consequences of stroke. Methods— Preliminary work was performed by 7 working groups of stroke leaders followed by a synergium (a forum for working synergistically together) with approximately 100 additional participants. The resulting draft document had further input from contributors outside the synergium. Results— Recommendations of the Synergium are: Basic Science, Drug Development and Technology: There is a need to develop: (1) New systems of working together to break down the prevalent “silo” mentality; (2) New models of vertically integrated basic, clinical, and epidemiological disciplines; and (3) Efficient methods of identifying other relevant areas of science. Stroke Prevention: (1) Establish a global chronic disease prevention initiative with stroke as a major focus. (2) Recognize not only abrupt clinical stroke, but subtle subclinical stroke, the commonest type of cerebrovascular disease, leading to impairments of executive function. (3) Develop, implement and evaluate a population approach for stroke prevention. (4) Develop public health communication strategies using traditional and novel (eg, social media/marketing) techniques. Acute Stroke Management: Continue the establishment of stroke centers, stroke units, regional systems of emergency stroke care and telestroke networks. Brain Recovery and Rehabilitation: (1) Translate best neuroscience, including animal and human studies, into poststroke recovery research and clinical care. (2) Standardize poststroke rehabilitation based on best evidence. (3) Develop consensus on, then implementation of, standardized clinical and surrogate assessments. (4) Carry out rigorous clinical research to advance stroke recovery. Into the 21st Century: Web, Technology and Communications: (1) Work toward global unrestricted access to stroke-related information. (2) Build centralized electronic archives and registries. Foster Cooperation Among Stakeholders (large stroke organizations, nongovernmental organizations, governments, patient organizations and industry) to enhance stroke care. Educate and energize professionals, patients, the public and policy makers by using a “Brain Health” concept that enables promotion of preventive measures. Conclusions— To accelerate progress in stroke, we must reach beyond the current status scientifically, conceptually, and pragmatically. Advances can be made not only by doing, but ceasing to do. Significant savings in time, money, and effort could result from discontinuing practices driven by unsubstantiated opinion, unproven approaches, and financial gain. Systematic integration of knowledge into programs coupled with careful evaluation can speed the pace of progress. |
| Databáze: | OpenAIRE |
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