Generating and implementing new concepts on a population level

Abstract

Stroke is one of the leading causes of death and disability worldwide. There is a decline in stroke incidence and death in high income countries (HICs) however in low to middle income countries there is an increase incidence of stroke. Ninety percent of the risk factors of stroke are preventable. Hypertension, diabetes, dyslipidemia, smoking, alcohol intake, atrial fibrillation, obesity are some of the important risk factors for stroke. Prevention can be divided into primordial, primary and secondary. At the population level high risk individuals can be screened and interventions can be implemented. There is evidence in the use of mHealth, decision supporting system and task shifting to community health workers from LMICs in the prevention of stroke. Stroke riskometer and few other Mobile Apps can be used to identify people at risk of developing stroke. There is also evidence for the use of polypill and control of risk factors using health care workers in the villages to prevent cardiovascular diseases and stroke.