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Updated: Apr 23, 2026
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
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World Stroke Organization global stroke services guidelines and action plan.
Patrice Lindsay1, Karen L Furie, Stephen M Davis
1Heart and Stroke Foundation, Etobicoke, ON, Canada; University of Toronto, Toronto, ON, Canada.
Summary
Stroke care is transforming globally with new evidence-based strategies. This plan outlines essential stroke services, adaptable to varying healthcare resources, to improve patient outcomes worldwide.
Area of Science:
- Neurology
- Public Health
- Healthcare Management
Background:
- Stroke is a leading cause of disability, disproportionately affecting low-to-middle income countries with limited healthcare resources.
- Silent cerebrovascular disease contributes to cognitive impairment in the elderly, highlighting the need for comprehensive stroke care.
- Recent decades have seen advancements in stroke prevention, acute management, and recovery, yet implementation remains a challenge.
Purpose of the Study:
- To present a synopsis of core recommendations and quality indicators from multinational stroke guidelines.
- To provide a strategic tool for assessing and expanding stroke services globally.
- To advocate for universal access to stroke awareness, education, prevention, and treatment.
Main Methods:
- Adaptation of core recommendations and quality indicators from ten high-quality multinational stroke guidelines.
- Development of a framework for stroke care across a continuum of health models (minimal, essential, advanced).
- Focus on practical implementation strategies for diverse healthcare settings.
Main Results:
- A tiered approach to stroke services is proposed, from basic clinical skills to advanced multidisciplinary care.
- The Global Stroke Services Action Plan identifies key elements for stroke care delivery.
- Guidelines are adaptable for establishing current service levels and targeting resource expansion.
Conclusions:
- Stroke care must be tailored to local strengths and resource availability.
- Continuous expansion of stroke service capabilities is crucial for optimizing outcomes.
- Despite resource limitations, stroke awareness, education, prevention, and treatment should be universally feasible.
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