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Fighting Against Stroke in Latin America: A Joint Effort of Medical Professional Societies and Governments

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  • 05/23/2025
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Authors
    Sheila Cristina Ouriques Martins, Hospital Moinhos de VentoPablo Lavados, Universidad del DesarrolloThaís Leite Secchi Secchi, Hospital Moinhos de VentoMichael Brainin, World Stroke OrganizationSebastian Ameriso, Fundacion Para La Lucha Contra Las Enfermedades Neurologicas de La InfanciaFernando Gongora-Rivera, Hospital Universitario Dr. Jose Eleuterio GonzalezClaudio Sacks, Universidad de ValparaisoCarlos Cantú-Brito, Instituto Nacional de la Nutrición Salvador ZubiranTony F Alvarez Guzman, Hospital Manuela BeltránGermán Enrique Pérez-Romero, Asociación Colombiana de ReumatologíaMario Muñoz Collazos, Colombian Stroke NetworkMiguel A Barboza, Hospital Dr. Rafael A. Calderón GuardiaAntonio Arauz, Instituto Nacional de Neurología y NeurocirugíaCarlos Abanto Argomedo, Instituto Nacional de Ciencias NeurologicasNelson Novarro-Escudero, Pacífica Salud - Hospital Punta PacíficaHector I Amorin Costabile, Ministry of Public Health UruguayRoberto Crosa, Médica UruguayaClaudia Camejo, Hospital da ClínicasRicard Mernes, Hospital de ClínicasNelson Maldonado, Hospital Central Instituto de Previsiín SocialDaissy L Mora Cuervo, Hospital Moinhos de VentoOctávio Marques Pontes Neto, Brazilian Stroke NetworkGisele Sampaio Silva, Brazilian Stroke NetworkLeobardo Augusto Carbonera, Hospital Moinhos de VentoAna Claudia D Souza, Hospital Moinhos de VentoEduardo DGD Sousa, Ministry of Health, BrasíliaAlan Flores, Universidad Nacional de Asuncion, San LorenzoDonoban Melgarejo, Universidad Nacional de Asuncion, San LorenzoIrving R Santos Carquin, Emergency Hospital Public AssistanceArnold Hoppe, Universidad del DesarrolloJoão José Freitas de Carvalho, Brazilian Stroke SocietyFrancisco Mont'Alverne, Universidad del DesarrolloPablo Amaya, Hospital Universitario Dr. Jose Eleuterio GonzalezHernan Bayona, Asociación Colombiana de ReumatologíaVictor Hugo Navia González, Universidad del DesarrolloJuan Carlos Duran, Sociedad Boliviana de NeurologíaVictor C Urrutia, Johns Hopkins School of MedicineDenizar V Araujo, Ministry of Health, BrasíliaValery L Feigin, Auckland University of TechnologyRaul Nogueira, Emory University
Language
  • English
Date
  • 2021-10-01
Publisher
  • Frontiers
Publication Version
Copyright Statement
  • © 2021 Martins, Lavados, Secchi, Brainin, Ameriso, Gongora-Rivera, Sacks, Cantú-Brito, Alvarez Guzman, Pérez-Romero, Muñoz Collazos, Barboza, Arauz, Abanto Argomedo, Novarro-Escudero, Amorin Costabile, Crosa, Camejo, Mernes, Maldonado, Mora Cuervo, Pontes Neto, Silva, Carbonera, Souza, Sousa, Flores, Melgarejo, Santos Carquin, Hoppe, Carvalho, Mont'Alverne, Amaya, Bayona, Navia González, Duran, Urrutia, Araujo, Feigin and Nogueira.
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Final Published Version (URL)
Title of Journal or Parent Work
Volume
  • 12
Start Page
  • 743732
End Page
  • 743732
Supplemental Material (URL)
Abstract
  • Introduction: Stroke is one of the leading causes of death in Latin America, a region with countless gaps to be addressed to decrease its burden. In 2018, at the first Latin American Stroke Ministerial Meeting, stroke physician and healthcare manager representatives from 13 countries signed the Declaration of Gramado with the priorities to improve the region, with the commitment to implement all evidence-based strategies for stroke care. The second meeting in March 2020 reviewed the achievements in 2 years and discussed new objectives. This paper will review the 2-year advances and future plans of the Latin American alliance for stroke. Method: In March 2020, a survey based on the Declaration of Gramado items was sent to the neurologists participants of the Stroke Ministerial Meetings. The results were confirmed with representatives of the Ministries of Health and leaders from the countries at the second Latin American Stroke Ministerial Meeting. Results: In 2 years, public stroke awareness initiatives increased from 25 to 75% of countries. All countries have started programs to encourage physical activity, and there has been an increase in the number of countries that implement, at least partially, strategies to identify and treat hypertension, diabetes, and lifestyle risk factors. Programs to identify and treat dyslipidemia and atrial fibrillation still remained poor. The number of stroke centers increased from 322 to 448, all of them providing intravenous thrombolysis, with an increase in countries with stroke units. All countries have mechanical thrombectomy, but mostly restricted to a few private hospitals. Pre-hospital organization remains limited. The utilization of telemedicine has increased but is restricted to a few hospitals and is not widely available throughout the country. Patients have late, if any, access to rehabilitation after hospital discharge. Conclusion: The initiative to collaborate, exchange experiences, and unite societies and governments to improve stroke care in Latin America has yielded good results. Important advances have been made in the region in terms of increasing the number of acute stroke care services, implementing reperfusion treatments and creating programs for the detection and treatment of risk factors. We hope that this approach can reduce inequalities in stroke care in Latin America and serves as a model for other under-resourced environments.
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Research Categories
  • Health Sciences, Medicine and Surgery

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