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Neurology in low and middle-income countries
The Global Burden of Diseases (GBD), Injuries, and Risk Factors Study produces the most comprehensive epidemiological estimates. Results yielded in 2017, indicated that cardiovascular diseases, including stroke, were the top cause of morbidity and mortality worldwide. However, a re-analysis by the Neurology Collaborators of the 2016 GBD Study, spanning 15 disease categories that require specialist […]
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Decline in mortality from acute stroke in England
Stroke mortality rates have been declining in almost every country. Reduction in mortality could result from a decline in disease occurrence or a decline in case fatality, or both. A reduction in stroke event rates could result from better management of risk factors, achieved through lifestyle modification and prevention. In this week BMJ or British […]
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Stroke in China: advances and challenges in epidemiology, prevention, and management
With over 2 million new cases annually, stroke is associated with the highest disability-adjusted life-years lost of any disease in China. The burden is expected to increase further as a result of population ageing, an ongoing high prevalence of risk factors (eg, hypertension), and inadequate management. Despite improved access to overall health services, the […]
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Glucose control after stroke
Intensive intravenous glucose control did not improve functional outcome compared with standard insulin control in patients with stroke who have hyperglycaemia— and it may even increase the risk of hypoglycaemia. In the SHINE trial, presented in the International Stroke Conference 2019 by Karen Johnston (University of Virginia, Charlottesville, VA, USA), 581 patients were randomised to […]
