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Updated: Jun 9, 2025
09:52
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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Can we stop the stroke tsunami? Mitigating the barriers, amplifying the facilitators
Rita Krishnamurthi1, Ann George1, Alexander Merkin1
1National Institute for Stroke and Applied Neurosciences, School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Journal of the Royal Society of New Zealand
|October 23, 2024
Summary
Global stroke burden will rise without new prevention strategies. Combining population-wide and high-risk interventions, including mobile tech, is crucial for effective stroke and cardiovascular disease (CVD) prevention.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Medicine
Background:
- The global burden of stroke continues to rise, necessitating urgent re-evaluation of current primary prevention strategies.
- Existing population-wide and high-risk cardiovascular disease (CVD) prevention methods have limitations in mitigating the increasing stroke incidence.
- Mobile technologies offer potential for individual and population-level stroke and CVD prevention, but their effectiveness requires further study.
Purpose of the Study:
- To critically appraise Global Burden of Disease data and current primary stroke prevention strategies.
- To explore the advantages and disadvantages of various population-wide and high-risk CVD prevention strategies, including mobile technologies.
- To identify failures in current strategies and propose complementary approaches for effective stroke and CVD prevention.
Main Methods:
- Narrative review of Global Burden of Disease data (1990-2017) on stroke.
- Critical appraisal of existing primary stroke and cardiovascular disease (CVD) prevention strategies.
- Analysis of findings from a New Zealand pilot randomized controlled trial (RCT) on a motivational strategy.
Main Results:
- The global burden of stroke is projected to increase without novel primary prevention interventions.
- A pilot RCT showed feasibility, acceptability, and motivational value of a new strategy, with non-significant improvements in diet and awareness.
- Current primary stroke and CVD prevention strategies have identifiable causes of failure.
Conclusions:
- Urgent implementation of new primary stroke and cardiovascular disease (CVD) prevention strategies is essential.
- A combination of population-wide and elevated CVD risk strategies, including polypill interventions and motivational approaches, is important.
- The optimal integration of population-wide and targeted risk-reduction strategies for primary stroke and CVD prevention requires further determination.
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