St. Stephen's Hospital
Department of Neurology
Dr. Ivy Sebastian is a Consultant Neurologist, practicing at St. Stephen's Hospital, India. Her chief area of interest is stroke and post-stroke rehabilitation. As a young clinical researcher she envisions designing superior quality, low-cost or no cost stroke intervention studies specific to Low and Middle Income Countries. Her publications include those on Stroke management, thrombolysis, Stroke Systems of care, and task shifting in stroke rehabilitation. Towards the purpose of making stroke care better and uniformly accessible in low-resource countries, she has been involved with the WHO-South East Asian Region offices in the development of a designated stroke care institutional improvement program in multiple South-East Asian countries, and has also been instrumental in the drafting of stroke education manual targeting the primary health care level. Apart from research and clinical work, she is fond of travelling and music and enjoys dancing.

Presenter Of 1 Presentation

CLINICAL PRACTICE GUIDELINES FOR STROKE REHABILITATION FROM LOW AND MIDDLE INCOME COUNTRIES

Session Type
Free Communication Session
Date
28.10.2021, Thursday
Session Time
10:00 - 11:30
Room
FREE COMMUNICATIONS A
Lecture Time
10:00 - 10:10

Abstract

Background and Aims

Clinical practice guidelines (CPGs) provide an evidence-based foundation to build optimal services for people with stroke. In comparison to High Income Countries where many comprehensive stroke rehabilitation guidelines exist, identifying evidence-based guidelines specific to Low-and-Middle-Income Countries (LMICs) is challenging. This project aims to:

1. Evaluate the quality and content of existing CPGs for Stroke rehabilitation from LMICs

2. Develop LMIC-specific CPGs based on findings identified

Methods

This project will be executed by a multi-disciplinary core team of stroke rehabilitation professionals, through a multi-phased process. An advisory board of global stroke-rehabilitation experts will provide periodic inputs wherever essential.

Phase I: A systematic review on the existing CPGs for stroke rehabilitation from LMICs will be conducted. Quality and methodological rigour of the CPGs will be assessed based on an identified cut-off on AGREE-II and AGREE-REX tools.

Phase II: CPGs which meet the essential criteria in Phase I will be compared for content with the standardized WSO Global services guidelines and action plan, to identify the existing gaps.

Phase III: LMIC-specific stroke rehabilitation CPGs will be developed informed by the merits and demerits identified in previous phases.

Results

Through this project we intend to study the quality and content of CPGs for stroke rehabilitation, identify the existing gaps and develop new evidence-based CPGs specific to LMICs.

Conclusions

There exist wide gaps in the availability as well as implementation of CPGs for stroke rehabilitation in LMICs. This study is designed with the larger objective of identifying those gaps, and developing CPGs specifically tailored to LMICs.

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