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Stroke remains the second-leading cause of death and the third-leading cause of death and disability combined (as expressed by disability-adjusted life-years lost – DALYs) in the world. The estimated global cost of stroke is over US$721 billion (0.66% of the global GDP). From 1990 to 2019, the burden (in terms of the absolute number of cases) increased substantially (70.0% increase in incident strokes, 43.0% deaths from stroke, 102.0% prevalent strokes, and 143.0% DALYs), with the bulk of the global stroke burden (86.0% of deaths and 89.0% of DALYs) residing in lower-income and lower-middle-income countries (LMIC). This World Stroke Organisation (WSO) Global Stroke Fact Sheet 2022 provides the most updated information that can be used to inform communication with all internal and external stakeholders; all statistics have been reviewed and approved for use by the WSO Executive Committee as well as leaders from the Global Burden of Disease research group. [ABSTRACT FROM AUTHOR]

Every year, approximately 62 000 people with stroke and transient ischemic attack are treated in Canadian hospitals, and the evidence suggests one-third or more will experience vascular-cognitive impairment, and/or intractable fatigue, either alone or in combination. The 2015 update of the Canadian Stroke Best Practice Recommendations: Mood, Cognition and Fatigue Module guideline is a comprehensive summary of current evidence-based recommendations for clinicians in a range of settings, who provide care to patients following stroke. The three consequences of stroke that are the focus of the this guideline (poststroke depression, vascular cognitive impairment, and fatigue) have high incidence rates and significant impact on the lives of people who have had a stroke, impede recovery, and result in worse long-term outcomes. Significant practice variations and gaps in the research evidence have been reported for initial screening and in-depth assessment of stroke patients for these conditions. Also of concern, an increased number of family members and informal caregivers may also experience depressive symptoms in the poststroke recovery phase which further impact patient recovery. These factors emphasize the need for a system of care that ensures screening occurs as a standard and consistent component of clinical practice across settings as stroke patients transition from acute care to active rehabilitation and reintegration into their community. Additionally, building system capacity to ensure access to appropriate specialists for treatment and ongoing management of stroke survivors with these conditions is another great challenge. [ABSTRACT FROM AUTHOR]

Objective: Stroke is a major cause of morbidity and mortality and rapid treatment is critical to patient outcomes. This paper looks at the effect of paid television advertising campaigns upon the general public's knowledge of the warning signs of stroke and emergency department (ED) stroke presentations. Methods: Data for the study includes results of nine random-digit dialing telephone surveys conducted among Ontario adults aged 45 and over. The mean number of ED presentations for all strokes and for transient ischemic attacks (TIA) were obtained from the Registry of the Canadian Stroke Network (RCSN). Results: Polls indicated that long advertising campaigns were associated with significant increases in the public's knowledge of stroke warning signs, while shorter campaigns were associated with much smaller increases. Time (as represented by month) was the single most important factor determining the mean number of ED presentations for total stroke but was not for TIAs. Campaign status (on or off the air) had a strong and significant effect on ED presentations when the advertising campaigns were long; when the advertising campaigns were shortened, there was no campaign effect. Conclusions: Long, intermittent campaigns are effective in increasing the public's awareness of the warning signs of stroke and may have a significant effect on ED presentations for stroke and TIA. Public awareness of stroke warning signs declines during advertising black-outs, so short campaigns are less effective. [ABSTRACT FROM AUTHOR]

The author reflects on the revised 2006 Canadian Best Practice Recommendation for Stroke Care. He notes that modifications on the antiplatelet therapy and thrombolytic therapy have been made. He mentions that new topics include prehospital care, treatment of transient ischemic attack, and management of vascular cognitive impairment. He states that with the identification of the healthcare priorities, human, and financial constraints, it aims to provide a clearer vision of clinical care.