Data Comparison
Overview of stroke burden and care in each EU and SAFE member country.
Something went wrong. Please try again!Incidence: the number of new strokes.
Mortality: the number of people who die as a result of their stroke, at any time
following the stroke.
Case fatality: the number of people who die as a result of their stroke within a month of
having the stroke.
Prevalence: the number of stroke survivors in the population.
Age and sex adjusted: some of the stroke epidemiology rates in the following tables are ‘age- and
sex-adjusted’. The risk of stroke and likelihood of surviving stroke are
significantly influenced by age and sex. When researchers want to compare
rates of stroke, stroke deaths or the number of stroke survivors between
two or more populations, they need to take into account the fact that
different populations have different age and sex profiles. Researchers use
a statistical method to adjust the recorded rates, producing age- and
sex-adjusted rates that can be used to compare the burden of stroke in
different populations.
- Global Burden of Disease Study 2015 Data. 2015: ghdx.healthdata.org/gbd-2015.
- Organisation for Economic Co-operation and Development (OECD), 2014 OECD.statextracts. Health care quality indicators: acute care. 2014, OECD: https://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT.
- Wilkins, E.W., L.; Wickramasinghe, K.; Bhatnagar, P.; Leal, J.; Luengo-Fernandez, R.; Burns, R.; Rayner, M.; Townsend, N., European Cardiovascular Disease Statistics 2017. 2017, European Heart Network, Brussels: www.ehnheart.org.
- WHO, Global Health Observatory data repository. WHO: https://apps.who.int/gho.
- Eurostat. European Commission: ec.europa.eu/eurostat/data/database.
- Rohla, M., et al., Awareness, treatment, and control of hypertension in Austria: a multicentre cross-sectional study. J Hypertens, 2016. 34(7): p. 1432-40.
- Kirchhof, P., et al., Management of atrial fibrillation in seven European countries after the publication of the 2010 ESC Guidelines on atrial fibrillation: primary results of the PREvention oF thromboemolic events—European Registry in Atrial Fibrillation (PREFER in AF). Europace, 2014. 16(1): p. 6-14.
- Steger, C., et al., Stroke patients with atrial fibrillation have a worse prognosis than patients without: data from the Austrian Stroke registry. Eur Heart J, 2004. 25(19): p. 1734-40.
- King’s College London, Stroke clinician/researcher responses to KCL questionnaire. 2016.
- Willeit, J., et al., Thrombolysis and clinical outcome in patients with stroke after implementation of the Tyrol Stroke Pathway: a retrospective observational study. Lancet Neurol, 2015. 14(1): p. 48-56.
- Serles, W., et al., Endovascular stroke therapy in Austria: a nationwide 1-year experience. Eur J Neurol, 2016. 23(5): p. 906-11.
- Hofer, C., S. Kiechl, and W. Lang, [The Austrian Stroke-Unit-Registry]. Wien Med Wochenschr, 2008. 158(15-16): p. 411-7.
- Budincevic, H., et al., Management of ischemic stroke in Central and Eastern Europe. Int J Stroke, 2015. 10 Suppl A100: p. 125-7.
- Austrian Stroke Society [Schlaganfallpfad Österreich], Positionspapier. 2015.
- Proietti, M., et al., A population screening programme for atrial fibrillation: a report from the Belgian Heart Rhythm Week screening programme. Europace, 2016.
- Proietti, M., et al., Real-world’ atrial fibrillation management in Europe: observations from the 2-year follow-up of the EURObservational Research Programme-Atrial Fibrillation General Registry Pilot Phase. Europace, 2016.
- Di Carlo, A., et al., Methods of Implementation of Evidence-Based Stroke Care in Europe: European Implementation Score Collaboration. Stroke, 2015. 46(8): p. 2252-9.
- Thijs, V., et al., Organisation of inhospital acute stroke care and minimum criteria for stroke care units. Recommendations of the Belgian Stroke Council. Acta Neurol Belg, 2009. 109(4): p. 247-51.
- Vanacker, P., et al., The Belgian experience with intravenous thrombolysis for acute ischemic stroke. Acta Neurol Belg, 2010. 110(2): p. 157-62.
- Fockaert, N., et al., Mechanical endovascular thrombectomy for acute ischemic stroke: a retrospective multicenter study in Belgium, in Acta Neurol Belg. 2016: Italy. p. 7-14.
- Putman, K. and L. De Wit, European comparison of stroke rehabilitation. Top Stroke Rehabil, 2009. 16(1): p. 20-6.
- Francois, S., et al., Place of residence after a stroke: results of the registration by the Belgian Sentinel Network of general practitioners. Rom J Intern Med, 2014. 52(2): p. 79-86.
- Lejeune, T., Early discharge after stroke: A Belgian experience, in 19th European Congress of Physical and Rehabilitation Medicine. 2014: Marseille.
- Popova, K., Evidence-based guidelines in Bulgaria: A new frontier for management of stroke in primary care. 2012.
- Dokova, K.G., et al., Public understanding of the causes of high stroke risk in northeast Bulgaria. Eur J Public Health, 2005. 15(3): p. 313-6.
- Potpara, T.S., et al., Stroke prevention in atrial fibrillation and ‘real world’ adherence to guidelines in the Balkan Region: The BALKAN-AF Survey. Sci Rep, 2016. 6: p. 20432.
- E. Titianova, I.V., B. Stamenov, Treatment of Acute Ischemic Stroke with Thrombolysis in Bulgaria. 2010: Bulgarian Society of Neurosonology and Cerebral Hemodynamics.
- Lenti, L., et al., Stroke care in Central Eastern Europe: current problems and call for action. International Journal of Stroke, 2013. 8(5): p. 365-371.
- Dimova, A., et al., Bulgaria: Health system review, in Health Systems in Transition. 2012, European observatory on health systems and policies.
- Townsley, R., et al., The Implementation of Policies Supporting Independent Living for Disabled People in Europe: Synthesis Report, A.N.o.E.D.e. (ANED), Editor. 2010: Bristol.
- Pikija, S., et al., A population-based prospective 24-month study of stroke: incidence and 30-day case-fatality rates of first-ever strokes in Croatia. Neuroepidemiology, 2012. 38(3): p. 164-71.
- Vuletic, V.B.-P., M.; Lovrencic-Huzjan, A.; Demarin, V., Knowledge of stroke risk factors and warning signs among adults in Slavonsi brod region. Acta Clinica Croatica, 2006. 45: p. 25-29.
- Kanisek, S.P., N.; Barac, I., Perceptions of stroke among patients with an increased risk of stroke. South Eastern Europe Health Sciences Journal (SEEHSJ), 2012. 2(2): p. 75-81.
- Vukovic, V., et al., Perception of stroke in Croatia–knowledge of stroke signs and risk factors amongst neurological outpatients. Eur J Neurol, 2009. 16(9): p. 1060-5.
- Heuschmann, P.U., et al., Control of main risk factors after ischaemic stroke across Europe: data from the stroke-specific module of the EUROASPIRE III survey. Eur J Prev Cardiol, 2015. 22(10): p. 1354-62.
- Matijevic, V., et al., Systemic thrombolytic therapy in acute ischemic stroke–new experiences in spreading network of stroke units in Croatia. J Neurol Sci, 2012. 314(1-2): p. 126-9.
- Demarin, V. and e. al, Recommendations for stroke management 2006 update (Croatia). 2006: https://hnd.hlz.hr/wp-content/uploads/09_Stroke3_06.pdf.
- Matijevic, V., et al., Systemic thrombolysis with recombinant tissue plasminogen activator in acute ischemic stroke: first Croatian experiences. Neurol Sci, 2010. 31(6): p. 693-7.
- Milicic, D., Country report Croatia – December 2015, in Country of the Month, E.S.o. Cardiology, Editor. 2015.
- Czlonkowska, A., M. Skowroñska, and M. Niewada, Stroke Service in Central and Eastern Europe. International Journal of Stroke, 2007. 2(4): p. 276-278.
- Szczerbińska, K., et al., Trajectory of care for an elderly stroke patient in the new EU member countries–based on CLESA project. European Geriatric Medicine, 2010. 1(1): p. 32-40.
- SAFE, Questionnaire.
- Theodorou, M., et al., Cyprus: Health system review, in Health Systems in Transition. 2012, European observatory on health systems and policies.
- Charalampous, M., Personal communication, KCL, Editor. 2016.
- Sedova, P., et al., Validation of Stroke Diagnosis in the National Registry of Hospitalized Patients in the Czech Republic. J Stroke Cerebrovasc Dis, 2015. 24(9): p. 2032-8.
- Mikulik, R., et al., Calling 911 in response to stroke: no change following a four-year educational campaign. Cerebrovasc Dis, 2011. 32(4): p. 342-8.
- Jaganjacova, D., P. Hava, and E. Kalvodova, Organization of healthcare about patients with cerebrovascular disease in the Czech Republic. Vojnosanit Pregl, 2012. 69(9): p. 794-8.
- Mikulik, R., et al., A nationwide study on topography and efficacy of the stroke treatment network in the Czech republic. J Neurol, 2010. 257(1): p. 31-7.
- Tomek, A., Stroke Care in the Czech Republic, in Cerebrovascular Section of Czech Neurologic Society. 2014.
- Cadilhac, D.A., et al., National stroke registries for monitoring and improving the quality of hospital care: A systematic review. International Journal of Stroke, 2016. 11(1): p. 28-40.
- Johnsen, S.P., et al., The Danish Stroke Registry. Clin Epidemiol, 2016. 8: p. 697-702.
- Truelsen, T. and L.H. Krarup, Stroke awareness in Denmark. Neuroepidemiology, 2010. 35(3): p. 165-70.
- Demant, M.N., et al., Temporal trends in stroke admissions in Denmark 1997-2009. BMC Neurol, 2013. 13: p. 156.
- Brandes, A., et al., Guideline adherence of antithrombotic treatment initiated by general practitioners in patients with nonvalvular atrial fibrillation: a Danish survey. Clin Cardiol, 2013. 36(7): p. 427-32.
- Sunol, R., et al., Implementation of Departmental Quality Strategies Is Positively Associated with Clinical Practice: Results of a Multicenter Study in 73 Hospitals in 7 European Countries. PLoS One, 2015. 10(11): p. e0141157.
- Douw, K., C.P. Nielsen, and C.R. Pedersen, Centralising acute stroke care and moving care to the community in a Danish health region: Challenges in implementing a stroke care reform. Health Policy, 2015. 119(8): p. 1005-1010.
- Terkelsen, T., et al., Thrombolysis in acute ischemic stroke is associated with lower long-term hospital bed day use: A nationwide propensity score-matched follow-up study. Int J Stroke, 2016. 11(8): p. 910-916.
- Danish Health and Medicines Authority, National clinical guideline for physiotherapy and occupational therapy for adults with disabilities as a result of acquired brain injury, including stroke [National klinisk retningslinje for fysioterapi og ergoterapi til voksne med nedsat funktionsevne som følge af erhvervet hjerneskade, herunder apopleksi]. 2014, Danish Health and Medicines Authority: Copenhagen.
- Hospital Act [Denmark] [Bekendtgørelse om udarbejdelse af genoptraeningsplaner ved udskrivning fra sygehus]. 2003, Ministry of Health: Denmark.
- European Commission Your social security rights in Denmark. 2013.
- Vibo, R., J. Korv, and M. Roose, One-year outcome after first-ever stroke according to stroke subtype, severity, risk factors and pre-stroke treatment. A population-based study from Tartu, Estonia. Eur J Neurol, 2007. 14(4): p. 435-9.
- Soomann, M., R. Vibo, and J. Korv, Do Stroke Patients Know Their Risk Factors? J Stroke Cerebrovasc Dis, 2016. 25(3): p. 523-6.
- Vibo, R., et al., Stroke awareness in two Estonian cities: better knowledge in subjects with advanced age and higher education. Eur Neurol, 2013. 69(2): p. 89-94.
- Korv, J. and R. Vibo, Burden of stroke in Estonia. Int J Stroke, 2013. 8(5): p. 372-3.
- The World Bank Group, The State of Health Care Integration in Estonia: Summary Report. 2015.
- Nordic Social Insurance Portal. Health care [Faroe Islands]. n.d. [cited 2017 23/01]; Available from: https://www.nordsoc.org/Faroe-Islands/Sickness1/.
- Meretoja, A., et al., Stroke monitoring on a national level: PERFECT Stroke, a comprehensive, registry-linkage stroke database in Finland. Stroke, 2010. 41(10): p. 2239-46.
- Palomaki, A., et al., Underuse of anticoagulation in stroke patients with atrial fibrillation–the FibStroke Study. Eur J Neurol, 2016. 23(1): p. 133-9.
- Amarenco, P., et al., One-Year Risk of Stroke after Transient Ischemic Attack or Minor Stroke. N Engl J Med, 2016. 374(16): p. 1533-42.
- Meretoja, A., et al., Helsinki model cut stroke thrombolysis delays to 25 minutes in Melbourne in only 4 months. Neurology, 2013. 81(12): p. 1071-6.
- Meretoja, A., et al., Reducing in-hospital delay to 20 minutes in stroke thrombolysis. Neurology, 2012. 79(4): p. 306-13.
- Koskinen, M., CVA rehabilitation 2013-15 final report [AVH:n sairastaneiden kuntoutukseen ohjautuminen ja kuntoutuksen toteutuminen 2013–2015: AVH-kuntoutuksen seurantatutkimuksen loppuraportti]. 2016, Aivoliitto: Turku.
- Aivoliitto (Finnish Brain Association). CVA-patient rehabilitation? [Saako AVH-potilas kuntoutusta?]. 2015 11.06.2015 [cited 2016 05/10]; Comment on 2015 update to 2006-09 research ]. Available from: https://www.aivoliitto.fi/aivoverenkiertohairio_(avh)/ajankohtaista_avh_sta/saako_avh-potilas_kuntoutusta.4020.news?1187_o=20.
- Pasternack, I., et al., Who Should Receive Vocationally Oriented Multidisciplinary Intervention for Work Ability?, in Health Technology Assessment International 2014. 2014: Washington DC.
- Gache, K., et al., Main barriers to effective implementation of stroke care pathways in France: a qualitative study. BMC Health Services Research, 2014. 14: p. 95-95.
- Charlemagne, A., et al., Epidemiology of atrial fibrillation in France: extrapolation of international epidemiological data to France and analysis of French hospitalization data, in Arch Cardiovasc Dis. 2011, 2011 Elsevier Masson SAS: Netherlands. p. 115-24.
- Ayis, S.A., et al., Variations in acute stroke care and the impact of organised care on survival from a European perspective: the European Registers of Stroke (EROS) investigators. J Neurol Neurosurg Psychiatry, 2013. 84(6): p. 604-12.
- Lavallee, P.C., et al., A transient ischaemic attack clinic with round-the-clock access (SOS-TIA): feasibility and effects. Lancet Neurol, 2007. 6(11): p. 953-60.
- Haute autorité de santé (HAS), Accident vasculaire cérébral: méthodes de rééducation de la fonction motrice chez l’adulte. 2012, HAS: Paris.
- Dequatre-Ponchelle, N., et al., Rate of intravenous thrombolysis for acute ischaemic stroke in the North-of-France region and evolution over time, in Journal of Neurology. 2014. p. 1320-1328.
- Schmidt, A., et al., Acute Ischemic Stroke (AIS) patient management in French stroke units and impact estimation of thrombolysis on care pathways and associated costs, in Cerebrovasc Dis. 2015, 2015 S. Karger AG, Basel.: Switzerland. p. 94-101.
- Yelnik, A., Innovative rehabilitation in ambulatory settings in France for post-stroke patients, in Paris Experience Days: International Forum for Quality and Safety in Health Care. 2014: Paris.
- Wagner, M., Personal communication, KCL, Editor. 2016.
- Worthmann, H., et al., Educational campaign on stroke in an urban population in Northern Germany: influence on public stroke awareness and knowledge. International Journal of Stroke, 2013. 8(5): p. 286-292.
- Sarganas, G., et al., Trends in Antihypertensive Medication Use and Blood Pressure Control Among Adults With Hypertension in Germany. Am J Hypertens, 2016. 29(1): p. 104-13.
- Diederichs, C. and H. Neuhauser, Regional variations in hypertension prevalence and management in Germany: results from the German Health Interview and Examination Survey (DEGS1). J Hypertens, 2014. 32(7): p. 1405-13; discussion 1414.
- Nabauer, M., et al., The Registry of the German Competence NETwork on Atrial Fibrillation: patient characteristics and initial management. Europace, 2009. 11(4): p. 423-34.
- Hillmann, S., et al., Temporal Changes in the Quality of Acute Stroke Care in Five National Audits across Europe. Biomed Res Int, 2015. 2015: p. 432497.
- Verpillat, P., et al., A chart review of management of ischemic stroke patients in Germany. J Mark Access Health Policy, 2015. 3.
- Muller-Nordhorn, J., et al., Population-based intervention to reduce prehospital delays in patients with cerebrovascular events, in Arch Intern Med. 2009: United States. p. 1484-90.
- Krebes, S., et al., Development and validation of a dispatcher identification algorithm for stroke emergencies. Stroke, 2012. 43(3): p. 776-81.
- Behrens, S., et al., Improvement in stroke quality management by an educational programme. Cerebrovasc Dis, 2002. 13(4): p. 262-6.
- Nimptsch, U. and T. Mansky, Trends in acute inpatient stroke care in Germany–an observational study using administrative hospital data from 2005-2010. Dtsch Arztebl Int, 2012. 109(51-52): p. 885-92.
- Krogias, C., et al., Trends of hospitalized acute stroke care in Germany from clinical trials to bedside. Comparison of nation-wide administrative data 2008-2012. J Neurol Sci, 2014. 345(1-2): p. 202-8.
- Wiedmann, S., et al., The quality of acute stroke care-an analysis of evidence-based indicators in 260 000 patients. Dtsch Arztebl Int, 2014. 111(45): p. 759-765.
- Muller-Barna, P., et al., TeleStroke units serving as a model of care in rural areas: 10-year experience of the TeleMedical project for integrative stroke care. Stroke, 2014. 45(9): p. 2739-44.
- Kunz, A., et al., Functional outcomes of pre-hospital thrombolysis in a mobile stroke treatment unit compared with conventional care: an observational registry study. Lancet Neurol, 2016.
- Grau, A.J., et al., Quality Monitoring of Acute Stroke Care in Rhineland-Palatinate, Germany, 2001–2006. Stroke, 2010. 41(7): p. 1495-1500.
- Gumbinger, C., et al., Restriction of therapy mainly explains lower thrombolysis rates in reduced stroke service levels. Neurology, 2016. 86(21): p. 1975-1983.
- Busse, O.R., J.; Faiss, J.; Hamann, G.F.; Hupp, T.; Jansen, O.; Meixensberger, J.; Neumann-Haefelin, T.; Schackert, G.; Ringelstein, E.B., Interdisziplinaeres neurovaskulaeres Netzwerk. Der Nervenarzt, 2013: p. 1-5.
- Deutsche Gesellschaft fuer Neurologie, Leitlinien für Diagnostik und Therapie in der Neurologie: Multiprofessionelle neurologische Rehabilitation. 2012, Deutsche Gesellschaft fuer Neurologie: Stuttgart.
- Grube, M.M., et al., Evidence-based quality indicators for stroke rehabilitation. Stroke, 2012. 43(1): p. 142-146.
- De Wit, L., et al., Use of time by stroke patients a comparison of four European rehabilitation centers. Stroke, 2005. 36(9): p. 1977-1983.
- Teasell, R., et al., Stroke Rehabilitation: An International Perspective. Topics in Stroke Rehabilitation, 2009. 16(1): p. 44-56.
- Unrath, M., M. Kalic, and K. Berger, Who receives rehabilitation after stroke? Data from the quality assurance project “Stroke Register Northwest Germany”. Deutsches Ärzteblatt International, 2013. 110.
- Saal, S., et al., Effect of a stroke support service in Germany: a randomized trial. Topics in Stroke Rehabilitation, 2015. 22(6): p. 429-436.
- Vemmos, K.N., et al., Stroke incidence and case fatality in southern Greece: the Arcadia stroke registry. Stroke, 1999. 30(2): p. 363-70.
- Vasiliadis, A.V. and M. Zikic, Current status of stroke epidemiology in Greece: a panorama. Neurol Neurochir Pol, 2014. 48(6): p. 449-57.
- Ntaios, G., et al., Poor Stroke Risk Perception despite Moderate Public Stroke Awareness: Insight from a Cross-sectional National Survey in Greece. Journal of Stroke and Cerebrovascular Diseases, 2015. 24(4): p. 721-724.
- Korantzopoulos, P., et al., Atrial fibrillation and thromboembolic risk in Greece. Hellenic J Cardiol, 2012. 53(1): p. 48-54.
- Efstratopoulos, A.D., et al., Prevalence, awareness, treatment and control of hypertension in Hellas, Greece: the Hypertension Study in General Practice in Hellas (HYPERTENSHELL) national study. Am J Hypertens, 2006. 19(1): p. 53-60.
- Ninios, I., et al., Prevalence, clinical correlates and treatment of permanent atrial fibrillation among the elderly: insights from the first prospective population-based study in rural Greece. J Thromb Thrombolysis, 2010. 30(1): p. 90-6.
- Papapanagiotou, P., et al., Temporal trends and associated factors for pre-hospital and in-hospital delays of stroke patients over a 16-year period: the Athens study. Cerebrovasc Dis, 2011. 31(2): p. 199-206.
- Egi, C., et al., Improving Outcomes Achieved by a New Stroke Program in Hungary. Cerebrovasc Dis Extra, 2015. 5(3): p. 132-8.
- Szel, I., et al., Acute care and rehabilitation of patients with stroke in Hungary. Am J Phys Med Rehabil, 2009. 88(7): p. 601-4.
- Hannibálné Völgyes, K., Personal communication. 2016.
- Hilmarsson, A., O. Kjartansson, and E. Olafsson, Incidence of first stroke: a population study in Iceland. Stroke, 2013. 44(6): p. 1714-6.
- Stefansdottir, H., et al., Trends in the incidence and prevalence of atrial fibrillation in Iceland and future projections, in Europace. 2011: England. p. 1110-7.
- Jensdottir, J.O., E.L. Sigurethsson, and G. Thornorgeirsson, [Hypertension management in general practice in Iceland]. Laeknabladid, 2006. 92(5): p. 375-80.
- Nordic Social Insurance Portal. Sickness benefits (Iceland). n.d. [cited 2017 23/01/17]; Available from: https://www.nordsoc.org/en/Iceland/Sickness1/.
- Kelly, P.J., et al., Incidence, Event Rates, and Early Outcome of Stroke in Dublin, Ireland: The North Dublin Population Stroke Study. Stroke, 2012. 43(8): p. 2042-2047.
- McGee, H., Changing Cardiovascular Health: National Cardiovascular Health Policy 2010-2019, D.O.H.A. CHILDREN, Editor. 2010: Ireland.
- Hickey, A., et al., Knowledge of stroke risk factors and warning signs in Ireland: development and application of the Stroke Awareness Questionnaire (SAQ). Int J Stroke, 2012. 7(4): p. 298-306.
- McElwaine, P., J. McCormack, and J. Harbison, Irish Heart Foundation/HSE National Stroke Audit 2015. 2015.
- Brewer, L., et al., Secondary prevention after ischaemic stroke: the ASPIRE-S study. BMC Neurol, 2015. 15: p. 216.
- Mellon, L., et al., Can a media campaign change health service use in a population with stroke symptoms? Examination of the first Irish stroke awareness campaign. Emerg Med J, 2013.
- Zeng, D., et al., An audit of the Beaumont Hospital Acute Stroke Unit and the effectiveness of the Irish FAST campaign. 2012: BMC Proc. 2012;6(Suppl 4):O28. doi:10.1186/1753-6561-6-S4-O28.
- McCusker, M.W., et al., Endovascular treatment for acute ischaemic stroke with large vessel occlusion: the experience of a regional stroke service, in Clin Radiol. 2015, 2015 The Royal College of Radiologists. Published by Elsevier Ltd: England. p. 1408-13.
- Department of Health (Ireland), National Policy and Strategy for the Provision of Neuro-Rehabilitation Services in Ireland 2011-2015 2011, Department of Health: Dublin.
- Dept. of Health and Children (Ireland), Changing Cardiovascular Health: National Cardiovascular Health Policy 2010–2019. 2010, Government Publications: Dublin.
- Horgan, F., et al., Irish National Audit of Stroke Care. 2008, Dublin: Irish Heart Foundation.
- McElwaine, P., et al., Irish Heart Foundation/HSE National Stroke Audit – Rehabilitation Units 2016. 2016.
- Hall, P., et al., Access to Rehabilitation at Six Months Post Stroke: A Profile from the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) Study [Dublin]. Cerebrovasc Dis, 2016. 42(3-4): p. 247-254.
- Horgan, F., et al., National Survey of Stroke Survivors 2013, RCSI, Editor. 2014.
- ESRI and RCSI, Towards Earlier Discharge, Better Outcomes, Lower Cost: Stroke Rehabilitation in Ireland. 2014.
- Tanne, D., Endovascular Treatment for Acute Large Artery Occlusion Stroke: Implications for Israel. Israel Medicine Association Journal,, 2016. 18: p. 2-3.
- Tanne, D., et al., A national survey of acute cerebrovascular disease in Israel: burden, management, outcome and adherence to guidelines. Isr Med Assoc J, 2006. 8(1): p. 3-7.
- Zucker, I., et al., Regional gaps in the provision of inpatient rehabilitation services for the elderly in Israel: Results of a national survey. Israel Journal of Health Policy Research, 2013. 2(1): p. 1-7.
- Neeman Association for Stroke Survivors, Life after a stroke: guidance booklet for the injured and their families. 2014.
- Ministry of Health (Israel). Health – home page. 2017 [cited 2017 27/01/17]; Available from: https://www.health.gov.il/English/Pages/HomePage.aspx.
- Sacco, S., et al., Epidemiology of stroke in Italy. Int J Stroke, 2011. 6(3): p. 219-27.
- Piccinocchi, G., et al., Diagnosis and management of atrial fibrillation by primary care physicians in Italy : a retrospective, observational analysis. Clin Drug Investig, 2012. 32(11): p. 771-7.
- Tocci, G., et al., Blood pressure levels and control in Italy: comprehensive analysis of clinical data from 2000-2005 and 2005-2011 hypertension surveys. J Hum Hypertens, 2015. 29(11): p. 696-701.
- De Giusti, M., et al., A survey on blood pressure levels and hypertension control in a sample of the Italian general population. High Blood Press Cardiovasc Prev, 2012. 19(3): p. 129-35.
- Zoni-Berisso, M., et al., Epidemiology of atrial fibrillation: European perspective. Clin Epidemiol, 2014. 6: p. 213-20.
- Mazzucco, S., et al., What is still missing in acute-phase treatment of stroke: a prospective observational study. Neurol Sci, 2013. 34(4): p. 449-55.
- Ferro, S., et al., Stroke care policy and management in Italy. Progress in Neuroscience, 2013. 1.
- Toni, D., et al., Intravenous thrombolysis and intra-arterial interventions in acute ischemic stroke: Italian Stroke Organisation (ISO)-SPREAD guidelines. Int J Stroke, 2015. 10(7): p. 1119-29.
- Inzitari, D. and G. Carlucci, Italian Stroke Guidelines (SPREAD): evidence and clinical practice. Neurol Sci, 2006. 27 Suppl 3: p. S225-7.
- Guidetti, D., et al., Post-stroke rehabilitation in Italy: inconsistencies across regional strategies, in Eur J Phys Rehabil Med. 2014: Italy. p. 335-41.
- Berzina, G., et al., Living in Latvia after stroke: the association between functional, social and personal factors and the level of self-perceived disability-a cross-sectional study. BMJ Open, 2016. 6(6): p. e010327.
- Baltgaile, G.T., T.; Kovaldina, Z.; Raita, A.; Pecherska, J., Screening of cerebrovascular diseases in Stroke Prevention Centres in Latvia. International Journal of Clinical Neurosciences and Mental Health, 2014. 1 (Suppl.1): p. S10.
- Erglis, A., et al., A population-based cross-sectional study of cardiovascular risk factor in Latvia, in Medicina (Kaunas). 2012: Lithuania. p. 310-6.
- Berzina, G., A. Vetra, and K.S. Sunnerhagen, A comparison of stroke rehabilitation; data from two national cohorts. Acta Neurol Scand, 2015.
- Vilionskis, A.J., D.; Duobaite, Z.M., The accessibility of intravenous thrombolysis for acute ischemic stroke patients in Lithuania. 2009: Poster presentation at Baltic Conference 2009.
- Gumbrevicius, G.R., D.; Lauckaite, K.; Krasauskaite, E.; Urbonaviciute, I.; Sveikata, A.; Janusonis T., Acute ischemic stroke care in two hospitals of Lithuania: Issues on its compliance with international and national guidelines. A retrospective study. Sveikatos Mokslai, 2011. 21(4): p. 100-108.
- Droste, D.W. and R. Metz, [Actual state and prospects of acute stroke treatment in the Grand-Duchy of Luxemburg]. Bull Soc Sci Med Grand Duche Luxemb, 2011(2): p. 25-33.
- Micallef, D., et al., Auditing thrombolysis service for stroke at Mater Dei Hospital. Malta Medical Journal, 2015. 27(01).
- Krijthe, B.P., et al., Projections on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060. Eur Heart J, 2013. 34(35): p. 2746-51.
- Heijnen, R., et al., Towards a better integrated stroke care: the development of integrated stroke care in the southern part of the Netherlands during the last 15 years (Special 10th Anniversary Edition paper). International Journal of Integrated Care, 2012. 12: p. e123.
- Scherf, S., et al., Increase in national intravenous thrombolysis rates for ischaemic stroke between 2005 and 2012: is bigger better? BMC Neurol, 2016. 16: p. 53.
- Bauer, A., M. Limburg, and M.C. Visser, Variation in Clinical Practice of Intravenous Thrombolysis in Stroke in the Netherlands. Cerebrovasc Dis Extra, 2013. 3(1): p. 74-7.
- van Dishoeck, A.M., et al., Measuring Quality Improvement in Acute Ischemic Stroke Care: Interrupted Time Series Analysis of Door-to-Needle Time. Cerebrovasc Dis Extra, 2014. 4(2): p. 149-55.
- Van Peppen, R., et al., Clinical practice guideline on Physiotherapy-management of patients with Stroke. Ned Tijdschr v Fysioth, 2004. 114(5): p. 1-78.
- Otterman, N.M., et al., Physical therapists’ guideline adherence on early mobilization and intensity of practice at dutch acute stroke units: a country-wide survey. Stroke, 2012. 43(9): p. 2395-401.
- van der Worp, B., Personal communication, KCL, Editor. 2016.
- van Eeden, M., et al., The burden of stroke in the Netherlands: estimating quality of life and costs for 1 year poststroke. BMJ Open, 2015. 5(11).
- Groeneveld, I.F., et al., Practice Variation in the Structure of Stroke Rehabilitation in Four Rehabilitation Centres in the Netherlands. Journal of rehabilitation medicine, 2016. 48(3): p. 287-292.
- Kroneman M, et al., The Netherlands: health system review, in Health Systems in Transition. 2016.
- Advani, R., H. Naess, and M. Kurz, Mass Media Intervention in Western Norway Aimed at Improving Public Recognition of Stroke, Emergency Response, and Acute Treatment. J Stroke Cerebrovasc Dis, 2016. 25(6): p. 1467-72.
- Tveiten, A., et al., Intravenous thrombolysis for ischaemic stroke: short delays and high community-based treatment rates after organisational changes in a previously inexperienced centre. Emerg Med J, 2009. 26(5): p. 324-6.
- Sorensen, T., et al., A qualitative description of telemedicine for acute stroke care in Norway: technology is not the issue. BMC Health Serv Res, 2014. 14: p. 643.
- Naess, H., G. Gjerde, and U. Waje-Andreassen, Ischemic stroke in patients older and younger than 80 years. Acta Neurol Scand, 2014. 129.
- Faiz, K.W., et al., Reasons for low thrombolysis rate in a Norwegian ischemic stroke population. Neurol Sci, 2014. 35(12): p. 1977-82.
- Hokstad, A., et al., Hospital Differences in Motor Activity Early after Stroke: A Comparison of 11 Norwegian Stroke Units. Journal of Stroke and Cerebrovascular Diseases, 2015. 24(6): p. 1333-1340.
- Lunde, G., Personal communication, KCL, Editor. 2016.
- Sagan, A., et al., Poland: Health system review, in Health Systems in Transition. 2011, European observatory on health systems and policies.
- Wawrzynczyk, M., et al., Estimates of stroke incidence and case fatality in Zabrze, 2005-2006. Neurol Neurochir Pol, 2011. 45(1): p. 3-10.
- Czlonkowska, A., et al., Ten years of stroke programmes in Poland: where did we start? Where did we get to? Int J Stroke, 2010. 5(5): p. 414-6.
- Bembenek, J.P., et al., Temporal trends in vascular risk factors and etiology of urban Polish stroke patients from 1995 to 2013. J Neurol Sci, 2015. 357(1-2): p. 126-30.
- Bednarski, J., et al., Anticoagulant and antiplatelet therapy for stroke prevention in atrial fibrillation patients in the clinical practice of a single district hospital in Poland. Kardiol Pol, 2013. 71(12): p. 1260-5.
- Sarzynska-Dlugosz, I., M. Skowronska, and A. Czlonkowska, Organization of acute stroke services in Poland – Polish Stroke Unit Network development. Neurol Neurochir Pol, 2013. 47(1): p. 3-7.
- Arkuszewski, M., et al., Intravenous thrombolysis in acute ischemic stroke after POLKARD: one center analysis of program impact on clinical practice. Adv Med Sci, 2011. 56(2): p. 231-40.
- Niewada, M., et al., Acute ischemic stroke care and outcome in centers participating in the Polish National Stroke Prevention and Treatment Registry. Stroke, 2006. 37(7): p. 1837-43.
- Mazurek J., Blaszkowska A., and R. J., Rehabilitation after stroke – current guidelines (REHABILITACJA PO UDARZE MÓZGU – AKTUALNE WYTYCZNE ). Nowiny Lekarskie, 2013. 82(1): p. 83-88.
- Opara, J.A., et al., Facilities of early rehabilitation after stroke in Poland 2010. Int J Rehabil Res, 2012. 35(4): p. 367-71.
- Barros, P., S. Machado, and J. Simões, Portugal: Health system review, in Health Systems in Transition. 2011, European observatory on health systems and policies.
- Silva, S. and M. Gouveia, Program “Via verde do AVC”: analysis of the impact on stroke mortality. Revista Portuguesa de Saúde Pública, 2012. 30(2): p. 172-179.
- Bonhorst, D., et al., Prevalence of atrial fibrillation in the Portuguese population aged 40 and over: the FAMA study. Rev Port Cardiol, 2010. 29(3): p. 331-50.
- De Macedo, M.E., et al., Prevalence, awareness, treatment and control of hypertension in Portugal. The PAP study. Rev Port Cardiol, 2007. 26(1): p. 21-39.
- Santana, S., C. Neves, and J. Rente, Current status and developments in the care of stroke patients in Portugal [poster abstract], in Int J Integr Care. 2011.
- Moutinho, M., et al., [A community-based study of stroke code users in northern Portugal]. Acta Med Port, 2013. 26(2): p. 113-22.
- Silva, S. and M. Gouveia, Program “Via verde do AVC”: analysis of the impact on stroke mortality [Programa “Via verde do AVC”: análise do impacto sobre a mortalidade do AVC]. Revista Portuguesa de Saúde Pública, 2013. 30(2): p. 172-179.
- Santana, S., et al., Early home-supported discharge for patients with stroke in Portugal: A randomised controlled trial. Clin Rehabil, 2016.
- Lains, J. Early post-stroke rehabilitation in Portugal. in Annals of Physical and Rehabilitation Medicine. 2014.
- Vladescu, C., et al., Romania: Health System Review, in Health systems in transition. 2016: European observatory on health systems and policies. p. 1.
- Szatmari, S., et al., The Mures-Uzhgorod-Debrecen study: a comparison of hospital stroke services in Central-Eastern Europe. Eur J Neurol, 2002. 9(3): p. 293-6.
- Moraru, E. and G. Onose, Current issues and considerations about the central role of rehabilitation therapies in the functional recovery of neurological impairments after stroke in adults. J Med Life, 2014. 7(3): p. 368-72.
- Jovanovic, D.R., et al., Do women benefit more from systemic thrombolysis in acute ischemic stroke? A Serbian experience with thrombolysis in ischemic stroke (SETIS) study. Clin Neurol Neurosurg, 2009. 111(9): p. 729-32.
- Milojevic, I., Personal communication, KCL, Editor. 2016.
- Brozman, M.N.U.H., Management of stroke patients and stroke registry in Slovak Republic. 2009.
- Jeromel, M., et al., Mechanical revascularization for acute ischemic stroke: a single-center, retrospective analysis. Cardiovasc Intervent Radiol, 2013. 36(2): p. 338-45.
- Janse, J., Personal communication, KCL, Editor. 2016.
- Alonso de Lecinana-Cases, M., A. Gil-Nunez, and E. Diez-Tejedor, Relevance of stroke code, stroke unit and stroke networks in organization of acute stroke care–the Madrid acute stroke care program. Cerebrovasc Dis, 2009. 27 Suppl 1: p. 140-7.
- Gomez-Doblas, J.J., et al., Prevalence of atrial fibrillation in Spain. OFRECE study results, in Rev Esp Cardiol (Engl Ed). 2014, 2013 Sociedad Espanola de Cardiologia. Published by Elsevier Espana: Spain. p. 259-69.
- Baena-Diez, J.M., et al., Prevalence of atrial fibrillation and its associated factors in Spain: An analysis of 6 population-based studies. DARIOS Study. Rev Clin Esp, 2014. 214(9): p. 505-12.
- Banegas, J.R., et al., Trends in hypertension control among the older population of Spain from 2000 to 2001 to 2008 to 2010: role of frequency and intensity of drug treatment. Circ Cardiovasc Qual Outcomes, 2015. 8(1): p. 67-76.
- Clua-Espuny, J.L., et al., Prevalence of undiagnosed atrial fibrillation and of that not being treated with anticoagulant drugs: the AFABE study. Rev Esp Cardiol (Engl Ed), 2013. 66(7): p. 545-52.
- Pardo Cabello, A.J., et al., Implementation of clinical practice guidelines for acute ischaemic stroke in specialist care centres. Neurologia, 2013. 28(3): p. 137-44.
- Abilleira, S., et al., Outcomes of intravenous thrombolysis after dissemination of the stroke code and designation of new referral hospitals in Catalonia: the Catalan Stroke Code and Thrombolysis (Cat-SCT) Monitored Study. Stroke, 2011. 42(7): p. 2001-6.
- Abilleira, S., et al., The Second Stroke Audit of Catalonia shows improvements in many, but not all quality indicators. Int J Stroke, 2012. 7(1): p. 19-24.
- Clua-Espuny, J.L., et al., Sex Differences in Long-Term Survival after a First Stroke with Intravenous Thrombolysis: Ebrictus Study. Cerebrovasc Dis Extra, 2015. 5(3): p. 95-102.
- Gallofre, M., Personal communication. 2017.
- Fernández López, T., Personal communication, KCL, Editor. 2016.
- Eriksson, M., et al., Dissemination of thrombolysis for acute ischemic stroke across a nation: experiences from the Swedish stroke register, 2003 to 2008. Stroke, 2010. 41(6): p. 1115-22.
- Nordanstig, A., K. Jood, and L. Rosengren, Public stroke awareness and intent to call 112 in Sweden. Acta Neurologica Scandinavica, 2014. 130(6): p. 400-404.
- Friberg, L. and L. Bergfeldt, Atrial fibrillation prevalence revisited. J Intern Med, 2013. 274(5): p. 461-8.
- Friberg, L., et al., High prevalence of atrial fibrillation among patients with ischemic stroke. Stroke, 2014. 45(9): p. 2599-605.
- Asberg, S., et al., Ischemic stroke and secondary prevention in clinical practice: a cohort study of 14,529 patients in the Swedish Stroke Register. Stroke, 2010. 41(7): p. 1338-42.
- Appelros, P., et al., Trends in baseline patient characteristics during the years 1995-2008: observations from Riks-Stroke, the Swedish Stroke Register. Cerebrovasc Dis, 2010. 30(2): p. 114-9.
- Stecksen, A., et al., Thrombolytic therapy rates and stroke severity: an analysis of data from the Swedish stroke register (Riks-Stroke) 2007-2010. Stroke, 2012. 43(2): p. 536-8.
- Socialstyrelsen, Nationella riktlinjer för strokesjukvård 2009- Stöd för styrning och ledning [National guidelines for stroke care 2009- Support for governance and management.]. 2009.
- Appelros, P., et al., Trends in stroke treatment and outcome between 1995 and 2010: observations from Riks-Stroke, the Swedish stroke register. Cerebrovasc Dis, 2014. 37(1): p. 22-9.
- Asplund, K., et al., Diagnostic procedures, treatments, and outcomes in stroke patients admitted to different types of hospitals. Stroke, 2015. 46(3): p. 806-12.
- Åstrand, A., et al., Poststroke Physical Activity Levels No Higher in Rehabilitation than in the Acute Hospital. Journal of Stroke and Cerebrovascular Diseases, 2016. 25(4): p. 938-945.
- Sjoholm, A., et al., Sedentary Behaviour and Physical Activity of People with Stroke in Rehabilitation Hospitals. Stroke Research and Treatment, 2014. 2014: p. 7.
- Nordin, Å., K.S. Sunnerhagen, and Å.B. Axelsson, Patients’ expectations of coming home with Very Early Supported Discharge and home rehabilitation after stroke – an interview study. BMC Neurology, 2015. 15: p. 235.
- Ullberg, T., et al., Perceived Unmet Rehabilitation Needs 1 Year After Stroke: An Observational Study From the Swedish Stroke Register. Stroke, 2016. 47(2): p. 539-541.
- Thorsen, A.M., et al., A randomized controlled trial of early supported discharge and continued rehabilitation at home after stroke: five-year follow-up of patient outcome, in Stroke. 2005: United States. p. 297-303.
- Pessah-Rasmussen, H. and K. Wendel, Early supported discharge after stroke and continued rehabilitation at home coordinated and delivered by a stroke unit in an urban area. J Rehabil Med, 2009. 41(6): p. 482-8.
- Ullberg, T., et al., Doctor’s follow-up after stroke in the south of Sweden: An observational study from the Swedish stroke register (Riksstroke). European Stroke Journal, 2016. 1(2): p. 114-121.
- Socialstyrelsen, National Performance Assessment 2011 – Quality and Efficiency of Stroke Care in Sweden. 2011. p. 86.
- Lekhan, V., et al., Ukraine: health system review, in Health Systems in Transition. 2015, European Observatory on Health Systems and Policies.
- Mihalka, L., et al., A population study of stroke in West Ukraine: incidence, stroke services, and 30-day case fatality. Stroke, 2001. 32(10): p. 2227-31.
- Ikeda, N., et al., Control of hypertension with medication: a comparative analysis of national surveys in 20 countries. Bull World Health Organ, 2014. 92(1): p. 10-19c.
- Cylus, J., et al., United Kingdom: health system review, in Health Systems in Transition. 2015, European Observatory on Health Systems and Policies
- Marshall, I.J., et al., Trends in risk factor prevalence and management before first stroke: data from the South London Stroke Register 1995-2011. Stroke, 2013. 44(7): p. 1809-16.
- DeWilde, S., et al., Trends in the prevalence of diagnosed atrial fibrillation, its treatment with anticoagulation and predictors of such treatment in UK primary care. Heart, 2006. 92(8): p. 1064-70.
- Flynn, D., et al., A Time Series Evaluation of the FAST National Stroke Awareness Campaign in England. PLoS One, 2014. 9(8).
- Royal College of Physicians, How good is stroke care? First SSNAP Annual Report April 2013 to March 2014. 2014, Royal College of Physicians: London.
- Royal College of Physicians. Welcome to SSNAP (Homepage). 2016 [cited 2017 23/01/2017]; Available from: https://www.strokeaudit.org/Home.aspx.
- Scotland, N.N.H.S., Scottish Stroke Care Audit: 2014 National Report of Stroke Services in Scottish Hospitals. https://www.strokeaudit.scot.nhs.uk.
- Royal College of Physicians, Sentinel Stroke National Audit Programme (SSNAP) Clinical audit January-March 2016 Public Report: National Results. 2016, Royal College of Physicians: London.
- Sanyal, R., et al., The 2010 British Association of Stroke Physicians Survey of interventional treatments for stroke in the United Kingdom. Int J Stroke, 2013. 8 Suppl A100: p. 62-8.
- Department of Health, National Stroke Strategy, D.o. Health, Editor. 2007, Department of Health: London.
- Dworzynski, K., et al., Rehabilitation after stroke: summary of NICE guidance. British Medical Journal, 2013. 346: p. f3615.
- Royal College of Physicians, Mind the Gap! The Third SSNAP Annual Report. Care received between April 2015 to March 2016. 2016, Royal College of Physicians: London.
- Stroke Association, State of the Nation: Stroke statistics. 2016: London.