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STEPS Stroke in the Carribbean

Thomas Truelsen, PhD, DMSc, Consultant in Neurologi, Copenhagen, Denmark. STEPS Stroke in the Carribbean. Purpose. The purpose of the STEPS-Stroke workshop is to... Make participants familiar with the STEPS Stroke manual;

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STEPS Stroke in the Carribbean

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  1. Thomas Truelsen, PhD, DMSc, Consultant in Neurologi, Copenhagen, Denmark STEPS Stroke in the Carribbean

  2. Purpose The purpose of the STEPS-Stroke workshop is to... • Make participants familiar with the STEPS Stroke manual; • High-light potential problems and provide technical support on how to avoid them; • Discussion experiences conducting stroke surveillance in the Carribean region; • Develop the core structure for future stroke surveillance activities in the region based on STEPS Stroke

  3. Rationale for Stroke Surveillance • Stroke is a leading cause of death and a leading cause of acquried disability in adults; • Stroke is a leading health expense; • Stroke burden will increase with an increasing life expectancy and insufficient control of major RFs; • Stroke is used as a marker for NCD occurrence; • Stroke is clinically defined! • Comparisons between and within populations are possible if using standard protocols

  4. Test 1

  5. Definitions (1-4 : 1-7)‏

  6. The 3 potential steps* in STEPS Stroke(1-10:1-11) Population register to measure incidence, requires all 3 case finding steps + a well defined geographic population Patients at home + Patients who die + Hospital patients * According to ability to identify cases and relate them to a defined population

  7. Planning and Preparing a Stroke Surveillance Study(Section 3 + 7b)‏ • What is the goal? • Identification of health facilities/GPs/other health authorities? • Numerator? • Core, expanded, optional? • Translation of STEPS Stroke instrument?

  8. Preparing the Stroke Surveillance Site(Section 4)‏ • How many cases are expected per year? • How many health facilities are included? • How much staff and how trained? • How/who enter data into what soft-ware? • Where are the staff located? • Sickness/pregnancy/other? • Hot/Cold/Mixed pursuit? • Test run!

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