Directo ctor, Board of Directo tors rs, World Stroke e Organiz - PowerPoint PPT Presentation

Dr. Padma S Gu Gunaratne atne MD(SL), ), FRCP(Glasg) Glasg), FCCP Consul ultant tant Neur urologi ogist President, dent, The National nal Stroke ke Associat atio ion n of Sri L Lanka Directo ctor, Board of Directo tors rs, World Stroke e Organiz nizati ation on

Stroke Incidence projections,2005-2030, Men and women combined 35,000,000 30,000,000 25,000,000 Incidence 20,000,000 Global 15,000,000 Developing regions 10,000,000 Developed regions 5,000,000 0 2005 2010 2015 2030 year

 Third leading cause of deaths  Commonest cause for adult disability  WHO predication  Aging population

 Third leading cause of deaths  Commonest cause for adult disability  WHO predication  Aging population  60% die or left disabled  10% die within one month, 50% left disabled, 30% recover normal

Primary prevention Stroke rehabilitation Stroke care Management of Secondary prevention Acute Stroke

 Control of BP & Cholesterol  Stopping smoking  Aspirin  CT scanning of brain  Intravenous rtPA  Stroke units  Anticoagulants for heart disease  Carotid endarterectomy  Others  Stroke physicians  Comprehensive and primary stroke care centres  Community based rehabilitation

 90% are not on lipid lowering drugs.  30% are not on aspirin.  40% and 75% have not checked blood sugar and cholesterol respectively within last one year.  Smoking is the second leading cause of stroke in men.  Most do not undergo CT scanning of brain.  Thrombolytic programme is available only at the National Hospital.  There are no stroke units but only 30 stroke beds in Ministry of Health  No comprehensive stroke centers, centers for community based rehabilitation and stroke physicians.

 Awareness  Preventing stroke by control on vascular risk factors  Acting on the warnings; TIA  Imaging brain  Stroke units  In hospital long term rehabilitation  Social Workers & counsellors  Community based rehabilitation  Thrombolysis with rtPA  Research in stroke

Nati tional onal Stroke ke Strateg tegy y for Sri Lanka ka Prepared by Dr. Padma S Gunaratne MD(SL), FRCP(Glasg), FCCP Consultant Neurologist President, National Stroke Association of Sri Lanka Director, Board of Directors, World Stroke Organization 29th October 2009