Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update.
Christensen Hanne, Pezzella Francesca Romana, Roaldsen Melinda Berg, Tomek Aleš, Wilkie Arlene, Christensen Louisa, Dichgans Martin, Drummond Avril, Laatikainen Tiina, Molina Carlos A, Sunnerhagen Katharina S, Toni Danilo, Abilleira Sonia, Aguiar de Sousa Diana, Arsovska Anita, Audebert Heinrich, Bartolovic Jelena, Béjot Yannick, Biessels Geert Jan, Bouverie Juliet, Budincevic Hrvoje, Casolla Barbara, Chabriat Hugues, Charalambous Marina, Dawson Jesse, Debette Stephanie, de Leeuw Frank-Erik, Denes Adam, Diomedi Marina, Dippel Diederik, Dirnagl Ulrich, Fischer Urs, Flomin Yuriy, Fonseca Ana Catarina, Forchammer Birgitte, Forster Anne, Frisullo Giovanni, Galofre Miquel, Gdovinová Zuzana, Gumbinger Christoph, Harbison Joseph, Hobbs Richard, Jatuzis Dalius, Jurlina Hrvoje, Katan Mira, Kidd Lisa, Kiechl Stefan, Kõrv 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 U, 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, van Euler Mia, Viigimaa Margus, Vivien Denis, Wagner Markus, Walker Marion, Webb Alastair, Ramos Diana Wong, Zampolini Mauro, Zedde Marialuisa, Ford Gary, Kelly Peter, Mikulik Robert, Norrving Bo, Proios Hariklia, Sacco Simona, Sandset Else, Wardlaw Joanna, Vilionskis Aleksandras, Caso Valeria
European stroke journal · 2026 · PMID 41614539 · 인용 18
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.