Stroke Burden and Acute Stroke-Care Delivery

Stroke is India's leading cause of disability-adjusted life years lost among non-communicable disease events, yet certified stroke units and trained neurologists are nearly absent at district hospitals. Treatment splits into ischaemic and haemorrhagic subtypes; ischaemic cases depend on recombinant tissue Plasminogen Activator (rt-PA) within a four-and-a-half-hour thrombolysis window, or mechanical thrombectomy. That narrow window, combined with missing telemedicine-enabled drip-and-ship models, widens the treatment gap. Surveillance data from the Indian Stroke Association and the Indian Council of Medical Research inform the Ministry of Health's National Programme for Non-Communicable Diseases (NP-NCD) framework.

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