Stroke Burden and Stroke Services in Indonesia

Abstract

Stroke is a major cause of death and disability in Indonesia. Stroke requires high-quality, fast, and precise management to prevent and avoid disability and death. Stroke can be prevented by adequately controlling the risk factors and encouraging healthy lifestyles. Efforts are needed to organize health promotion programs at the community level. More and a better distribution of neurologists and neurointerventionalists is needed. All hospitals should have a CT scan machine and stroke units. Telemedicine for stroke patients is a very promising endeavor for an integrated acute stroke management system.

Traumatic tension pneumocephalus: a case report and perspective from Indonesia

“…Neurosurgeon-to-population ratio is 1:725,000 (371 neurosurgeons), very low compared to the recommended 1:100,000, with the rural community in a greater disadvantage due to its uneven distribution ( 28 ). Over 257 (69.2%) neurosurgeons practices in Java, with most hospitals offering CT scan service, whereas Papua only has five CT scan machines and four neurosurgeons ( 8 , 29 ). North Maluku only has one neurosurgeon and one CT scan machine, of which is located 200 kilometers away from the neurosurgical center.…”

Stroke systems of care in South-East Asia Region (SEAR): commonalities and diversities

“… 30 Indonesia and Nepal have also recognized the value of telestroke care, especially considering the difficult terrain in these regions. 31 , 32 …”

The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)

“…Studies from India and Indonesia have reported hypertension prevalence of 19.9% and 26.7% among adults, respectively. 9 , 11 Another characteristic finding is the higher prevalence of intracranial atherosclerotic disease, ranging from 20 to 53%, accounting for the high rates of recurrent stroke in the region. A 10-year-long hospital-based registry from South India documented large artery atherosclerosis (LAA) as the most common ischemic stroke subtype, with intracranial atherosclerosis accounting for 78.3% of the LAA subtype.…”