Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update
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CHRISTENSEN, Hanne; Francesca Romana PEZZELLA; Melinda Berg ROALDSEN; Ales TOMEK; Arlene WILKIE; Louisa CHRISTENSEN; Martin DICHGANS; Avril DRUMMOND; Tiina LAATIKAINEN; Carlos A MOLINA; Katharina S SUNNERHAGEN; Danilo TONI; Sonia ABILLEIRA; Aguiar De Sousa DIANA; Anita ARSOVSKA; Heinrich AUDEBERT; Jelena BARTOLOVIC; Yannick BEJOT; Geert Jan BIESSELS; Juliet BOUVERIE; Hrvoje BUDINCEVIC; Barbara CASOLLA; Hugues CHABRIAT; Marina CHARALAMBOUS; Jesse DAWSON; Stephanie DEBETTE; De Leeuw FRANK-ERIK; Adam DENES; Marina DIOMEDI; Diederik DIPPEL; Ulrich DIRNAGL; Urs FISCHER; Yuriy FLOMIN; Ana Catarina FONSECA; Birgitte FORCHAMMER; Anne FORSTER; Giovanni FRISULLO; Miquel GALOFRE; Zuzana GDOVINOVA; Christoph GUMBINGER; Joseph HARBISON; Richard HOBBS; Dalius JATUZIS; Hrvoje JURLINA; Mira KATAN; Lisa KIDD; Stefan KIECHL; Janika KORV; Christina KRUUSE; Wilfried LANG; Arthur LIESZ; Svetlana LORENZANO; Andreas LUFT; Grethe LUNDE; Chris MACEY; Hugh Stephan MARKUS; Gillian MEAD; Patrik MICHEL; Serefnur OZTURK; Maurizio PACIARONI; Aleksandra PAVLOVIC; Carina PERSSON; Terence J QUINN; Peter ROTHWELL; Luca SABA; Paola SANTALUCIA; Gustavo SANTO; Claus SIMONSEN; Thorsten STEINER; Katarzyna STOLARZ-SKRZYPEK; Cristina TIU; Alexander TSISKARIDZE; Georgios TSIVGOULIS; Jaakko TUOMILEHTO; Teresa ULBERG; Paolo URSILLO; Antonella URSO; Van Euler MIA; Margus VIIGIMAA; Denis VIVIEN; Markus WAGNER; Marion WALKER; Alastair WEBB; Diana Wong RAMOS; Mauro ZAMPOLINI; Marialuisa ZEDDE; Gary FORD; Peter KELLY; Robert MIKULÍK; Bo NORRVING; Hariklia PROIOS; Simona SACCO; Else SANDSET; Joanna WARDLAW; Aleksandras VILIONSKIS a Valeria CASO
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EUROPEAN STROKE JOURNAL, LONDON, SAGE PUBLICATIONS LTD, 2026, 2396-9873
Objectives Implementation of the Stroke Action Plan for Europe (2018-2030) (SAP-E) was initiated in 2019. It is now updated at mid-term to reflect and respond to challenges for stroke care in Europe in 2025.Methods The SAP-E covers the entire chain of stroke care. The sections (state of the art, current status and targets) were developed by working groups and finalised based on inputs from the Interim Review Committee and an open online meeting. Targets for 2030 were updated to reflect current knowledge, to prioritise and to increase accountability.Results All sections have been updated based on the newest evidence to reflect the state of the art and current status in 2025.Conclusion Stroke remains a significant health issue in Europe, with notable incidence and inequities in access to care. Key interventions are strongly evidence-based, cost-effective and supported by World Health Organization and European Union recommendations. Despite improvements, gaps remain across the care pathway but particularly in terms of access to stroke units, rehabilitation and follow-up. To control and reduce the burden of stroke, the main action points are: (1) national stroke plans, which encompass the entire chain of care and are reflected in reimbursement systems, (2) quality and outcome control, where impact is measured at both individual and health care system level, (3) robust and resilient health care organisation covering the entire chain of care that promotes equal access to sustainable, timely and evidence-based stroke care and (4) effective national strategies to promote and facilitate a healthy lifestyle and risk factor control.
CHRISTENSEN, Hanne; Francesca Romana PEZZELLA; Melinda Berg ROALDSEN; Ales TOMEK; Arlene WILKIE; Louisa CHRISTENSEN; Martin DICHGANS; Avril DRUMMOND; Tiina LAATIKAINEN; Carlos A MOLINA; Katharina S SUNNERHAGEN; Danilo TONI; Sonia ABILLEIRA; Aguiar De Sousa DIANA; Anita ARSOVSKA; Heinrich AUDEBERT; Jelena BARTOLOVIC; Yannick BEJOT; Geert Jan BIESSELS; Juliet BOUVERIE; Hrvoje BUDINCEVIC; Barbara CASOLLA; Hugues CHABRIAT; Marina CHARALAMBOUS; Jesse DAWSON; Stephanie DEBETTE; De Leeuw FRANK-ERIK; Adam DENES; Marina DIOMEDI; Diederik DIPPEL; Ulrich DIRNAGL; Urs FISCHER; Yuriy FLOMIN; Ana Catarina FONSECA; Birgitte FORCHAMMER; Anne FORSTER; Giovanni FRISULLO; Miquel GALOFRE; Zuzana GDOVINOVA; Christoph GUMBINGER; Joseph HARBISON; Richard HOBBS; Dalius JATUZIS; Hrvoje JURLINA; Mira KATAN; Lisa KIDD; Stefan KIECHL; Janika KORV; Christina KRUUSE; Wilfried LANG; Arthur LIESZ; Svetlana LORENZANO; Andreas LUFT; Grethe LUNDE; Chris MACEY; Hugh Stephan MARKUS; Gillian MEAD; Patrik MICHEL; Serefnur OZTURK; Maurizio PACIARONI; Aleksandra PAVLOVIC; Carina PERSSON; Terence J QUINN; Peter ROTHWELL; Luca SABA; Paola SANTALUCIA; Gustavo SANTO; Claus SIMONSEN; Thorsten STEINER; Katarzyna STOLARZ-SKRZYPEK; Cristina TIU; Alexander TSISKARIDZE; Georgios TSIVGOULIS; Jaakko TUOMILEHTO; Teresa ULBERG; Paolo URSILLO; Antonella URSO; Van Euler MIA; Margus VIIGIMAA; Denis VIVIEN; Markus WAGNER; Marion WALKER; Alastair WEBB; Diana Wong RAMOS; Mauro ZAMPOLINI; Marialuisa ZEDDE; Gary FORD; Peter KELLY; Robert MIKULÍK; Bo NORRVING; Hariklia PROIOS; Simona SACCO; Else SANDSET; Joanna WARDLAW; Aleksandras VILIONSKIS a Valeria CASO. Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update. EUROPEAN STROKE JOURNAL. LONDON: SAGE PUBLICATIONS LTD, 2026, roč. 11, č. 1, s. 1-31. ISSN 2396-9873. Dostupné z: https://doi.org/10.1093/esj/aakaf026.
@article{2565562, author = {Christensen, Hanne and Pezzella, Francesca Romana and Roaldsen, Melinda Berg and Tomek, Ales and Wilkie, Arlene and Christensen, Louisa and Dichgans, Martin and Drummond, Avril and Laatikainen, Tiina and Molina, Carlos A and Sunnerhagen, Katharina S and Toni, Danilo and Abilleira, Sonia and Diana, Aguiar De Sousa and Arsovska, Anita and Audebert, Heinrich and Bartolovic, Jelena and Bejot, Yannick and Biessels, Geert Jan and Bouverie, Juliet and Budincevic, Hrvoje and Casolla, Barbara and Chabriat, Hugues and Charalambous, Marina and Dawson, Jesse and Debette, Stephanie and FrankandErik, De Leeuw and Denes, Adam and Diomedi, Marina and Dippel, Diederik and Dirnagl, Ulrich and Fischer, Urs and Flomin, Yuriy and Fonseca, Ana Catarina and Forchammer, Birgitte and Forster, Anne and Frisullo, Giovanni and Galofre, Miquel and Gdovinova, Zuzana and Gumbinger, Christoph and Harbison, Joseph and Hobbs, Richard and Jatuzis, Dalius and Jurlina, Hrvoje and Katan, Mira and Kidd, Lisa and Kiechl, Stefan and Korv, Janika and Kruuse, Christina and Lang, Wilfried and Liesz, Arthur and Lorenzano, Svetlana and Luft, Andreas and Lunde, Grethe and Macey, Chris and Markus, Hugh Stephan and Mead, Gillian and Michel, Patrik and Ozturk, Serefnur and Paciaroni, Maurizio and Pavlovic, Aleksandra and Persson, Carina and Quinn, Terence J and Rothwell, Peter and Saba, Luca and Santalucia, Paola and Santo, Gustavo and Simonsen, Claus and Steiner, Thorsten and StolarzandSkrzypek, Katarzyna and Tiu, Cristina and Tsiskaridze, Alexander and Tsivgoulis, Georgios and Tuomilehto, Jaakko and Ulberg, Teresa and Ursillo, Paolo and Urso, Antonella and Mia, Van Euler and Viigimaa, Margus and Vivien, Denis and Wagner, Markus and Walker, Marion and Webb, Alastair and Ramos, Diana Wong and Zampolini, Mauro and Zedde, Marialuisa and Ford, Gary and Kelly, Peter and Mikulík, Robert and Norrving, Bo and Proios, Hariklia and Sacco, Simona and Sandset, Else and Wardlaw, Joanna and Vilionskis, Aleksandras and Caso, Valeria}, article_location = {LONDON}, article_number = {1}, doi = {https://doi.org/10.1093/esj/aakaf026}, keywords = {epidemiology; Europe; prevention; quality assurance; strategic planning; stroke; stroke services; treaties; treatment}, language = {eng}, issn = {2396-9873}, journal = {EUROPEAN STROKE JOURNAL}, title = {Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update}, url = {https://academic.oup.com/esj/article/11/1/aakaf026/8427109}, volume = {11}, year = {2026} }
TY - JOUR ID - 2565562 AU - Christensen, Hanne - Pezzella, Francesca Romana - Roaldsen, Melinda Berg - Tomek, Ales - Wilkie, Arlene - Christensen, Louisa - Dichgans, Martin - Drummond, Avril - Laatikainen, Tiina - Molina, Carlos A - Sunnerhagen, Katharina S - Toni, Danilo - Abilleira, Sonia - Diana, Aguiar De Sousa - Arsovska, Anita - Audebert, Heinrich - Bartolovic, Jelena - Bejot, Yannick - Biessels, Geert Jan - Bouverie, Juliet - Budincevic, Hrvoje - Casolla, Barbara - Chabriat, Hugues - Charalambous, Marina - Dawson, Jesse - Debette, Stephanie - Frank-Erik, De Leeuw - Denes, Adam - Diomedi, Marina - Dippel, Diederik - Dirnagl, Ulrich - Fischer, Urs - Flomin, Yuriy - Fonseca, Ana Catarina - Forchammer, Birgitte - Forster, Anne - Frisullo, Giovanni - Galofre, Miquel - Gdovinova, Zuzana - Gumbinger, Christoph - Harbison, Joseph - Hobbs, Richard - Jatuzis, Dalius - Jurlina, Hrvoje - Katan, Mira - Kidd, Lisa - Kiechl, Stefan - Korv, Janika - Kruuse, Christina - Lang, Wilfried - Liesz, Arthur - Lorenzano, Svetlana - Luft, Andreas - Lunde, Grethe - Macey, Chris - Markus, Hugh Stephan - Mead, Gillian - Michel, Patrik - Ozturk, Serefnur - Paciaroni, Maurizio - Pavlovic, Aleksandra - Persson, Carina - Quinn, Terence J - Rothwell, Peter - Saba, Luca - Santalucia, Paola - Santo, Gustavo - Simonsen, Claus - Steiner, Thorsten - Stolarz-Skrzypek, Katarzyna - Tiu, Cristina - Tsiskaridze, Alexander - Tsivgoulis, Georgios - Tuomilehto, Jaakko - Ulberg, Teresa - Ursillo, Paolo - Urso, Antonella - Mia, Van Euler - Viigimaa, Margus - Vivien, Denis - Wagner, Markus - Walker, Marion - Webb, Alastair - Ramos, Diana Wong - Zampolini, Mauro - Zedde, Marialuisa - Ford, Gary - Kelly, Peter - Mikulík, Robert - Norrving, Bo - Proios, Hariklia - Sacco, Simona - Sandset, Else - Wardlaw, Joanna - Vilionskis, Aleksandras - Caso, Valeria PY - 2026 TI - Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update JF - EUROPEAN STROKE JOURNAL VL - 11 IS - 1 SP - 1-31 EP - 1-31 PB - SAGE PUBLICATIONS LTD SN - 23969873 KW - epidemiology KW - Europe KW - prevention KW - quality assurance KW - strategic planning KW - stroke KW - stroke services KW - treaties KW - treatment UR - https://academic.oup.com/esj/article/11/1/aakaf026/8427109 N2 - Objectives Implementation of the Stroke Action Plan for Europe (2018-2030) (SAP-E) was initiated in 2019. It is now updated at mid-term to reflect and respond to challenges for stroke care in Europe in 2025.Methods The SAP-E covers the entire chain of stroke care. The sections (state of the art, current status and targets) were developed by working groups and finalised based on inputs from the Interim Review Committee and an open online meeting. Targets for 2030 were updated to reflect current knowledge, to prioritise and to increase accountability.Results All sections have been updated based on the newest evidence to reflect the state of the art and current status in 2025.Conclusion Stroke remains a significant health issue in Europe, with notable incidence and inequities in access to care. Key interventions are strongly evidence-based, cost-effective and supported by World Health Organization and European Union recommendations. Despite improvements, gaps remain across the care pathway but particularly in terms of access to stroke units, rehabilitation and follow-up. To control and reduce the burden of stroke, the main action points are: (1) national stroke plans, which encompass the entire chain of care and are reflected in reimbursement systems, (2) quality and outcome control, where impact is measured at both individual and health care system level, (3) robust and resilient health care organisation covering the entire chain of care that promotes equal access to sustainable, timely and evidence-based stroke care and (4) effective national strategies to promote and facilitate a healthy lifestyle and risk factor control. ER -
CHRISTENSEN, Hanne; Francesca Romana PEZZELLA; Melinda Berg ROALDSEN; Ales TOMEK; Arlene WILKIE; Louisa CHRISTENSEN; Martin DICHGANS; Avril DRUMMOND; Tiina LAATIKAINEN; Carlos A MOLINA; Katharina S SUNNERHAGEN; Danilo TONI; Sonia ABILLEIRA; Aguiar De Sousa DIANA; Anita ARSOVSKA; Heinrich AUDEBERT; Jelena BARTOLOVIC; Yannick BEJOT; Geert Jan BIESSELS; Juliet BOUVERIE; Hrvoje BUDINCEVIC; Barbara CASOLLA; Hugues CHABRIAT; Marina CHARALAMBOUS; Jesse DAWSON; Stephanie DEBETTE; De Leeuw FRANK-ERIK; Adam DENES; Marina DIOMEDI; Diederik DIPPEL; Ulrich DIRNAGL; Urs FISCHER; Yuriy FLOMIN; Ana Catarina FONSECA; Birgitte FORCHAMMER; Anne FORSTER; Giovanni FRISULLO; Miquel GALOFRE; Zuzana GDOVINOVA; Christoph GUMBINGER; Joseph HARBISON; Richard HOBBS; Dalius JATUZIS; Hrvoje JURLINA; Mira KATAN; Lisa KIDD; Stefan KIECHL; Janika KORV; Christina KRUUSE; Wilfried LANG; Arthur LIESZ; Svetlana LORENZANO; Andreas LUFT; Grethe LUNDE; Chris MACEY; Hugh Stephan MARKUS; Gillian MEAD; Patrik MICHEL; Serefnur OZTURK; Maurizio PACIARONI; Aleksandra PAVLOVIC; Carina PERSSON; Terence J QUINN; Peter ROTHWELL; Luca SABA; Paola SANTALUCIA; Gustavo SANTO; Claus SIMONSEN; Thorsten STEINER; Katarzyna STOLARZ-SKRZYPEK; Cristina TIU; Alexander TSISKARIDZE; Georgios TSIVGOULIS; Jaakko TUOMILEHTO; Teresa ULBERG; Paolo URSILLO; Antonella URSO; Van Euler MIA; Margus VIIGIMAA; Denis VIVIEN; Markus WAGNER; Marion WALKER; Alastair WEBB; Diana Wong RAMOS; Mauro ZAMPOLINI; Marialuisa ZEDDE; Gary FORD; Peter KELLY; Robert MIKULÍK; Bo NORRVING; Hariklia PROIOS; Simona SACCO; Else SANDSET; Joanna WARDLAW; Aleksandras VILIONSKIS a Valeria CASO. Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update. \textit{EUROPEAN STROKE JOURNAL}. LONDON: SAGE PUBLICATIONS LTD, 2026, roč.~11, č.~1, s.~1-31. ISSN~2396-9873. Dostupné z: https://doi.org/10.1093/esj/aakaf026.