Prevention, Management, and Rehabilitation of Stroke in Low- and Middle-income Countries

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aut.relation.journaleNeurologicalScien_NZ
aut.relation.volume2en_NZ
aut.researcherFeigin, Valery
dc.contributor.authorYan, LLen_NZ
dc.contributor.authorLi, Cen_NZ
dc.contributor.authorChen, Jen_NZ
dc.contributor.authorMiranda, JJen_NZ
dc.contributor.authorLuo, Ren_NZ
dc.contributor.authorBettger, Jen_NZ
dc.contributor.authorZhu, Yen_NZ
dc.contributor.authorFeigin, Ven_NZ
dc.contributor.authorO’Donnell, Men_NZ
dc.contributor.authorZhao, Den_NZ
dc.contributor.authorWu, Yen_NZ
dc.date.accessioned2020-08-20T04:17:20Z
dc.date.available2020-08-20T04:17:20Z
dc.date.copyright2016en_NZ
dc.date.issued2016en_NZ
dc.description.abstractAlthough stroke incidence in high-income countries (HICs) decreased over the past four decades, it increased dramatically in low- and middle-income countries (LMICs). In this review, we describe the current status of primary prevention, treatment, and management of acute stroke and secondary prevention of and rehabilitation after stroke in LMICs. Although surveillance, screening, and accurate diagnosis are important for stroke prevention, LMICs face challenges in these areas due to lack of resources, awareness, and technical capacity. Maintaining a healthy lifestyle, such as no tobacco use, healthful diet, and physical activity are important strategies for both primary and secondary prevention of stroke. Controlling high blood pressure is also critically important in the general population and in the acute stage of hemorrhagic stroke. Additional primary prevention strategies include community-based education programs, polypill, prevention and management of atrial fibrillation, and digital health technology. For treatment of stroke during the acute stage, specific surgical procedures and medications are recommended, and inpatient stroke care units have been proven to provide high quality care. Patients with a chronic condition like stroke may require lifelong pharmaceutical treatment, lifestyle maintenance and self-management skills, and caregiver and family support, in order to achieve optimal health outcomes. Rehabilitation improves physical, speech, and cognitive functioning of disabled stroke patients. It is expected that home- or community-based services and tele-rehabilitation may hold special promise for stroke patients in LMICs.
dc.identifier.citationeNeurologicalSci, Volume 2, March 2016, Pages 21-30
dc.identifier.doi10.1016/j.ensci.2016.02.011
dc.identifier.urihttps://hdl.handle.net/10292/13603
dc.publisherElsevier
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S2405650216300119?via%3Dihub
dc.rights© 2016 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectStroke; Prevention; Treatment; Rehabilitation; Low- and middle-income countries
dc.titlePrevention, Management, and Rehabilitation of Stroke in Low- and Middle-income Countriesen_NZ
dc.typeJournal Article
pubs.elements-id200563
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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