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Rajesh Pandita

and 1 more

Introduction:Stroke has become a significant cause of sudden death and disability in low- and middle-income countries like India. This trend is mainly driven by demographic shifts and exacerbated by the increasing prevalence of key modifiable risk factors. Consequently, emerging nations face a dual burden of both communicable and non-communicable diseases. The economically disadvantaged are particularly affected by stroke due to their increased exposure to risk factors and, unfortunately, their inability to afford the high costs of stroke care. A majority of stroke survivors continue to live with disabilities, and the burden of ongoing rehabilitation and long-term care is largely shouldered by family members, placing strain on their households.Focusing on the impact of stroke and the availability of healthcare services can help policymakers address the growing burden of stroke. Recently, there has been a surge in epidemiological data on stroke from India. This review aims to examine the evolving burden of stroke and the existing stroke care services in India.. [1]While stroke unit care and initial recovery can effectively address various clinical, physical, and psychosocial needs shortly after a stroke, it’s essential to recognize that patients and their families require ongoing support beyond the hospital setting. Advocates of early supported discharge and community-based stroke rehabilitation, modelled after comprehensive stroke units, argue for several advantages: meeting patient preferences, reducing risks and expenses associated with prolonged hospital stays, providing a more conducive environment for recovery in the home setting with a focus on realistic goals, social integration, and supportive surroundings, ultimately leading to savings in both direct and indirect costs. [2]Providing effective stroke care relies on establishing clear communication channels to improve clinical outcomes for patients admitted to the hospital for stroke management. Frequently, stroke patients have pressing questions about their condition that they perceive as crucial and require answers. Addressing these inquiries and educating newly diagnosed stroke patients about pertinent stroke-related information is crucial for preventing further complications and aiding in their recovery. However, thus far, there is no available data suggesting a definitive approach for identifying evolving needs among newly diagnosed stroke patients. Conducting research within this demographic could help pinpoint the existing gaps and enable the implementation of more efficient strategies to meet the educational needs of these patients..[3]