On Thursday, November 14, 2024, more than 40 health care professionals participated in another online lecture and listened to Dr. Lekhjung Thapa’s presentation about Inpatient Stroke Care and the Components of Stroke Units and Multidisciplinary Stroke Teams.
Dr. Lekhjung provided an overview of the global burden of stroke, noting that it is one of the leading causes of death and disability worldwide. In lower-income countries, where resources are scarcer, the burden is disproportionate, highlighting the need for specialized stroke care units and structured protocols to improve patient survival and reduce disability.
Reflecting on the early days of stroke unit development, Dr. Lekhjung recounted the challenges of setting up stroke units without established guidelines. Over time, however, research has confirmed that structured, dedicated stroke care leads to reduced mortality and better recovery rates compared to general medical care. Modern stroke units rely on multidisciplinary approaches and rigorous monitoring to enhance outcomes. Hospitals need appropriate infrastructure, trained personnel, and adherence to standard operating procedures (SOPs). The process of establishing a stroke unit can take years, from initial setup to achieving certification. Despite improvements, many hospitals, especially in low- and middle-income countries, lack stroke units, underscoring the importance of accessible, organized stroke care to enhance patient outcomes.
Discussing the necessary components of an effective stroke unit, Dr. Lekhjung emphasized continuous monitoring of vital signs such as blood pressure and glucose levels, timely intervention within specific windows (like 4.5 hours for thrombolysis), and targeted treatment based on the underlying cause of the stroke. Early mobilization, within 24 hours, if possible, is crucial for recovery. Dr. Lekhjung highlighted the importance of organized stroke care from prevention and emergency management to post-stroke rehabilitation. Additionally, public awareness is critical for early recognition and rapid transport of stroke patients to specialized centers. Proper team preparedness at the hospital can then greatly influence patient outcomes. Hospitals with coordinated care protocols show higher rates of recovery and reduced disability among stroke patients.
The lecture concluded with a call to see stroke care not as a task but as a shared commitment, stressing the need for ongoing education, training, and a passion for the work. A multidisciplinary approach and a structured, evidence-based model for stroke care can significantly improve patient outcomes. Thank you Dr. Lekhjung!
