Stroke in China: advances and challenges in epidemiology, prevention, and management
Simiao Wu
,
Bo Wu
,
Ming Liu
,
Zhengming Chen
,
Wenzhi Wang
,
Craig S. Anderson
,
Peter Sandercock
,
Yongjun Wang
,
Yining Huang
,
Liying Cui
,
Chuanqiang Pu
,
Jianping Jia
,
Tong Zhang
,
Xinfeng Liu Xinfeng
,
Suming Zhang
,
Peng Xie
,
Dongsheng Fan
,
Xunming Ji
,
Ka Sing Lawrence Wong
,
Longde Wang
,
Chenchen Wei
,
Yanan Wang
,
Yajun Cheng
,
Yunhai Liu
,
Xin Li
,
Qiang Dong
,
Jinsheng Zeng
,
Bin Peng
,
Yun Xu
,
Y Yang
,
Yilong Wang
,
Gang Zhao
,
Wei Wang
,
YUMING XU
,
Qingwu Yang
,
Zhiyi He
,
Shaoshi Wang
,
Chao You
,
Ying Gao
,
Dong Zhou
,
Li He
,
Zixiao Li
,
Jie Yang
,
Chunyan Lei
,
YUHUA ZHAO
,
Junfeng Liu
,
Shuting Zhang
,
Wendan Tao
,
Zilong Hao
,
DEREN WANG
,
Shihong Zhang
Publication type: Journal Article
Publication date: 2019-04-01
scimago Q1
wos Q1
SJR: 11.729
CiteScore: 62.6
Impact factor: 45.5
ISSN: 14744422, 14744465
PubMed ID:
30878104
Neurology (clinical)
Abstract
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 availability of specialist stroke care is variable across the country, and especially uneven in rural areas. In-hospital outcomes have improved because of a greater availability of reperfusion therapies and supportive care, but adherence to secondary prevention strategies and long-term care are inadequate. Thrombolysis and stroke units are accepted as standards of care across the world, including in China, but bleeding-risk concerns and organisational challenges hamper widespread adoption of this care in China. Despite little supporting evidence, Chinese herbal products and neuroprotective drugs are widely used, and the increased availability of neuroimaging techniques also results in overdiagnosis and overtreatment of so-called silent stroke. Future efforts should focus on providing more balanced availability of specialised stroke services across the country, enhancing evidence-based practice, and encouraging greater translational research to improve outcome of patients with stroke.
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GOST
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Wu S. et al. Stroke in China: advances and challenges in epidemiology, prevention, and management // The Lancet Neurology. 2019. Vol. 18. No. 4. pp. 394-405.
GOST all authors (up to 50)
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Wu S. et al. Stroke in China: advances and challenges in epidemiology, prevention, and management // The Lancet Neurology. 2019. Vol. 18. No. 4. pp. 394-405.
Cite this
RIS
Copy
TY - JOUR
DO - 10.1016/S1474-4422(18)30500-3
UR - https://doi.org/10.1016/S1474-4422(18)30500-3
TI - Stroke in China: advances and challenges in epidemiology, prevention, and management
T2 - The Lancet Neurology
AU - Wu, Simiao
AU - Wu, Bo
AU - Liu, Ming
AU - Chen, Zhengming
AU - Wang, Wenzhi
AU - Anderson, Craig S.
AU - Sandercock, Peter
AU - Wang, Yongjun
AU - Huang, Yining
AU - Cui, Liying
AU - Pu, Chuanqiang
AU - Jia, Jianping
AU - Zhang, Tong
AU - Liu Xinfeng, Xinfeng
AU - Zhang, Suming
AU - Xie, Peng
AU - Fan, Dongsheng
AU - Ji, Xunming
AU - Wong, Ka Sing Lawrence
AU - Wang, Longde
AU - Wei, Chenchen
AU - Wang, Yanan
AU - Cheng, Yajun
AU - Liu, Yunhai
AU - Li, Xin
AU - Dong, Qiang
AU - Zeng, Jinsheng
AU - Peng, Bin
AU - Xu, Yun
AU - Yang, Y
AU - Wang, Yilong
AU - Zhao, Gang
AU - Wang, Wei
AU - XU, YUMING
AU - Yang, Qingwu
AU - He, Zhiyi
AU - Wang, Shaoshi
AU - You, Chao
AU - Gao, Ying
AU - Zhou, Dong
AU - He, Li
AU - Li, Zixiao
AU - Yang, Jie
AU - Lei, Chunyan
AU - ZHAO, YUHUA
AU - Liu, Junfeng
AU - Zhang, Shuting
AU - Tao, Wendan
AU - Hao, Zilong
AU - WANG, DEREN
AU - Zhang, Shihong
PY - 2019
DA - 2019/04/01
PB - Elsevier
SP - 394-405
IS - 4
VL - 18
PMID - 30878104
SN - 1474-4422
SN - 1474-4465
ER -
Cite this
BibTex (up to 50 authors)
Copy
@article{2019_Wu,
author = {Simiao Wu and Bo Wu and Ming Liu and Zhengming Chen and Wenzhi Wang and Craig S. Anderson and Peter Sandercock and Yongjun Wang and Yining Huang and Liying Cui and Chuanqiang Pu and Jianping Jia and Tong Zhang and Xinfeng Liu Xinfeng and Suming Zhang and Peng Xie and Dongsheng Fan and Xunming Ji and Ka Sing Lawrence Wong and Longde Wang and Chenchen Wei and Yanan Wang and Yajun Cheng and Yunhai Liu and Xin Li and Qiang Dong and Jinsheng Zeng and Bin Peng and Yun Xu and Y Yang and Yilong Wang and Gang Zhao and Wei Wang and YUMING XU and Qingwu Yang and Zhiyi He and Shaoshi Wang and Chao You and Ying Gao and Dong Zhou and Li He and Zixiao Li and Jie Yang and Chunyan Lei and YUHUA ZHAO and Junfeng Liu and Shuting Zhang and Wendan Tao and Zilong Hao and DEREN WANG and others},
title = {Stroke in China: advances and challenges in epidemiology, prevention, and management},
journal = {The Lancet Neurology},
year = {2019},
volume = {18},
publisher = {Elsevier},
month = {apr},
url = {https://doi.org/10.1016/S1474-4422(18)30500-3},
number = {4},
pages = {394--405},
doi = {10.1016/S1474-4422(18)30500-3}
}
Cite this
MLA
Copy
Wu, Simiao, et al. “Stroke in China: advances and challenges in epidemiology, prevention, and management.” The Lancet Neurology, vol. 18, no. 4, Apr. 2019, pp. 394-405. https://doi.org/10.1016/S1474-4422(18)30500-3.