TY - JOUR
T1 - Global Insights on Prehospital Stroke Care
T2 - A Comprehensive Review of Challenges and Solutions in Low- and Middle-Income Countries
AU - Wiyarta, Elvan
AU - Fisher, Marc
AU - Kurniawan, Mohammad
AU - Hidayat, Rakhmad
AU - Geraldi, Iskandar Purba
AU - Khan, Qaisar Ali
AU - Widyadharma, I. Putu Eka
AU - Badshah, Aliena
AU - Pandian, Jeyaraj Durai
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/8
Y1 - 2024/8
N2 - Stroke is a leading cause of disability and mortality worldwide, and it disproportionately affects low- and middle-income countries (LMICs), which account for 88% of stroke fatalities. Prehospital stroke care delays are a crucial obstacle to successful treatment in these settings, especially given the limited therapeutic window for thrombolytic treatments, which may greatly improve recovery chances when initiated early after stroke onset. These delays are caused by a lack of public understanding of stroke symptoms, sociodemographic and cultural variables, and insufficient healthcare infrastructure. This review discusses these issues in detail, emphasizing the disparities in stroke awareness and reaction times between locations and socioeconomic classes. Innovative options for reducing these delays include the deployment of mobile stroke units and community-based educational campaigns. This review also discusses how technology improvements and personalized educational initiatives might improve stroke awareness and response in LMICs. The primary goal is to give a thorough assessment of the challenges and potential remedies that might serve as the foundation for policy reforms and healthcare improvements in LMICs, eventually improving stroke care and lowering disease-related mortality and disability.
AB - Stroke is a leading cause of disability and mortality worldwide, and it disproportionately affects low- and middle-income countries (LMICs), which account for 88% of stroke fatalities. Prehospital stroke care delays are a crucial obstacle to successful treatment in these settings, especially given the limited therapeutic window for thrombolytic treatments, which may greatly improve recovery chances when initiated early after stroke onset. These delays are caused by a lack of public understanding of stroke symptoms, sociodemographic and cultural variables, and insufficient healthcare infrastructure. This review discusses these issues in detail, emphasizing the disparities in stroke awareness and reaction times between locations and socioeconomic classes. Innovative options for reducing these delays include the deployment of mobile stroke units and community-based educational campaigns. This review also discusses how technology improvements and personalized educational initiatives might improve stroke awareness and response in LMICs. The primary goal is to give a thorough assessment of the challenges and potential remedies that might serve as the foundation for policy reforms and healthcare improvements in LMICs, eventually improving stroke care and lowering disease-related mortality and disability.
KW - emergency medical services
KW - healthcare infrastructure
KW - low- and middle-income countries
KW - mobile stroke units
KW - prehospital stroke care
KW - public health education
KW - stroke awareness
KW - stroke management
KW - telemedicine
KW - thrombolytic therapy
UR - http://www.scopus.com/inward/record.url?scp=85202695831&partnerID=8YFLogxK
U2 - 10.3390/jcm13164780
DO - 10.3390/jcm13164780
M3 - Review article
AN - SCOPUS:85202695831
SN - 2077-0383
VL - 13
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 16
M1 - 4780
ER -