Six years of the Angels Initiative: Aims, achievements, and future directions to improve stroke care worldwide

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F23%3A00079735" target="_blank" >RIV/00159816:_____/23:00079735 - isvavai.cz</a>

Result on the web

<a href="https://journals.sagepub.com/doi/10.1177/17474930231180067" target="_blank" >https://journals.sagepub.com/doi/10.1177/17474930231180067</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1177/17474930231180067" target="_blank" >10.1177/17474930231180067</a>

Result language

angličtina

Original language name

Six years of the Angels Initiative: Aims, achievements, and future directions to improve stroke care worldwide

Original language description

The rate of stroke-related death and disability is four times higher in low- and middle-income countries (LMICs) than in high-income countries (HICs), yet stroke units exist in only 18% of LMICs, compared with 91% of HICs. In order to ensure universal and equitable access to timely, guideline-recommended stroke care, multidisciplinary stroke-ready hospitals with coordinated teams of healthcare professionals and appropriate facilities are essential. Established in 2016, the Angels Initiative is an international, not-for-profit, public-private partnership. It is run in collaboration with the World Stroke Organization, European Stroke Organisation, and regional and national stroke societies in over 50 countries. The Angels Initiative aims to increase the global number of stroke-ready hospitals and to optimize the quality of existing stroke units. It does this through the work of dedicated consultants, who help to standardize care procedures and build coordinated, informed communities of stroke professionals. Angels consultants also establish quality monitoring frameworks using online audit platforms such as the Registry of Stroke Care Quality (RES-Q), which forms the basis of the Angels award system (gold/platinum/diamond) for all stroke-ready hospitals across the world. The Angels Initiative has supported over 1700 hospitals (&gt;1000 in LMICs) that did not previously treat stroke patients to become &quot;stroke ready.&quot; Since its inception in 2016, the Angels Initiative has impacted the health outcomes of an estimated 7.46 million stroke patients globally (including an estimated 4.68 million patients in LMICs). The Angels Initiative has increased the number of stroke-ready hospitals in many countries (e.g. in South Africa: 5 stroke-ready hospitals in 2015 vs 185 in 2021), reduced &quot;door to treatment time&quot; (e.g. in Egypt: 50% reduction vs baseline), and increased quality monitoring substantially. The focus of the work of the Angels Initiative has now expanded from the hyperacute phase of stroke treatment to the pre-hospital setting, as well as to the early post-acute setting. A continued and coordinated global effort is needed to achieve the target of the Angels Initiative of &gt;10,000 stroke-ready hospitals by 2030, and &gt;7500 of these in LMICs.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30210 - Clinical neurology

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Journal of Stroke

ISSN

1747-4930

e-ISSN

1747-4949

Volume of the periodical

18

Issue of the periodical within the volume

8

Country of publishing house

US - UNITED STATES

Number of pages

10

Pages from-to

898-907

UT code for WoS article

001041741200001

EID of the result in the Scopus database

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