More than thirty years of thinking big has revolutionized stroke care in Canada

More than thirty years of thinking big has revolutionized stroke care in Canada

Some gaps still exist as stroke continues to rise and more people survive stroke

MontrealAnd the June 1, 2022 /CNW/ – Stroke prevention, treatment, and recovery have been completely transformed over the past several decades due to research breakthroughs, increased awareness, and improvements in care systems. However, the need for stroke treatment and services is also increasing, and more needs to be done to increase recognition of the signs of stroke.

Dr. says. Patrice LindseyDirector of Health Systems, Heart and Stroke. “A little over thirty years ago when someone had a stroke, there was almost nothing that could be done for them. That has completely changed, and today there is a lot that can be done to treat a stroke and support recovery.”

Canada He was a world leader in driving two-stroke innovation. World-class research and coordinated systems of stroke care have led to more prevention, improved prognosis, increased life-saving treatments, better rehabilitation and enhanced recovery support.

Today, stroke in Canada continues to rise. According to new data, more than 89,000 clots occur each year. This increase is due to an aging population (age is a risk factor for stroke) and young people with strokes (most likely due to increased risk factors such as high blood pressure, diabetes, unhealthy diet and lack of physical activity). The number of Canadians suffering a stroke has risen to 878,000.

“More people are surviving a stroke due to increased public awareness of the signs of this medical emergency and the need to call 9-1-1 immediately. Now we have the systems in place to deliver the right care to people who are having a stroke, at the right hospital, at the right time. ,” says Dr. Talia FieldD., a neurologist, the Vancouver Stroke Program, and a Heart and Stroke Funded Scholar.

Nathan Pryor He was 38 years old and at the best of his life, he’s been training in his life Halifax The gym when he had a stroke. A personal trainer recognized the signs and called 9-1-1 and Nathan was taken to the hospital by ambulance in record time as a team of stroke experts waited. He got a CT scan, then a drug to break up the clot followed by an endovascular thrombectomy (EVT) — a procedure that virtually removes clots using a retractable stent threaded through a blood vessel and into the brain. He recovered feeling almost immediately and pointed his thumbs at his doctor and was able to leave the hospital within days.

“The important thing for me is that a stroke can happen to anyone, and most importantly people recognize the signs and know that it’s essential to get treatment quickly. That’s why I didn’t suffer serious damage – my treatment was about as fast as I could,” he says. Nathan.

Stroke progress

Heart & Stroke has been a major contributor to the advancement of stroke by funding research, raising awareness, driving change throughout stroke care systems across the country, and advocating for improved health policy.

Examples of advances in stroke prevention, awareness, treatment, and recovery over the past 30-40 years include:

research breakthroughs

  • 1999 A new life-saving drug that breaks up clots and is used to treat ischemic stroke. Patients with ischemic strokes (the most common type of stroke) who are treated promptly with Alteplase (tPA) are at least 30% more likely to have little or no disability.
  • 2000 ACE inhibitors have been found to significantly reduce the risk of heart attacks and strokes. They lower blood pressure, the number one risk factor for stroke.
  • 2015 The ESCAPE trial focuses on endovascular thrombectomy (EVT) to treat major strokes by physically removing blood clots through blood vessels. This new treatment reduces deaths by 50% and leads to better recovery, and was incorporated into the recommendations of Canadian Stroke Best Practices within weeks of trial results.
  • 2016 The Interstruc study identified 10 risk factors that account for 90% of the risk of stroke worldwide.
  • 2020 CanStroke Recovery Trials, the first national clinical trial platform focused on stroke recovery, brings together researchers across the country to test new discoveries and accelerate their course.

Improving stroke care systems

  • 2000 The Canadian Stroke Network was launched to fund research and promote excellence in care and services.
  • 2004 The Canadian Stroke Strategy is revolutionizing stroke management with an integrated approach to prevention, treatment and rehabilitation.
  • 2006 Canadian Stroke Best Practice recommendations ensure faster and broader adoption of advances in prevention, diagnosis, treatment and rehabilitation across the country.
  • Between 2009 – 2022 the number of Canadian hospitals with:
    • Dedicated Stroke Teams Increase from 74 to 155 hospitals (+81).
    • stroke units Increase from 58 to 95 hospitals (+37).
    • from afar eligibility Increase from 71 to 307 hospitals (+236)
    • Alteplase (tPA) possibility Increase from 153 to 232 hospitals (+79).
    • EVT (resection of the thrombus from the inside of the blood vessels) The ability to treat Increased from 0 to 25 hospitals.

Awareness, education and support

  • Since 2014 fast The campaign is helping Canadians recognize the most common signs of stroke and take action:
    • FAce – Are you drooping?
    • arms – can you upload both?
    • sSpeech – is it overlapping or mixed?
    • TIME to call 9-1-1 instantly.
  • Stroke resources, webinars, programs, and support for people with stroke and their caregivers.

Despite the progress made, there is still more that needs to be done to prevent stroke, raise awareness and ensure more equitable access to care across the country. Despite the increased awareness, according to a recent survey four out of ten Canadians don’t know any of the FAST signs of stroke. Geography and socioeconomic status pose barriers to people receiving specialized stroke care. The majority of people who experience a stroke require ongoing support for recovery, and while there are some excellent resources available in the communities, very few are available and most are in major centres. Other barriers also exist around awareness, access, and cost. In addition, people in specific demographics are disproportionately affected – women suffer worse outcomes, Indigenous communities bear the burden of higher rates of stroke and heart disease and obstacles in accessing optimal care.

for more information:

About heart and stroke

life. We don’t want you to miss it. That’s why Heart & Stroke has been leading the fight against heart disease and stroke for 70 years. We must achieve the following medical breakthroughs, so that Canadians do not miss precious moments. Together, we work to prevent disease, save lives, and promote recovery through research, health promotion, and public policy.

SOURCE Heart and Stroke Foundation

For more information: Contact information: Stephanie Lawrence, [email protected]613290 4236

2022-06-01 10:00:00

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