Europe takes small steps forward to improve stroke care and support, but too many inequities still persist

Europe takes small steps forward to improve stroke care and support, but too many inequities still persist

The latest data from the Stroke Action Plan for Europe (SAP-E) Stroke Service Tracker (SST) shed light on Europe’s journey toward better stroke care and support. While there are positive signs of progress, the report also reveals persistent gaps and challenges, highlighting the continued need for nationally targeted interventions. 

The SST, which examines 12 key areas of stroke care improvement, shows positive strides in meeting SAP-E targets and improving acute treatment, organisation and quality control of services. Several countries, including the Republic of Moldovia, Bulgaria, Czech Republic, Estonia, Norway, Portugal, Romania, Sweden, and Wales are making commendable progress. 

However, access to stroke unit care, follow-up and life after stroke services and support remains uneven. Disparities in care provision across regions underscore the need for targeted interventions to ensure equitable access to quality care and support for all affected by stroke. 

The data underscore the urgent need for national stakeholders to address these gaps. By leveraging this information, countries must implement tailored stroke strategies to ensure that everyone affected by stroke receives timely, high-quality care and support, regardless of their location or socioeconomic status.  

We urge all European countries to continue to harness the power of their SST data to bridge gaps in their stroke care. Let’s prioritise action and ensure every stroke patient receives the care they deserve. Read more here.

About SAP-E: The SAP-E is a collaborative initiative aimed at improving stroke care across Europe through research, advocacy, and policy development. By bringing together stakeholders from across the healthcare spectrum, SAP-E seeks to set standards and drive positive change to improve outcomes for individuals affected by stroke. Visit the website to find out more.

Prevent, treat and support: An EU election manifesto for stroke survivors

Prevent, treat and support: An EU election manifesto for stroke survivors

The Stroke Alliance for Europe (SAFE) and the European Stroke Organisation (ESO) today launch their joint EU MEP Election Manifesto 2024. For the elections in June we are asking MEP candidates to support improving health across the EU with a focus on improving prevention, care and support of those affected by stroke across Europe. 

Every year, nearly 1.5 million people suffer a stroke in 32 European countries1. Stroke can be devastating – leading to death or life-long disability2, shattering the lives of victims and their loved ones. Those who survive will join the more than 9 million European stroke survivors who live with long term health, social, and financial impacts3. 

The EU Non-Communicable Disease Initiative, Healthier Together, launched by the European Commission in 2022, provides opportunities for policy action that both EU-level and national policymakers should build on. We call upon all EU level policymakers, to prioritise stroke in health policies, to support member states to develop national stroke plans and lead research into the under-examined areas of stroke. 

Following the principles of the Stroke Action Plan for Europe, SAFE and ESO are calling for the implementation of the following policy proposals: 

Prior to a stroke  

  • Primary prevention and risk factor control 
  • Implement legislation for public health interventions 
  • Implement risk factor screening and treatment programmes 

Amidst the stroke 

  • Quality of care and stroke management 
  • Ensure equal access to acute stroke care 
  • Establish a quality improvement system for stroke services 

Life after stroke

  • Prevent further stroke and take care of those who had one 
  • Implement post-rehabilitation personal care plans that offer non-medical support 
  • Provide sufficient secondary prevention services 
  • Guarantee equitable access to rehabilitation prior and post discharge  
  • Develop a European framework of reference for stroke care quality 
  • Empower a dignified life after stroke 

Understanding stroke 

  • Provide sufficient research funding 
  • Improve stroke services with better data 
  • Encourage research into under-examined areas of stroke 

Click here for the full manifesto

 

References

  1. At what cost: The economic impact of stroke in Europe. University of Oxford for the Stroke Alliance for Europe (SAFE).  
  1. Sudharsanan, N., Deshmukh, M., & Kalkonde, Y. (2019). Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India. BMJ open, 9(11), e028695.
    https://doi.org/10.1136/bmjopen-2018-028695. 
  1. Wafa, H. A., Wolfe, C. D. A., Emmett, E., Roth, G. A., Johnson, C. O., & Wang, Y. (2020). Burden of Stroke in Europe: Thirty-Year Projections of Incidence, Prevalence, Deaths, and Disability-Adjusted Life Years. Stroke, 51(8), 2418–2427. https://doi.org/10.1161/STROKEAHA.120.029606. 
VALIDATE: Use of AI to advance personalised acute stroke treatment and to improve outcomes

VALIDATE: Use of AI to advance personalised acute stroke treatment and to improve outcomes

On Brain Awareness Week’s sixth day we are focusing on VALIDATE which is using artificial intelligence (AI) to personalise acute stroke treatment and improve outcomes.

In ischemic stroke treatment, timely access to appropriate interventions is paramount. While there are a range of effective therapies, navigating the intricacies of individual patient cases and not accurately considering each individual patient holistically can influence treatment outcomes and long-term quality of life. 

The VALIDATE team are aiming to improve this. By using datasets from thousands of patient profiles and state-of-the-art AI models, they are developing and validating a clinical decision support system. Central to this project is the creation of a new App which aims to provide additional information for clinicians by predicting the outcome of different treatment strategies. This system will empower healthcare professionals in choosing the optimal treatment strategy tailored to each patient’s unique circumstances. 

Beyond providing accurate prognosis, the success of the Validate App hinges on gaining the trust of clinicians and patients in its implementation. To achieve this, rigorous testing in real-world clinical settings will be conducted through observational studies, validating its efficacy and reliability. 

For stroke survivors, the long-term implications could mean personalised treatment options and improved outcomes and quality of life. 

For more information visit the VALIDATE website https://validate-project.eu  

VALIDATE has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 777107. 

ANGIE: 3D patient brain models could increase access to thrombectomy

ANGIE: 3D patient brain models could increase access to thrombectomy

On Brain Awareness Week’s fifth day we are focusing on ANGIE, a research project supported by EU, which aims to develop micro-robots for targeted drug delivery, to dissolve blood clots in acute stroke treatment. 

To ensure accurate targeting, the research team have developed 3D-printed re-constructions of patient’s brain vessels based on their MRI scans. These brain 3D models are gaining recognition in the medical community for their ability to provide a realistic and safe environment for doctors treating stroke to hone their skills and facilitating earlier and more extensive training.  

Ultimately, this advancement could mean that more patients have access to more lifesaving procedures and go on to improve stroke treatment outcomes. 

More information can be found at www.h2020-angie.eu

The project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement number 952152.