Europe Launches Ambitious Plan to Elevate Stroke Care

FUCKING USELESS! 'CARE' NOT 'RESULTS'.  Does no one want to tackle stroke BHAGs(Big Hairy Audacious Goals) of 100% recovery for all survivors?  Or are you all too chickenshit to even acknowledge that everything in stroke is a failure.
Bo Norrving shouldn't be commenting at all, I saw nothing he accomplished when he was president of the WSO.
YOU need to get involved, you can't leave this up to stroke medical professionals, they came up with the inadequate Helsingborg declarations.

Helsingborg 1996

Helsingborg 2006

 

Europe Launches Ambitious Plan to Elevate Stroke Care 

GOTHENBURG, Sweden — Improving access to specialized stroke expertise, elevating the quality of care for all Europeans by 2030, and setting research priorities are the focus of an ambitious collaborative project led by the European Stroke Organisation.

Four overarching targets of the new Stroke Action Plan for Europe (2018 - 2030) include reducing the number of strokes in Europe by 10%, treating 90% or more of all patients in a dedicated stroke unit, creating national plans that address stroke from prevention to life after stroke, and promoting strategies that reduce stroke risk on a population level.  

These targets were announced here at the 4th European Stroke Organisation Conference (ESOC) 2018.

Action is needed because less than half of the population now has access to specialized stroke care, organizers say. Current capacity contributes to this challenge.

"The biggest problem is there are not enough stroke centers in Europe," Bo Norrving, MD, professor of neurology at Lund University in Sweden and chair of the stroke action plan, told Medscape Medical News during a media briefing here at ESOC. "The second problem is the best available are not enough — patients come to our hospitals and are placed on the wrong ward."

The insufficient number of stroke unit beds signals a major disconnect between specialized stroke resources and the magnitude of stroke's burden across the continent. "There is a profound mismatch in this area," said Norrving.

Stroke remains the second leading cause of death and number one cause of long-term disability among Europeans, said Jon Barrick, co-chair of the European Stroke Action Plan and president of the Stroke Alliance for Europe (SAFE), a patient advocacy group collaborating with ESO.

"In terms of the world's great killers, stroke research is underfunded," Barrick added. "If stroke continues to be under-resourced in the way it is, it is quite credible stroke will go from the number two killer to number one."

"The Burden of Stroke in Europe" report, published by SAFE in 2017, provided a snapshot of stroke services and predictions for the future. There are, for example, €45 billion direct and indirect healthcare costs each year associated with stroke. "If everything continues as is, there will be a 35% increase in stroke by 2030. Something needs to be done," Barrick said.

Putting a more positive spin on the situation, Norrving said short-term investments to boost stroke resources and access to expertise represents "a great return on investment" over the long term compared to other conditions.

"One of the best stocks you can buy today is to invest in stroke care."

The new Stroke Action Plan announced at ESOC 2018 follows two previous attempts to improve stroke care across Europe. Advances in science, technology, and therapy for stroke care could improve the chances of success compared to the two earlier "Helsingborg Declarations" in 1995 and 2006.

 

Under a new population health program, CMS will pay providers to reduce the absolute risk for heart disease or stroke among high-risk Medicare beneficiaries.

Once again going down the lazy prevention route. ARE YOU THAT GODDAMNED CHICKENSHIT THAT YOU YOU WILL WAIT UNTIL HELL FREEZES OVER BEFORE EVEN ATTEMPTING TO SOLVE ALL THE PROBLEMS IN STROKE?  WAITING ONCE AGAIN FOR SOMEONE ELSE TO SOLVE THE PROBLEM?
http://www.healthleadersmedia.com/finance/medicares-million-hearts-initiative-aims-reduce-cardiac-disease 
With the help of 516 inaugural participating healthcare providers nationwide, federal officials are harnessing data to rise to a pair of crucial population health challenges: reducing rates of cardiovascular disease and stroke.
Launched on July 21, the Million Hearts Cardiovascular Disease Risk Reduction Model is a data-driven effort designed to reduce the risk of cardiovascular disease and stroke among Medicare beneficiaries, federal officials said in a statement.
Participating providers will work with Medicare beneficiaries individually "to identify the best approach or approaches to reducing their risk of having a heart attack or stroke." Factors that will be considered include smoking cessation interventions, blood pressure management, and the use of cholesterol-lowering drugs or aspirin.
"Each beneficiary will receive a personalized risk modification plan that will target their specific risk factors. Organizations in the intervention group will be paid for reducing the absolute risk for heart disease or stroke among their high-risk beneficiaries," according to CMS.
The Million Hearts Campaign aligns well with the population health goals at Danville, PA-based Geisinger Health System, says Sanjay Doddamani, MD, system director of advanced cardiac disease and heart failure.
"We have gone from Baby Boomers, to Generation X, to Millennials carrying modifiable risks for heart attacks and strokes. As a steward for healthcare in the communities we serve, we are interested to see that our communities are smoke-free, physically on the move, eating right, and controlling blood pressure and cholesterol and lipids by diet, exercise, and medications. The Million Hearts initiative aligns well with these goals," he says.

World Stroke Organization and Medtronic Collaborate to Increase Stroke Awareness

AWARENESS!!! WHAT A PILE OF FUCKING SHIT.
This is why our stroke leadership needs to be replaced, they don't even try to solve any of the problems in stroke, much less any BHAGs(Big Hairy Audacious Goals) 
Real leaders tackle the hard problems instead of running away from them like scared chickens. 

World Stroke Organization and Medtronic Collaborate to Increase Stroke Awareness

SOURCE World Stroke Organization; Medtronic
GENEVA and DUBLIN, June 23, 2016 /PRNewswire-USNewswire/ -- The World Stroke Organization (WSO) today announced a global partnership with Medtronic plc (NYSE:MDT) to increase stroke awareness through several initiatives. The two organizations will work together to educate, raise awareness and support effective management of patients who have strokes.
The partnership, announced at the 2016 Annual Scientific Session of the Chinese Stroke Association (CSA) and Tiantan International Stroke Conference (TISC) in Beijing, will focus on continued growth of stroke awareness through the Stroke is Treatable World Stroke Day campaign; implementation of the WSO's new global stroke services guidelines: The Roadmap to Delivering Quality Stroke Care; and, supporting WSO's global clinical educational programs including the World Stroke Academy and teaching courses.
Every year, approximately 15 million people worldwide have a stroke. Of these, nearly five million die and another five million are left permanently disabled. Fortunately, the prospects for preventing and treating stroke are far better today than even five years ago. Technologies such as the stent retriever are making huge strides in treating stroke, while insertable cardiac monitors are helping physicians detect atrial fibrillation in cryptogenic stroke patients, enabling them to provide treatment to potentially prevent a recurrent stroke.
"Recognizing the signs of stroke early, treating it as a medical emergency with admission to a specialized stroke unit, and providing access to the best professional care can substantially improve outcomes," said WSO President, Professor Stephen Davis. "We are calling for everyone to take action, drive awareness and push for better access to stroke treatments, and we are delighted to have Medtronic join us in the fight against stroke."
WSO's teaching courses are clinical education courses tailored to individual countries' needs. This year's programs will address evidence-based approaches to stroke prevention, treatment and rehabilitation and will focus on improving stroke services specifically in Beijing, the Philippines and Hyderabad, India. In addition, the World Stroke Academy provides a digital teaching option to reach all member countries with educational programming on stroke.
"Medtronic is committed to fighting stroke across the globe and an important step in that direction is ensuring that the proper clinical education tools are available," said Stacey Pugh, vice president and general manager of the Neurovascular business at Medtronic. "WSO provides dynamic education programs utilizing various mediums to reach a broad swath of caregivers in the stroke field. We're proud to help bring these targeted courses to countries working to improve stroke care."
In 2016, the World Stroke Campaign will focus on the treatability of stroke, recognizing that although stroke is a complex medical issue, there are ways to significantly reduce its impact. In addition, awareness of stroke signs and symptoms plays a critical role and is a focus of the partnership's efforts.
"Medtronic and WSO share the commitment of improving care for patients who have experienced stroke," said Nina Goodheart, vice president and general manager of the Diagnostics and Monitoring business at Medtronic. "We recognize the importance of advancing care for these patients and will work together with the WSO to continue to make this a priority."
About the WSO
The World Stroke Organization (world-stroke.org) is the world's leading organization in the fight against stroke. Established in October 2006, WSO's mission is to reduce the global burden of stroke through prevention, treatment and long-term care. With individual and organizational members worldwide, including stroke support groups, WSO is the global voice for stroke and the only international stroke NGO in official relations with the World Health Organization (WHO).
About MedtronicMedtronic plc (www.medtronic.com), headquartered in Dublin, Ireland, is among the world's largest medical technology, services and solutions companies - alleviating pain, restoring health and extending life for millions of people around the world. Medtronic employs more than 85,000 people worldwide, serving physicians, hospitals and patients in approximately 160 countries. The company is focused on collaborating with stakeholders around the world to take healthcare Further, Together.
Any forward-looking statements are subject to risks and uncertainties such as those described in Medtronic's periodic reports on file with the Securities and Exchange Commission. Actual results may differ materially from anticipated results.

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/world-stroke-organization-and-medtronic-collaborate-to-increase-stroke-awareness-300289647.html

Guidelines for Adult Stroke Rehabilitation and Recovery

I bet this is totally worthless because all you are seeming to get are bland statements like exercise more, do CIMT, probably nothing that the doctor has any responsibility for.doing. By not publicly publishing them for survivor viewing they are acknowledging the lack of good results from them. Chickenshits.
But look at all that brainpower, MDs and PhDs.
http://stroke.ahajournals.org/content/early/2016/05/04/STR.0000000000000098.abstract

A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

1. Carolee J. Winstein, PhD, PT, Chair,
2. Joel Stein, MD, Vice Chair,
3. Ross Arena, PhD, PT, FAHA,
4. Barbara Bates, MD, MBA,
5. Leora R. Cherney, PhD,
6. Steven C. Cramer, MD,
7. Frank Deruyter, PhD,
8. Janice J. Eng, PhD, BSc,
9. Beth Fisher, PhD, PT,
10. Richard L. Harvey, MD,
11. Catherine E. Lang, PhD, PT,
12. Marilyn MacKay-Lyons, BSc, MScPT, PhD,
13. Kenneth J. Ottenbacher, PhD, OTR,
14. Sue Pugh, MSN, RN, CNS-BC, CRRN, CNRN, FAHA,
15. Mathew J. Reeves, PhD, DVM, FAHA,
16. Lorie G. Richards, PhD, OTR/L,
17. William Stiers, PhD, ABPP (RP),
18. Richard D. Zorowitz, MD,
19. on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research

Abstract

Purpose—The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke.

Methods—Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council’s Scientific Statement Oversight Committee and the AHA’s Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee.

Results—Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness and efficiency of rehabilitation and underlie this entire guideline. Without communication and coordination, isolated efforts to rehabilitate the stroke survivor are unlikely to achieve their full potential.

Conclusions—As systems of care evolve in response to healthcare reform efforts, postacute care and rehabilitation are often considered a costly area of care to be trimmed but without recognition of their clinical impact and ability to reduce the risk of downstream medical morbidity resulting from immobility, depression, loss of autonomy, and reduced functional independence. The provision of comprehensive rehabilitation programs with adequate resources, dose, and duration is an essential aspect of stroke care and should be a priority in these redesign efforts.

Voter's Choice Award voting extended! - NSA Raise awards

Who gives a shit? Once again the NSA focuses on awareness rather the extremely difficult work of  SOLVING ALL the problems in stroke. Lazy chickenshit do-nothings!
Matt Lopez, you are a survivor, why don't you direct your organization to actually help survivors? ROCK THE BOAT!! It actually needs to be tipped over and emptied of all the dead wood in it.
None of them are actually telling the truth on awareness that everything in stroke is a fucking failure.
Truth really hurts.
http://support.stroke.org/site/R?i=UCLMq64nBsYwsut5k0cXSQ
Dear Dean,
Due to unforeseen technical problem, we are extending the Voter’s Choice contest until midnight MDT on Friday, Oct. 23.
But time is running out—and we still need your help with determining who will be the recipient of the 2015 Voter’s Choice Award.  This national awards program annually recognizes 7 individuals and groups for taking stroke awareness activities to new heights.
Don’t delay! Cast your vote today for one of these 11 remarkable candidates. Just follow these easy steps:

1. Read these empowering stories of people who have taken the cause of stroke awareness to new heights.
2. Pick your favorite entry and cast your vote.
3. Share with your family and friends—only 4 days left to vote!

All RAISE Awards winners will be announced on Oct. 26, visit our website to learn who they are.
Get your vote on!
 
Anna Taylor, MS
Director, Awareness and Professional Programs

Support World Stroke Day on Oct. 29

Tell everyone you know that everything in stroke is a disaster and totally fucked up. There should be no celebrating such fucking failures. Awareness campaigns are just for lazy chickenshits not willing to tackle the BHAGs(Big Hairy Audacious Goals).

Guargantuan F*cking Whoopee.

Let me list the reasons why:
0. There is no fast, easy and objective way to diagnose a stroke.
1. tPA may save your life with tPA having a 88% failure rate for full recovery.
2. Your neurologist doesn't have any concrete stroke protocols to save all the neurons that are dying in the first week.
3. Your neurologist or physiatrist doesn't have any clue about how to get you to full recovery. (Ask them exactly how to do it), you'll get excuses.
4. Only 10% get to full recovery..
5. No protocols to prevent your 33% dementia chance post-stroke from an Australian study.
6. Nothing to alleviate your fatigue.
7. Nothing that will cure your spasticity.
8. Nothing on cognitive training unless you find this yourself.
9. No published stroke protocols.
10. No way to compare your stroke hospital results vs. other stroke hospitals.

Scientists say National Alzheimer’s Plan research milestones must be strengthened

We don't even have a National Stroke Plan because our stroke associations are falling down on the job.

Alzheimer's disease will strike 1 out of 6 older women, study says

Compare that to;

The WHO says women have a 1 in 5 chance of getting a stroke 

Everything in stroke is totally f*cked up, we don't have any strategy or plan on how to tackle all the problems. If we did we could at least comment on it and point out deficiencies.

With no plan no one has to take responsibility, damnable chickenshits.

The Alzheimers stuff here:

2014 Report on the Milestones for the US National Plan to Address Alzheimer's Disease

Robotic sperm is here, and it’s not just for fertilization — it might help treat cancer, too

This is just too damned simple, you just repurpose this to tPA delivery. Do we have anybody in the stroke world with any brains and initiative at all? You just write a request for proposal and have researchers come back with cost estimates and solution ideas and  solve the damned problem of tPA bleeding.
The argument against tPA delivery here:

Against: And just what is the emperor of stroke wearing?

Everything in that article is solvable. But they would rather do the chicken little approach.

1. Correct diagnosis of bleed vs. clot.  See the Qualcomm Tricorder X Prize

2. Bleeding out even though the stroke was accurately categorized as a clot.

This is solvable by reducing the size of the bolus thru this robotic method or directed magnetic nanoparticles.

Robotic sperm is here, and it’s not just for fertilization — it might help treat cancer, too

5000+ stroke blog posts

Once I decided my niche was to analyze and point out what should be occurring in the stroke medical world it became easy to write 20-30 posts a day. There is that much absolute horror in what is occurring and not occurring in getting strokies the best medical care. I am so arrogant that I dare anyone from the stroke medical world to find something I don't know about that would stop/prevent stroke damage. I can take any criticism, I'm a big boy, compared to the chickenshit do-nothings that exist today.