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Prevention, management, and rehabilitation of stroke in low- and middle-income countries

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dc.contributor.author Yan, Lijing-L.
dc.contributor.author Li, Chaoyun
dc.contributor.author Chen, Jie
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Luo, Rong
dc.contributor.author Bettger, Janet
dc.contributor.author Zhu, Yishan
dc.contributor.author Feigin, Valery
dc.contributor.author O'Donnell, Martin
dc.contributor.author Zhao, Dong
dc.contributor.author Wu, Yangfeng
dc.date.accessioned 2019-02-06T14:51:45Z
dc.date.available 2019-02-06T14:51:45Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5258
dc.description.abstract Although 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. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:2405-6502
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Low- and middle-income countries en_US
dc.subject Prevention en_US
dc.subject Rehabilitation en_US
dc.subject Stroke en_US
dc.subject Treatment en_US
dc.title Prevention, management, and rehabilitation of stroke in low- and middle-income countries en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1016/j.ensci.2016.02.011
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.25

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