Welcome to the WSC 2021 Interactive Program
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The viewing of sessions cannot be accessed from this conference calendar.
All sessions are accessible via the Main Lobby on the Virtual Platform.
- WSC TV 
- Live Session 
- Pre-Recorded Session with Live Q&A 
- On Demand Session (watch anytime) 
- Session with Voting
Overview of the Lancet Commission
The Changing World Landscape in Stroke Epidemiology
Economic Burden of Stroke
Realistic and Aspirational Stroke Prevention Goals
Abstract
Abstract Body
Theoretically, up to 90% of all strokes could prevented if all individual risk factors could be set at the theoretical minimum risk exposure level, e.g., zero level of exposure to smoking, alcohol intake, or systolic blood pressure of 110-115 mmHg across the whole population, etc. However, in practice this level of reduction of exposure to risk factors across the world is hardly achievable, at least for the near future. Therefore, in practice realistic goals for primary stroke prevention should be informed by results of reliable randomised controlled trials (RCTs) and modelling, including meta-analysis and systematic reviews. It is also important to consider primary prevention goals that are achievable via population-wide prevention strategies, individual prevention strategies, and both strategies combined. In my presentation, I would like to give an overview of currently available primary stroke prevention strategies, outline evidence from RCTs, difficulties and opportunities for effective primary stroke prevention, realistic medical and economic benefits of stroke prevention, and the most promising ways to improve the situation.
Challenges in Delivering Comprehensive Stroke Care
Abstract
Abstract Body
The stroke burden is increasing in low and middle income countries (LMICs). The health care systems are not unform in these nations. Largely the private hospitals cater to the need of stroke patients and the infrastructure in government run hospitals are poor. There are several challenges in the implementation of stroke care services in LMICs. Lack of neurologists, nurses, therapists and infrastructure are the most imporatnt barriers in the delivery of stroke care services. Despite the above challenges there are several low cost stroke unit models are available in LMICs. The Tezpur model demonstrated the effectiveness of the implementation of stroke care services using the Physician in a remote hospital of Northeast India. Simlar sucessful efforts has been undertaken in remote places of South Africa, Rwanda, Uganda and India through the Organisation of Stroke Care Across all Income Levels (OSCAIL). Many government hospitals in India have stroke units managed by Physicians. The Stroke care services in Brazil is largely in public hospitals with funding from the Government. One of the reasons for low thrombolysis rate in LMICs is the cost of the drug. The mechanical thrombectomy centers are growing in few LMICs. Again the cost of the treatment limits the wider usage of evidence based hyperacute treatments. Partnership of government and private hospitals with insurance coverage and training of health care professionals is the way forward in implementing comprehensive stroke services in LMICs.