Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update

Area of Science:

• Neurology
• Public Health
• Healthcare Policy

Background:

• Stroke is a major European health concern with significant incidence and unequal access to care.
• The Stroke Action Plan for Europe (SAP-E) was launched in 2018 to address these challenges.
• The plan's mid-term update reflects current challenges in stroke care for 2025.

Purpose of the Study:

• To update the Stroke Action Plan for Europe (SAP-E) at its mid-term.
• To align targets with current knowledge and increase accountability for stroke care.
• To address persistent gaps in stroke care across Europe.

Main Methods:

• The SAP-E framework covers the entire stroke care pathway.
• Working groups developed sections on the state of the art, current status, and targets.
• Inputs from an Interim Review Committee and an open online meeting finalized the plan.

Main Results:

• All SAP-E sections were updated with the latest evidence for 2025.
• Current status and state-of-the-art reflect the most recent advancements in stroke care.
• Updated targets for 2030 aim for greater prioritization and accountability.

Conclusions:

• Despite progress, significant inequities in stroke care access, rehabilitation, and follow-up persist.
• Evidence-based interventions are cost-effective and supported by WHO and EU.
• Key actions include national stroke plans, quality control, resilient healthcare systems, and lifestyle promotion strategies.