Fighting Against Stroke in Latin America: A Joint Effort of Medical Professional Societies and Governments

aut.relation.journalFrontiers in Neurologyen_NZ
aut.researcherFeigin, Valery
dc.contributor.authorMartins, SCOen_NZ
dc.contributor.authorLavados, Pen_NZ
dc.contributor.authorSecchi, TLen_NZ
dc.contributor.authorBrainin, Men_NZ
dc.contributor.authorAmeriso, Sen_NZ
dc.contributor.authorGongora-Rivera, Fen_NZ
dc.contributor.authorSacks, Cen_NZ
dc.contributor.authorCantú-Brito, Cen_NZ
dc.contributor.authorAlvarez Guzman, TFen_NZ
dc.contributor.authorPérez-Romero, GEen_NZ
dc.contributor.authorMuñoz Collazos, Men_NZ
dc.contributor.authorBarboza, MAen_NZ
dc.contributor.authorArauz, Aen_NZ
dc.contributor.authorAbanto Argomedo, Cen_NZ
dc.contributor.authorNovarro-Escudero, Nen_NZ
dc.contributor.authorAmorin Costabile, HIen_NZ
dc.contributor.authorCrosa, Ren_NZ
dc.contributor.authorCamejo, Cen_NZ
dc.contributor.authorMernes, Ren_NZ
dc.contributor.authorMaldonado, Nen_NZ
dc.contributor.authorMora Cuervo, DLen_NZ
dc.contributor.authorPontes Neto, OMen_NZ
dc.contributor.authorSilva, GSen_NZ
dc.contributor.authorCarbonera, LAen_NZ
dc.contributor.authorSouza, ACDen_NZ
dc.contributor.authorSousa, EDGDen_NZ
dc.contributor.authorFlores, Aen_NZ
dc.contributor.authorMelgarejo, Den_NZ
dc.contributor.authorSantos Carquin, IRen_NZ
dc.contributor.authorHoppe, Aen_NZ
dc.contributor.authorCarvalho, JJFDen_NZ
dc.contributor.authorMont'Alverne, Fen_NZ
dc.contributor.authorAmaya, Pen_NZ
dc.contributor.authorBayona, Hen_NZ
dc.contributor.authorNavia González, VHen_NZ
dc.contributor.authorDuran, JCen_NZ
dc.contributor.authorUrrutia, VCen_NZ
dc.contributor.authorAraujo, DVen_NZ
dc.contributor.authorFeigin, VLen_NZ
dc.contributor.authorNogueira, RGen_NZ
dc.description.abstractIntroduction: Stroke is one of the leading causes of death in Latin America, a region with countless gaps to be addressed to decrease its burden. In 2018, at the first Latin American Stroke Ministerial Meeting, stroke physician and healthcare manager representatives from 13 countries signed the Declaration of Gramado with the priorities to improve the region, with the commitment to implement all evidence-based strategies for stroke care. The second meeting in March 2020 reviewed the achievements in 2 years and discussed new objectives. This paper will review the 2-year advances and future plans of the Latin American alliance for stroke. Method: In March 2020, a survey based on the Declaration of Gramado items was sent to the neurologists participants of the Stroke Ministerial Meetings. The results were confirmed with representatives of the Ministries of Health and leaders from the countries at the second Latin American Stroke Ministerial Meeting. Results: In 2 years, public stroke awareness initiatives increased from 25 to 75% of countries. All countries have started programs to encourage physical activity, and there has been an increase in the number of countries that implement, at least partially, strategies to identify and treat hypertension, diabetes, and lifestyle risk factors. Programs to identify and treat dyslipidemia and atrial fibrillation still remained poor. The number of stroke centers increased from 322 to 448, all of them providing intravenous thrombolysis, with an increase in countries with stroke units. All countries have mechanical thrombectomy, but mostly restricted to a few private hospitals. Pre-hospital organization remains limited. The utilization of telemedicine has increased but is restricted to a few hospitals and is not widely available throughout the country. Patients have late, if any, access to rehabilitation after hospital discharge. Conclusion: The initiative to collaborate, exchange experiences, and unite societies and governments to improve stroke care in Latin America has yielded good results. Important advances have been made in the region in terms of increasing the number of acute stroke care services, implementing reperfusion treatments and creating programs for the detection and treatment of risk factors. We hope that this approach can reduce inequalities in stroke care in Latin America and serves as a model for other under-resourced environments.en_NZ
dc.identifier.citationFrontiers in Neurology 12:743732. doi: 10.3389/fneur.2021.743732
dc.publisherFrontiers Media SAen_NZ
dc.rights© 2021 Martins, Lavados, Secchi, Brainin, Ameriso, Gongora-Rivera, Sacks, Cantú-Brito, Alvarez Guzman, Pérez-Romero, Muñoz Collazos, Barboza, Arauz, Abanto Argomedo, Novarro-Escudero, Amorin Costabile, Crosa, Camejo, Mernes, Maldonado, Mora Cuervo, Pontes Neto, Silva, Carbonera, Souza, Sousa, Flores, Melgarejo, Santos Carquin, Hoppe, Carvalho, Mont'Alverne, Amaya, Bayona, Navia González, Duran, Urrutia, Araujo, Feigin and Nogueira. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
dc.subjectStroke; Latin America; Stroke units; Stroke centers; Stroke system of care
dc.titleFighting Against Stroke in Latin America: A Joint Effort of Medical Professional Societies and Governmentsen_NZ
dc.typeJournal Article
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
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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