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Published on: January 15, 2017
Stroke Care in Pakistan
Anjum Farooq1, Narayanaswamy Venketasubramanian2, Mohammad Wasay3
1Department of Neurology, Bolan University of Medical and Health Sciences, Quetta, Pakistan and President Pakistan Stroke Society, Quetta, Pakistan.
Insights
Stroke incidence is rising in Pakistan, particularly affecting young people with poor outcomes. Limited healthcare infrastructure and resources, including few neurologists and scarce alteplase, hinder acute stroke care.
Area of Science:
- Neurology
- Public Health
- Healthcare Infrastructure
Background:
- Rising stroke incidence in Pakistan, affecting urban and rural areas.
- High proportion of young stroke patients with adverse outcomes.
- Significant challenges in acute stroke care delivery nationwide.
Discussion:
- Scarcity of neurologists (1 per million) and limited stroke units impede timely interventions.
- Restricted availability of alteplase (recombinant tissue plasminogen activator) further compromises acute stroke management.
- Inadequate healthcare infrastructure exacerbates the stroke burden in Pakistan.
Key Insights:
- Pakistan faces a critical stroke care crisis due to insufficient resources and infrastructure.
- Younger populations are disproportionately affected, leading to poor long-term outcomes.
- Urgent attention is required to improve stroke prevention and treatment accessibility.
Outlook:
- Need for substantial investment in neurological services and stroke units.
- Strategies to increase the availability and accessibility of thrombolytic therapies like alteplase.
- Policy interventions to strengthen healthcare infrastructure for comprehensive stroke management.
Abstract:
Increasing incidence of stroke and lack of infrastructure in both urban and rural areas needs immediate attention in Pakistan. There is a high proportion of young stroke with poor stroke outcomes. Acute stroke care is scarce in Pakistan due to the small number of neurologists (1 neurologist per 1 million population), few stroke units, and limited availability of alteplase (recombinant tissue plasminogen activator) in the country.
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