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Table of Contents    
Year : 2016  |  Volume : 64  |  Issue : 7  |  Page : 46-51

Stroke burden and stroke care system in Asia

1 Department of Medicine, Division of Neurology, Chulalongkorn University, Bangkok, Thailand
2 Department of Medicine, Division of Neurology, Siriraj Hospital Mahidol University, Bangkok, Thailand

Date of Web Publication3-Mar-2016

Correspondence Address:
Nijasri C Suwanwela
Department of Medicine, Division of Neurology, Chulalongkorn University, Rama 4 Road, Bangkok 10330
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.178042

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 » Abstract 

Background: Stroke is a major cause of death and disability. Asia is the largest and mostly populated continent of the world. The Asian Stroke Advisory Panel (ASAP) consists of stroke neurologists from 12 different countries in 13 Asian regions. It has been established for 17 years, and holds regular meetings for reviewing the stroke activities in Asia. It also helps in conducting several multinational research projects. This study is one of the ASAP projects and aims to explore stroke care systems in member countries in Asia.
Methods: The survey is categorized into five main parts including the general country information, stroke epidemiology, stroke risk factors, stroke care systems, and national stroke professional societies.
Results: A higher proportion of ischemic stroke in comparison to hemorrhagic stroke was found in all countries. The overall incidence of stroke in Asia is between 116 and 483/100,000 per year.When compared to 1999, a 2-3-fold increase in the number of neurologists was observed in all countries.
Conclusions: There is a favorable trend in all Asian countries regarding the need to increase the number of neurologists and facilities to effectively administer stroke care.

Keywords: Asia; stroke; stroke care

How to cite this article:
Suwanwela NC, Poungvarin N, the Asian Stroke Advisory Panel. Stroke burden and stroke care system in Asia. Neurol India 2016;64, Suppl S1:46-51

How to cite this URL:
Suwanwela NC, Poungvarin N, the Asian Stroke Advisory Panel. Stroke burden and stroke care system in Asia. Neurol India [serial online] 2016 [cited 2023 Oct 4];64, Suppl S1:46-51. Available from:

 » Introduction Top

Globally, stroke is a major cause of death and disability. It creates psychological and economical complexities for patients and their families. The stroke victims are a major burden on the healthcare system. The incidence of stroke is still increasing in the developing countries in contrast to the developed countries.

Asia is the largest and mostly populated continent of the world. Asians account for more than half of the world's population. The Asian countries are highly heterogeneous in terms of size, population, race, culture, and economy. Stroke in Asian patients accounts for more than two-thirds of the overall incidence of stroke worldwide. Compared to Caucasians, Asians have been reported to have a higher incidence of stroke and a higher mortality rate. In higher income countries such as Japan, Korea, and urban China, a declining stroke mortality has been increasingly reported. However, in some countries with limited resources such as India, Pakistan, and Indonesia, high fatality rates are still evidenced. With the longer life expectancy in general population worldwide, an increasing number of stroke cases are expected in most countries. [1],[2],[3]

The Asian Stroke Advisory Panel (ASAP) consists of stroke neurologists from 12 different countries in 13 Asian regions. The group has been established for 17 years and holds regular meetings for reviewing the stroke activities in Asia as well as in conducting several multinational research projects. [4],[5],[6],[7],[8] The meeting offers a platform where members can communicate with each other and share knowledge on stroke-related issues in Asia.

This study is one of the ASAP projects and aims to explore stroke care systems in member countries in Asia through the collection of data on stroke with special emphasis on epidemiology, risk factors, and the effective utilization of country's resources in the care of patients with stroke.

 » Materials and Methods Top

We conducted a survey among leading stroke neurologists who are members of the ASAP group from 12 countries (13 regions) in Asia. Data were primarily collected from the statistics and previously published data from each country. However, personal communication for unpublished data was also gathered using a survey. The collected data regarding stroke care resources in this study represents information gathered in 2012.

The survey is categorized into five main parts including the general country information, stroke epidemiology, stroke risk factors, stroke care systems, and national stroke professional societies. The general country data were mainly extracted from the published World Bank databases which include population, income per capita, life expectancy, and percentage of aged population. [9],[10],[11] The general stroke information including incidence, prevalence, and percentage of the ischemic and hemorrhagic stroke was collected. Stroke care resources in each country, the number of neurologists, availability of investigations such as neuroimaging machines, number of stroke units, availability of thrombolytic treatment, and clinical practice guidelines were also collected. We also obtained information on the major risk factors of stroke such as hypertension, diabetes, dyslipidemia, presence of atrial fibrillation, and smoking among stroke patients. Finally, the presence of the national stroke society and the number of its members were recorded. Data were compared with previous surveys from the ASAP group among 9 Asian countries in 1999. [8]

 » Results Top

The data were collected from existing publications and personal communications with leading stroke neurologists from 13 regions in Asia that included 6 countries in South East Asia (Indonesia, Malaysia, Philippines, Singapore, Thailand, and Vietnam), 5 in East Asia (China, Hong Kong, Japan, South Korea, and Taiwan), and 2 in South Asia (India and Pakistan).

General information

Country-specific general information is shown in [Table 1]. [9],[10],[11] The representative countries consist of countries with small-to-large populations with varying income levels.
Table 1: General information of the studied countries

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Stroke information

The incidence of stroke was available in some countries, and the number varied according to the studied population. [9],[10],[11],[12],[13],[14],[15],[16],[17],[18],[19],[20],[21],[22],[23],[24],[25],[26],[27],[28],[29] A higher proportion of ischemic stroke in comparison to hemorrhagic stroke was found in all countries. [9],[10],[12],[16],[17],[22],[24] The incidence and prevalence of stroke are shown in [Table 2], and the ratio of ischemic and hemorrhagic stroke is shown in [Figure 1].
Figure 1: Proportion of ischemic and hemorrhagic stroke in each country

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Table 2: Stroke incidence and prevalence in each country

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Stroke care resources

The number of neurologists, the number of computed tomography (CT) scan/magnetic resonance imaging (MRI), the use of intravenous thrombolysis, and stroke unit facilities are summarized in [Table 3]. [29],[30],[31],[32],[33],[34],[35] The number of neurologists per 1000,000 population is shown in [Figure 2].
Figure 2: Number of neurologists per 1,000,000 population in each country. The blue columns indicate high income countries, red columns indicate middle income countries, and green columns indicate low to middle income countries

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Table 3: Stroke care resources in each country

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Stroke risk factors

The common stroke risk factors among the general population and stroke patients are presented in [Table 4]. [36],[37],[38],[39],[40],[41],[42],[43],[45]
Table 4: Stroke risk factors among stroke patients

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A professional stroke society is established in most countries. The name of each society, the year of establishment, and the number of members in 2012 are shown in [Table 5].
Table 5: Stroke society of each country

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 » Discussion Top

As the world's population is growing and the proportion of elderly subjects is increasing, more stroke patients are projected especially among Asians. The total population of the participating countries is approximately 3.3 billion, which is almost half of the world's population (7.06 billion). The participating countries in this study represent a wide range of countries. There are countries with low-middle, middle, and high incomes, according to the World Bank economic classification. There are countries with huge populations such as China and India, as well as smaller countries such as Singapore.

General information

Among the 12 representative countries in Asia, China is the most highly populated country with a population of 1.35 billion whereas Singapore is the least populated (with only 5.3 million inhabitants). The income per capita varies widely. Singapore has the highest income per capita, and it is 17 times higher than Vietnam, which has the lowest income per capita. According to the new classification by the World Bank, five countries are in the category of lower-middle income countries such as India, Indonesia, Pakistan, Philippines, and Vietnam. Three countries are considered as belonging to the upper-middle income group: China, Malaysia, and Thailand. Finally, three countries are classified as being in the high-income country group: Japan, Korea, and Singapore.

In all countries, the life expectancy is greater in the female population with an average life expectancy of 77.5 years (68-86 years). The average male life expectancy is 72.3 years (64-81 years). The longest life expectancy was found in Hong Kong followed by Japan.

With the growing number of aging population, Asia is the area that is most affected by a rising prevalence of stroke. More than one-fifth of the Japanese population is older than 65 years. However, the average percentage of elderly (older than 65) subjects among countries included in this study population was 9.5%. The results of the present study are compared to the previous survey among nine Asian countries by the same ASAP group in 1999. At that time, the survey included data from Hong Kong, India, Indonesia, Korea, Malaysia, Philippines, Singapore, Taiwan, and Thailand. The life expectancy and the number of subjects belonging to the aging population have markedly increased in all countries. In 13 years, the average increase in life expectancy has been 4 years. However, in Indonesia, the life expectancy, when compared with the data in 1999, is 9 and 10 years longer in the female and male population, respectively. Therefore, there is no doubt that more stroke patients are expected in the region due to a larger number of subject belonging to the aging population group.

The annual data on the incidence of stroke is available in some countries, and the number varies between various studies and the studied population. The overall incidence of stroke is between 116 and 483/100,000 per year. The prevalence of stroke among each country depends on the age of studied population.

Among the major types of stroke, a higher proportion of ischemic stroke when compared to hemorrhagic stroke, is found in all countries. The percentage of ischemic stroke ranges from 59% in Vietnam to 90% in Hong Kong. The median percentage of ischemic stroke is 75. Interestingly, when compared with the previous study in 1999, the proportion of ischemic stroke has increased in all countries. This may represent a better control of hypertension, which is the major risk factor of hemorrhagic stroke. Also, the increasing proportion of ischemic stroke may relate to the westernized lifestyle and diet, which have become more common in Asians.

Hypertension is the most common risk factor among stroke patients and accounts for 63-85% of the cases. This is comparable with other parts of the world. The second and third most common risk factors are dyslipidemia and diabetes mellitus, respectively. Smoking is still common in the population and also forms a major risk factor.

The overall stroke care system can be assessed at least partly by the number of neurologists present, the number of imaging facilities in the country, the incidence regarding the use of thrombolytic agents, and the availability of stroke units. The number of neurologists varies greatly among each country. China, which has the largest population, also has the greatest number of practicing neurologists, whereas many smaller countries have <100 neurologists. In high-income countries, the proportion of neurologists per unit population is high. The number ranges from one neurologist per 15,000 in Japan to one per 85,000 in Singapore. In contrast, in low-income countries like Pakistan, there is one neurologist for every 2 million patients. However, in real life situations, most neurologists are concentrated in urban areas especially in capital cities. Therefore, the ratio of the neurologists per unit population may be much lower in rural areas. When compared to 1999, a 2-3-fold increase in the number of neurologists was observed in all countries. This indicates the growing number of neurology training facilities in the region.

CT scan and MRI facilities are available in all countries. However, in China and Japan, there are more than 10,000 CT scanners and more than 6,000 MRI scanners in the country. When compared to 1999, the number of CT and MR scanners has markedly increased.

For acute stroke management, there are more than 600 stroke units with more than 10,000 beds in the studied regions. Almost half of the units are located in China. There was at least one stroke unit per country, and the number of stroke units has increased between 1999 and 2012. Among countries in which comparative data are available, Thailand has the largest growing number of stroke units (from 1 to 116) between the year 1999 and 2012.

Intravenous thrombolysis with recombinant tissue plasminogen activator is available for acute stroke management (stroke fast track) in all countries. Thailand was the first to start this treatment since 1996. In most countries, the dosage of 0.9 mg/kg is used. However, 0.6 mg/kg is used as a standard dose in Japan, Pakistan, Vietnam, and in some cases, in the Philippines and India. At the year of survey (2012), there were more than 17,000 patients who received intravenous thrombolysis for acute stroke in the Asian population and Japan had the highest number of cases.

The national stroke guidelines for management of stroke in local languages were made available in all countries. Singapore was the first to have its own guideline in 1999. Most countries had established their own national stroke society. These stroke societies are mainly for professionals, with some educational activities being organized for the public, except for the Singapore National Stroke Association which has educational activities mainly for the public. This represents awareness about stroke among specialists and the effort to enhance collaboration among professionals and public through health education. [46],[47],[48],[49]

We are aware of the limitations of this study especially related to the fallacies in interpreting epidemiological data from each country, which may not be truly comparable due to the different studied populations and lack of standardized population sample collecting methodologies. However, we strongly believe that information on stroke care resources and management will provide a broader perception about the stroke situation in Asia. Asia as a whole is facing problems of an aging society. In countries with more resources and with higher standards of care, the decreasing case fatality rate will result in more numbers of stroke survivors, who will constitute a larger burden on the society. Other countries with fewer resources still struggle with the fundamental problems of resource limitation including insufficient stroke neurologists, and limited imaging facilities and organized stroke units. However, when compared to 1999, there is a favorable trend in all Asian countries regarding the need to increase the number of neurologists and facilities to effectively administer stroke care.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

 » References Top

Kim JS. Stroke in Asia: A global disaster. Int J Stroke 2014;9:856-7.  Back to cited text no. 1
Mehndiratta MM, Khan M, Mehndiratta P, Wasay M. Stroke in Asia: Geographical variations and temporal trends. J Neurol Neurosurg Psychiatry 2014;85:1308-12.  Back to cited text no. 2
Krishnamurthi RV, Feigin VL, Forouzanfar MH, Mensah GA, Connor M, Bennett DA, et al. Global burden of diseases, injuries, risk factors study 2010 (GBD 2010); GBD Stroke Experts Group. Global and regional burden of first-ever ischemic and hemorrhagic stroke during 1990-2010: Findings from the Global Burden of Disease Study 2010. Lancet Glob Health 2013;1:e259-81.  Back to cited text no. 3
Poungvarin N, Suwanwela NC, Venketasubramanian N, Wong LK, Navarro JC, Bitanga E, et al. Asian Stroke Advisory Panel. Grave prognosis on spontaneous intracerebral haemorrhage: GP on STAGE score. J Med Assoc Thai 2006;89(Suppl 5):S84-93.  Back to cited text no. 4
Wong KS. Risk factors early death in acute ischemic stroke and intracerebral hemorrhage: A prospective hospital-based study in Asia: Asian Acute Stroke Advisory Panel. Stroke 1999;30:2326-30.  Back to cited text no. 5
Navarro JC, Bitanga E, Suwanwela N, Chang HM, Ryu SJ, Huang YN, et al. Complication of acute stroke: A study in ten Asian countries. Neurol Asia 2008;13:33-9.  Back to cited text no. 6
Tan KS, Navarro JC, Wong KS, Huang YN, Chiu HC, Poungvarin N, et al. Clinical profile, risk factors and aetiology of young ischaemic stroke patients in Asia: A prospective, multicentre, observational, hospital-based study in eight cities. Neurol Asia 2014;19:117-27.  Back to cited text no. 7
Poungvarin N. Stroke in the developing world. Lancet 1998;352(Suppl 3):SIII19-22.  Back to cited text no. 8
U.S. Census Bureau, "International Data Base" (as of 10 May 2000). Available from: [Last accessed on 2013 Oct 09].  Back to cited text no. 9
"GDP per capita, PPP (Current International)", World Development Indicators Database, World Bank. Database Updated on 23 September 2013. Available from: [Last accessed on 2013 Oct 9].  Back to cited text no. 10
Stroke epidemiological data of nine Asian countries. Asian Acute Stroke Advisory Panel (AASAP). J Med Assoc Thai 2000;83:1-7.  Back to cited text no. 11
Sun XG, Wang YL, Zhang N, Wang T, Liu YH, Jin X, et al. Incidence and trends of stroke and its subtypes in Changsha, China from 2005 to 2011. J Clin Neurosci 2014;21:436-40.  Back to cited text no. 12
Sun H, Zou X, Liu L. Epidemiological factors of stroke: A survey of the current status in China. Stroke 2013;15:109-14.  Back to cited text no. 13
Chau PH, Woo J, Goggins WB, Tse YK, Chan KC, Lo SV, et al. Trends in stroke incidence in Hong Kong differ by stroke subtype. Cerebrovasc Dis 2011;31:138-46.  Back to cited text no. 14
Dalal PM, Malik S, Bhattacharjee M, Trivedi ND, Vairale J, Bhat P, et al. Population-based stroke survey in Mumbai, India: Incidence and 28-day case fatality. Neuroepidemiology 2008;31:254-61.  Back to cited text no. 15
Sridharan SE, Unnikrishnan JP, Sukumaran S, Sylaja PN, Nayak SD, Sarma PS, et al. Incidence, types, risk factors, and outcome of stroke in a developing country: The Trivandrum Stroke Registry. Stroke 2009;40:1212-8.  Back to cited text no. 16
Das SK, Banerjee TK, Biswas A, Roy T, Raut DK, Mukherjee CS, et al. A prospective community-based study of stroke in Kolkata, India. Stroke 2007;38:906-10.  Back to cited text no. 17
Kusuma Y, Venketasubramanian N, Kiemas LS, Misbach J. Burden of stroke in Indonesia. Int J Stroke 2009;4:379-80.  Back to cited text no. 18
Toyoda K. Epidemiology and registry studies of stroke in Japan. J Stroke 2013;15:21-6.  Back to cited text no. 19
Kubo M, Hata J, Doi Y, Tanizaki Y, Iida M, Kiyohara Y. Secular trends in the incidence of and risk factors for ischemic stroke and its subtypes in Japanese population. Circulation 2008;118:2672-8.  Back to cited text no. 20
Hong KS, Bang OY, Kang DW, Yu KH, Bae HJ, Lee JS, et al. Stroke statistics in Korea: Part I. Epidemiology and risk factors: A report from the Korean Stroke Society and Clinical Research Center for Stroke. J Stroke 2013;15:2-20.  Back to cited text no. 21
Korean Statistical Information Service (KOSIS). Annual Report on the Cause of Death Statistics. Available from: ne/2/6/2/index.board. [Last accessed on 2015 Jul 18].  Back to cited text no. 22
Neelamegam M, Looi I, Cheah WK, Narayanan P, Hamid AM, Ong LM. Stroke incidence in the South West District of the Penang Island, Malaysia: PEARLs: Penang Acute Stroke Research Longitudinal Study. Prev Med 2013;57:S77-9.  Back to cited text no. 23
Khealani BA, Khan M, Tariq M, Malik A, Siddiqi AI, Awan S, et al. Ischemic strokes in Pakistan: Observations from the national acute ischemic stroke database. J Stroke Cerebrovasc Dis 2014;23:1640-7.  Back to cited text no. 24
Navarro JC, Baroque AC 2 nd , Lokin JK, Venketasubramanian N. The real stroke burden in the Philippines. Int J Stroke 2014;9:640-1.  Back to cited text no. 25
Loo KW, Gan SH. Burden of stroke in the Philippines. Int J Stroke 2013;8:131-4.  Back to cited text no. 26
Singapore Stroke Registry Report No. 3. Trends in Stroke in Singapore 2005-2012. Singapore: Singapore Stroke Registry, National Registry of Diseases Office, Ministry of Health.  Back to cited text no. 27
Venketasubramanian N, Tan LC, Sahadevan S, Chin JJ, Krishnamoorthy ES, Hong CY, et al. Prevalence of stroke among Chinese, Malay, and Indian Singaporeans: A community-based tri-racial cross-sectional survey. Stroke 2005;36:551-6.  Back to cited text no. 28
Tsai CF, Thomas B, Sudlow CL. Epidemiology of stroke and its subtypes in Chinese vs white populations: A systematic review. Neurology 2013;81:264-72.  Back to cited text no. 29
Hanchaiphiboolkul S, Poungvarin N, Nidhinandana S, Suwanwela NC, Puthkhao P, Towanabut S, et al. Prevalence of stroke and stroke risk factors in Thailand: Thai Epidemiologic Stroke (TES) Study. J Med Assoc Thai 2011;94:427-36.  Back to cited text no. 30
Suwanwela NC. Stroke epidemiology in Thailand. J Stroke 2014;16:1-7.  Back to cited text no. 31
Cong NH. Stroke care in Vietnam. Int J Stroke 2007;2:279-80.  Back to cited text no. 32
Chao AC, Hsu HY, Chung CP, Liu CH, Chen CH, Teng MM, et al. Taiwan Thrombolytic Therapy for Acute Ischemic Stroke (TTT-AIS) Study Group. Outcomes of thrombolytic therapy for acute ischemic stroke in Chinese patients: The Taiwan Thrombolytic Therapy for Acute Ischemic Stroke (TTT-AIS) study. Stroke 2010;41:885-90.  Back to cited text no. 33
Wong EH, Lau AY, Soo YO, Siu DY, Hui VS, Graham CA, et al. Is stroke thrombolysis safe and efficacious in Hong Kong? Hong Kong Med J 2012;18:92-8.  Back to cited text no. 34
Toyoda K, Koga M, Naganuma M, Shiokawa Y, Nakagawara J, Furui E, et al. Stroke Acute Management with Urgent Risk-factor Assessment and Improvement Study Investigators. Routine use of intravenous low-dose recombinant tissue plasminogen activator in Japanese patients: General outcomes and prognostic factors from the SAMURAI register. Stroke 2009;40:3591-5.  Back to cited text no. 35
Mori E, Minematsu K, Nakagawara J, Yamaguchi T, Sasaki M, Hirano T; Japan Alteplase Clinical Trial II Group. Effects of 0.6 mg/kg intravenous alteplase on vascular and clinical outcomes in middle cerebral artery occlusion. Japan Alteplase Clinical Trial II (J-ACT II). Stroke 2010;41:461-5.  Back to cited text no. 36
Suwanwela NC, Phanthumchinda K, Likitjaroen Y. Thrombolytic therapy in acute ischemic stroke in Asia: The first prospective evaluation. Clin Neurol Neurosurg 2006;108:549-52.  Back to cited text no. 37
Nguyen TH, Truong AT, Ngo MB, Bui CT, Dinh QV, Doan TC, et al. Patients with thrombolysed stroke in Vietnam have an excellent outcome: Results from the Vietnam Thrombolysis Registry. Eur J Neurol 2010;17:1188-92.  Back to cited text no. 38
Sharma VK, Ng KW, Venketasubramanian N, Saqqur M, Teoh HL, Kaul S, et al. Current status of intravenous thrombolysis for acute ischemic stroke in Asia. Int J Stroke 2011;6:523-30.  Back to cited text no. 39
Liu L, Wang D, Wong KS, Wang Y. Stroke and stroke care in China: Huge burden, significant workload, and a national priority. Stroke 2011;42:3651-4.  Back to cited text no. 40
Yang G, Wang Y, Zeng Y, Gao GF, Liang X, Zhou M, et al. Rapid health transition in China, 1990-2010: Findings from the Global Burden of Disease Study 2010. Lancet 2013;381:1987-2015.  Back to cited text no. 41
Pandian J, Sudhan P. Stroke epidemiology and stroke care services in India. J Stroke 2013;15:128-34.  Back to cited text no. 42
Jung KH, Lee SH, Kim BJ, Yu KH, Hong KS, Lee BC, et al. Secular trends in ischemic stroke characteristics in a rapidly developed country: Results from the Korean Stroke Registry Study (secular trends in Korean stroke). Circ Cardiovasc Qual Outcomes 2012;5:327-34.  Back to cited text no. 43
Hong KS, Bang OY, Kim JS, Heo JH, Yu KH, Bae HJ, et al. Stroke statistics in Korea: Part II stroke awarenes and acute stroke care, a report from the Korean Stroke Society and Clinical Research Center for Stroke. J Stroke 2013;15:67-77.  Back to cited text no. 44
Nazifah SN, Azmi IK, Hamidon BB, Looi I, Zariah AA, Hanip MR. National Stroke Registry (NSR): Terengganu and Seberang Jaya experience. Med J Malaysia 2012;67:302-4.  Back to cited text no. 45
Yap KB, Ng TP, Ong HY. Low prevalence of atrial fibrillation in community-dwelling Chinese aged 55 years or older in Singapore: A population-based study. J Electrocardiol 2008;41:94-8.  Back to cited text no. 46
Hsieh FI, Lien LM, Chen ST, Bai CH, Sun MC, Tseng HP, et al. Taiwan Stroke Registry Investigators. Get with the guidelines-stroke performance indicators: Surveillance of stroke care in the Taiwan Stroke Registry: Get with the guidelines-stroke in Taiwan. Circulation 2010;122:1116-23.  Back to cited text no. 47
Nilanont Y, Nidhinandana S, Suwanwela NC, Hanchaiphiboolkul S, Pimpak T, Tatsanavivat P, et al. Thai Stroke Registry. Quality of acute ischemic stroke care in Thailand: A prospective multicenter countrywide cohort study. J Stroke Cerebrovasc Dis 2014;23:213-9.  Back to cited text no. 48
Tirschwell DL, Ton TG, Ly KA, Van Ngo Q, Vo TT, Pham CH, et al. A prospective cohort study of stroke characteristics, care, and mortality in a hospital stroke registry in Vietnam. BMC Neurol 2012;12:150.  Back to cited text no. 49


  [Figure 1], [Figure 2]

  [Table 1], [Table 2], [Table 3], [Table 4], [Table 5]

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European Stroke Journal. 2021; 6(3): 291
[Pubmed] | [DOI]
13 Hypertension and stroke in Asia: A comprehensive review from HOPE Asia
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The Journal of Clinical Hypertension. 2021; 23(3): 513
[Pubmed] | [DOI]
14 10th Anniversary of the Asia Pacific Stroke Organization: State of Stroke Care and Stroke Research in the Asia-Pacific
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Cerebrovascular Diseases Extra. 2021; : 14
[Pubmed] | [DOI]
15 Mirror Therapy in Stroke Rehabilitation: Why, How Early, and Effects: A Meta-analysis
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Journal of Stroke Medicine. 2020; 3(2): 72
[Pubmed] | [DOI]
16 miRNA dysregulation in ischaemic stroke: Focus on diagnosis, prognosis, therapeutic and protective biomarkers
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European Journal of Neuroscience. 2020; 52(6): 3610
[Pubmed] | [DOI]
17 Infective endocarditis is associated with worse outcomes in stroke: A Thailand National Database Study
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International Journal of Clinical Practice. 2020; 74(11)
[Pubmed] | [DOI]
18 Users of rehabilitation services in 14 countries and territories affected by conflict, 1988–2018
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Bulletin of the World Health Organization. 2020; 98(9): 599
[Pubmed] | [DOI]
19 Epidemiology Investigation of stroke among Mongolian and Han population aged over 45 in Inner Mongolia
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Scientific Reports. 2017; 7: 45710
[Pubmed] | [DOI]
20 The High Cost of Stroke and Stroke Cytoprotection Research
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Translational Stroke Research. 2017; 8(4): 307
[Pubmed] | [DOI]
21 Etiological classification of ischemic stroke in young patients: a comparative study of TOAST, CCS, and ASCO
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Acta Neurologica Belgica. 2017; 117(3): 643
[Pubmed] | [DOI]
22 An unusual presentation of a stroke in a developing country: a case report
N. D. B. Ehelepola,T. I. D. M. Ranasinghe,B. Prashanthi,H. M. P. A. G. S. Bandara
BMC Research Notes. 2017; 10(1)
[Pubmed] | [DOI]


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