This chapter discusses strategies to reduce the impact of stroke and improve public health, as well as how these strategies may impact on a hypothetical population of 1 million people. Stroke is the second leading cause of death in the world, behind ischemic heart disease. It is also the third leading cause of years of life lost due to premature mortality. There are five treatments for acute ischemic stroke that effectively reduce death and disability: thrombolysis, endovascular thrombectomy, aspirin, organized multidisciplinary care in a stroke unit, and decompressive hemicraniectomy. Physical rehabilitation improves functional recovery after stroke, and incorporates functional task training; active and passive musculoskeletal, neurophysiological, and cardiopulmonary intervention; and assistive devices and modalities. Systematic and coordinated programs for immediate and long-term preventive care after a stroke/TIA are needed to reduce the evidence-to-practice gap and improve the appropriate long-term uptake of healthy lifestyle behaviors and use of inexpensive, effective drugs.
|Title of host publication||Warlow’s Stroke|
|Subtitle of host publication||Practical Management|
|Editors||Graeme J. Hankey, Malcolm Macleod B, Philip B. Gorelick, Christopher Chen, Fan Z. Caprio, Heinrich Mattle|
|Number of pages||19|
|Publication status||Published - 1 Jan 2019|