Para pakar serukan aksi segera untuk cegah krisis stroke di kawasanAsia-Pasifik

AsiaNet 44476

– Para pakar dari komunitas kedokteran dan pasien menghimbau para pembuat
kebijakan nasional di kawasan Asia-Pasifik untuk segera melakukan aksi
pencegahan stroke yang menyerang jutaan orang dengan atrial fibrillation (AF)
setiap tahunnya

– Negara-negara di kawasan Asia-Pasifik menanggung beban yang berbeda-beda
akibat stroke yang menimpa jutaan orang; dan beban ini akan terus tumbuh
seiring meningkatnya usia harapan hidup1.

– Atrial Fibrillation, kelainan irama jantung yang umum terjadi, dapat
meningkatkan risiko stroke lima kali lipat dan terkait dengan 15-20% insiden
stroke dan 20% insiden stroke iskemik (disebabkan oleh gumpalan darah yang
menyumbat pembuluh darah di otak)2,3,4,5

– Stroke tidak hanya menghancurkan kehidupan pasien, tetapi juga keluarga
serta orang-orang yang merawatnya.6,7 Mereka yang selamat dari stroke
memerlukan bantuan dan perawatan jangka panjang.

– Stroke membawa implikasi ekonomi yang sangat signifikan. Sebagai contoh,
di Cina, total biaya rawat inap rata-rata untuk pasien stroke pada tahun 2010
setara dengan lebih dari separuh gaji tahunan rata-rata8

– Dampak stroke diperkirakan akan meningkat secara dramatis menyusul
meningkatnya jumlah orang dengan AF hingga 2,5 kali lipat pada tahun 2050
akibat bertambahnya populasi usia lanjut serta peningkatan harapan hidup pasien
dengan faktor predisposisi untuk AF (misalnya serangan jantung)9,10

Jakarta, 6 Mei 2011 /PRNewswire-AsiaNet/ – Laporan terbaru, How Can We
Avoid a Stroke Crisis in the Asia-Pacific Region? [Bagaimana Mencegah Krisis
Stroke di kawasan Asia Pasifik?] menekankan pentingnya aksi segera yang terpadu
untuk menghindari jutaan angka kejadian stroke yang dapat dicegah, yang setiap
tahunnya menimbulkan kecacatan mental maupun fisik, bahkan kematian, pada
pasien dengan Atrial Fibrillation (AF).

Untuk melihat Multimedia News Release, silakan klik:

http://multivu.prnewswire.com/mnr/prne/strikeoutstroke/48909/

Laporan yang diluncurkan hari ini dalam 18th Asia Pacific Congress of
Cardiology (APCC) oleh Action for Stroke Prevention, suatu kelompok yang
menghimpun pakar kesehatan dari seluruh dunia, mengusulkan agar diambil
tindakan segera untuk mencegah stroke pada pasien dengan AF di Asia Pasifik,
gangguan irama jantung yang menjadi penyebab umum dan paling utama dari
stroke.2 Rekomendasi dari laporan ini didukung oleh 32 pakar Asia Pasifik
serta masyarakat kedokteran dunia dan organisasi pasien, sehingga semakin
mempertegas dan mendukung pentingnya aksi segera.

Epidemi stroke di kawasan Asia Pasifik, dan di seluruh dunia, akan menjadi
kenyataan bila tidak diambil tindakan untuk memperlambat peningkatan angka
kejadian stroke yang dapat dicegah yang terjadi setiap tahun. Dr. Sim Kui Hian,
Kepala Departemen Kardiologi dan Kepala Pusat Riset Klinis, Rumah Sakit Umum
Sarawak, Malaysia, mengatakan, “Angka kejadian stroke di kawasan Asia Pasifik
terus meningkat dan menimbulkan masalah kesehatan masyarakat serta beban
ekonomi yang signifikan. Anggota Action for Stroke Prevention berkumpul untuk
menyoroti risiko dari krisis stroke dan mendesak para pembuat kebijakan,
pemerintah, para profesional kesehatan, kelompok pasien serta masyarakat
kedokteran untuk bersatu dan mengambil aksi mencegah dampak stroke yang
merugikan pasien, keluarganya serta orang-orang yang merawatnya.”

Laporan tersebut memberikan rekomendasi:

– Meningkatkan kesadaran orang akan dampak AF dan stroke terkait dengan AF

– Mengembangkan metode diagnosa dini dan memadai untuk AF serta penilaian
risiko stroke

– Mengambil pendekatan baru dan lebih baik untuk mencegah stroke pada
pasien dengan AF

– Memfasilitasi pertukaran praktek-praktek terbaik antara pemerintah di
kawasan Asia Pasifik

– Mengembangkan strategi untuk mendukung kepatuhan terhadap pedoman

– Memberikan manajemen pengobatan yang serupa dan memadai bagi pasien
dengan AF di negara-negara di kawasan Asia Pasifik

– Memajukan penelitian dalam bidang penyebab, pencegahan, dan pengelolaan
AF, dan menyikapi langkanya informasi epidemiologis di Asia Pasifik

Stroke dapat dicegah – Ayo kita cegah

“Karena mayoritas stroke terkait AF ini dapat dicegah, kami percaya bahwa
pelaksanaan rekomendasi-rekomendasi ini akan berkontribusi dalam mencegah
stroke pada pasien dengan AF yang pada gilirannya secara dramatis akan
mengurangi beban klinis, ekonomis, dan social akibat stroke di Asia Pasifik,”
kata Profesor Gregory Lip, Professor of Cardiovascular Medicine, University of
Birmingham Centre for Cardiovascular Sciences, City Hospital Birmingham, UK.

Setiap tahun, 15 juta orang di seluruh dunia mengalami stroke.12 Sekitar 5
juta menderita kelumpuhan permanen dan lebih dari lima juta meninggal, yang
merupakan 10% dari total kematian di seluruh dunia.12-14

Di kawasan Asia Pasifik pada tahun 2004, diperkirakan jumlah pasien yang
sembuh dari stroke adalah 4,4 juta di kawasan Asia Tenggara dan 9,1 juta di
kawasan Pasifik Barat.14 Pada tahun yang sama, jumlah orang di kawasan Asia
Pasifik yang terkena stroke untuk pertama kalinya mencapai 5,1 juta.15 Angka
ini lebih tinggi daripada angka kasus baru kanker.15
Orang yang pernah mengalami stroke akibat AF pada umumnya akan dirawat lebih
lama di rumah sakit, akan lebih jarang bisa kembali ke rumah, dan 50% dari
antaranya akan mengalami kecacatan16,17 dibanding pasien dengan stroke yang
tidak terkait dengan AF. Semakin banyak orang di Asia Pasifik yang hidup dengan
AF. Di Cina saja, 8 juta orang menderita AF.18,19

“Setiap tahunnya jutaan orang dengan atrial fibrilasi yang mengalami
stroke akan menjadi lumpuh, tanpa memandang usia,” kata Trudie Lobban, Pendiri
dan Penyantun, Arrhythmia Alliance, dan Co-founder dan CEO, Atrial Fibrillation
Association. “Apabila kita tidak menderita AF, dapat dipastikan bahwa kita
merawat atau mengetahui seseorang yang menderita AF. Kita harus menyatukan
aksi untuk memperbaiki cara melakukan diagnosa dan penanganan AF jika ingin
mencegah perubahan besar yang terjadi pada hidup pasien dan orang-orang yang
merawatnya akibat stroke.”

Beban ekonomi yang ditimbulkan oleh stroke pada ekonomi nasional di Asia
Pasifik sangat signifikan. Sebagai contoh, Cina akan kehilangan pendapatan
nasional sebesar $558 miliar yang ditimbulkan oleh penyakit jantung, stroke dan
diabetes.20

Lebih penting lagi, dampak stroke diperkirakan akan meningkat secara
dramatis karena bertambahnya jumlah orang yang terkena AF akibat membesarnya
populasi usia tua dan peningkatan angka kelangsungan hidup pasien dengan faktor
predisposisi AF (misalnya, serangan jantung).

– selesai –

Action for Stroke Prevention didukung oleh dana hibah pendidikan dari
Bayer HealthCare. Laporan, beserta berbagai materi terkait, diputuskan oleh
para penulis secara independen dari Bayer HealthCare.

Contacts
Elizabeth Fang
Email: Elizabeth.Fang@fleishman.com
Tel: +62 21 3005067

References

1. Liu LS, Caguioa ES, Park CG et al. Reducing stroke risk in hypertensive
patients: Asian Consensus Conference recommendations. Int J Stroke 2006;1:150?7

2. Kannel WB, Benjamin EJ et al. Prevalence, incidence, prognosis, and
predisposing conditions for atrial fibrillation: population-based estimates. Am
J Cardiol 1998;82:457-507

3. Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent
risk factor for stroke: the Framingham Study. Stroke 1991;22:983?8

4. American College of Cardiology. CardioSmart. Atrial fibrillation. 2010

5. Marini C, De Santis F, Sacco S et al. Contribution of atrial
fibrillation to incidence and outcome of ischemic stroke: results from a
population based study. Stroke 2005;36:1115?19

6. Wolfe CD. The impact of stroke. Br Med Bull 2000;56:275-86

7. White CL, Poissant L, Cote-LeBlanc G et al. Long-term caregiving after
stroke: the impact on caregivers’ quality of life. J Neurosci Nurs.
2006;38:354?60

8. Wei et al. Variations and determinants of hospital costs for acute
stroke in China. PLoS One 2010;28; 5(9):e13041. doi:10.1371/journal.pone.0013041

9. Go AS, Hylek EM, Phillips KA et al. Prevalence of diagnosed atrial
fibrillation in adults: national implications for rhythm management

10. Murphy NF, Simpson CR, Jhund PS et al. A national survey of the
prevalence, incidence, primary care burden and treatment of atrial fibrillation
in Scotland. Heart 2007;93:606?12

11. Kirchhof et al. Early and comprehensive management of atrial
fibrillation: Proceedings from the 2nd AFNET/EHRA consensus conference on AF
entitled ‘research perspectives in AF’. EurHJ 2009

12. Wolfe C, Rudd A. The Burden of Stroke White Paper: Raising awareness
of the global toll of stroke-related disability and death, 2007.
http://www.safestroke.org/Portals/10/FINAL%20Burden%20of%20

Stroke.pdf. Accessed March 2011

13. World Health Organization. The Atlas of Heart Disease and Stroke. 2004
http://www.who.int/cardiovascular_diseases/resources/atlas/en/. Accessed March
2011

14. World Health Organization. The global burden of disease: 2004 update.
Disease and injury regional estimates for 2004. Prevalence for WHO regions.
2008. http://www.who.int/entity/healthinfo/
global_burden_disease/PREV6%202004.xls. Accessed March 2011

15. World Health Organization. The global burden of disease: 2004 update.
2008http://www.who.int/healthinfo/global_burden_disease/GBD_
report_2004update_full.pdf. Accessed March 2011

16. Lamassa M, Di Carlo A, Pracucci G et al. Characteristics, outcome, and
care of stroke associated with atrial fibrillation in Europe: data from a
multicenter multinational hospital based registry (The European Community
Stroke Project). Stroke 2001;32:392?8

17. J?rgensen HS, Nakayama H, Reith J et al. Acute stroke with atrial
fibrillation. The Copenhagen Stroke Study. Stroke 1996;27:1765?9

18. Zhou Z, Hu D. An epidemiological study on the prevalence of atrial
fibrillation in the Chinese population of mainland China. J Epidermiol
2008;18:209-16

19. Hu D, Sun Y. Epidemiology, risk factors for stroke, and management of
atrial fibrillation in China. JACC 2008;52:865?8

20. World Health Organization. Cardiovascular diseases (CVDs): Fact sheet
N?317. 2011 http://www.who.int/mediacentre/factsheets/fs317/en/index.html.
Accessed March 2011

Leading Experts Call for Urgent Action to Avoid Stroke Crisis Across Asia-Pacific Region

KUALA LUMPUR, May 6 /PRNewswire-AsiaNet/ —

    
     – Experts from medical and patient communities call on national policymakers in the Asia-Pacific region to take urgent action against preventable strokes that strike millions of people with atrial fibrillation (AF) each year

     – Countries in the Asia-Pacific region carry a disproportionate share of the burden of stroke with millions of people affected; a burden that will grow as life expectancy rises(1)

     – AF, the most common, sustained abnormal heart rhythm, increases the risk of stroke five-fold and is responsible for 15-20% of all strokes, and for 20% of all ischaemic strokes (caused by a blood clot blocking a blood vessel in the brain)(2,3,4,5)

     – The consequences of stroke can devastate not only a patient’s life, but also that of families and carers.(6,7) Long-term help and care is required for most survivors

     – The economic implications of stroke are significant. For example, in China, the overall mean cost of hospitalization for stroke in 2010 equated to more than half the average annual wage(8)

     – The impact of stroke is predicted to rise dramatically as the number of individuals affected by AF is expected to increase 2.5 fold by 2050, due to an ageing population and improved survival of patients with conditions which predispose AF (eg, heart attack)(9,10)

     According to a new report, How Can We Avoid a Stroke Crisis in the Asia-Pacific Region?, urgent coordinated action is needed to avoid millions of preventable strokes, which leave many patients who have atrial fibrillation (AF) both mentally and physically disabled, or dead, every year.

     To view the Multimedia News Release, please click:

     http://multivu.prnewswire.com/mnr/prne/strikeoutstroke/48909/

     The report, launched today during the 18th Asian Pacific Congress of Cardiology (APCC) by Action for Stroke Prevention, a group of health experts from across the globe, proposes urgent measures to prevent stroke in Asian-Pacific patients with AF, the most common, sustained abnormal heart rhythm and a major cause of stroke.(2) The report’s recommendations are endorsed by 32 leading Asian-Pacific and other global medical societies and patient organizations, reinforcing and recognizing the need for a call to action.

     A stroke epidemic across the Asia-Pacific region, and indeed the rest of the world, is imminent if actions are not taken now to slow the rising tide of preventable strokes occurring every year. Professor Graeme Hankey, Neurologist and Head of Stroke Unit at the Royal Perth Hospital, commented, “The incidence of stroke across the Asia-Pacific region is continuing to grow and constitutes both a major public health issue and a significant economic burden. Members of Action for Stroke Prevention have come together to highlight the risk of a stroke crisis and urge policymakers, national governments, healthcare professionals, patient groups and medical societies to act together now to prevent the devastating impact stroke has on people, their families and carers.”

     Recommendations made by the Report include:

     – Improving awareness of the impact of AF and AF-related stroke

     – Developing methods for early and adequate diagnosis of AF and stroke risk assessment

     – Taking new and better approaches to prevent stroke in patients with AF

     – Facilitating the exchange of best practice between national governments in the Asia-Pacific region

     – Developing strategies to support adherence to guidelines

     – Providing equal and adequate administration of therapy for patients with AF across countries in the Asia-Pacific region

     – Advancing research into the causes, prevention and management of AF, and addressing the current paucity of epidemiological information available in Asia-Pacific

     Strokes are preventable – prevent them

     “With the majority of AF-related strokes being preventable, we believe that implementation of these recommendations now will contribute to the prevention of stroke in patients with AF and, in turn, reduce the dramatically increasing clinical, economic, and social burden of stroke in Asia-Pacific,” said Professor Gregory Lip, Professor of Cardiovascular Medicine, University of Birmingham Centre for Cardiovascular Sciences, City Hospital Birmingham, UK.

     Every year, 15 million people worldwide experience a stroke.(12) Approximately five million of these suffer permanent disabilities and over five million more die, accounting for 10% of all deaths worldwide.(12-14)

     In the Asia-Pacific region in 2004, the approximate number of patients who had survived a stroke at some point in their lifetime was 4.4 million in Southeast Asia and 9.1 million in the Western Pacific region.14 In the same year, the number of first-ever strokes was 5.1 million across these regions.15 This was higher than the estimated number of new cases of cancer.(15)

     People who suffer a stroke caused by AF are more likely to remain in hospital for longer, are less likely to be discharged home, and are 50% more likely to remain disabled(16,17) than patients who have a stroke unrelated to AF. An increasing number of people in the Asia-Pacific region are living with AF. In China alone, up to eight million people suffer from AF.(18,19)

     “Every year thousands of Australians with atrial fibrillation who suffer a stroke are left disabled, regardless of their age” said Ms Wendy Fromhold, Acting Chief Executive Officer of Australia’s National Stroke Foundation. “If we do not suffer with atrial fibrillation ourselves, we will almost certainly care for or know someone who does. It is imperative that we all act together to improve the diagnosis and management of AF if we are to prevent the enormous life-changing consequences that stroke has for patients and carers.”

     The current economic burden of strokes on national economies in Asia-Pacific is significant. For example, China will lose $558 billion in national income due to the combined consequences of heart disease, stroke, and diabetes.(20)

     More significantly the impact of stroke is predicted to rise dramatically as the number of individuals affected by AF is expected to increase due to an ageing population and improved survival of patients with conditions which predispose AF (e.g., heart attack).

     Action for Stroke Prevention is supported by an educational grant from Bayer HealthCare. The report, and all related materials, has been determined by the authors independently of Bayer HealthCare

     SOURCE: Action for Stroke Prevention

     References

     1. Liu LS, Caguioa ES, Park CG et al. Reducing stroke risk in hypertensive patients: Asian Consensus Conference recommendations. Int J Stroke 2006;1:150-7

     2. Kannel WB, Benjamin EJ et al. Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol 1998;82:457-507

     3. Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke 1991;22:983-8

     4. American College of Cardiology. CardioSmart. Atrial fibrillation. 2010

     5. Marini C, De Santis F, Sacco S et al. Contribution of atrial fibrillation to incidence and outcome of ischemic stroke: results from a population based study. Stroke 2005;36:1115-19

     6. Wolfe CD. The impact of stroke. Br Med Bull 2000;56:275-86

     7. White CL, Poissant L, Cote-LeBlanc G et al. Long-term caregiving after stroke: the impact on caregivers’ quality of life. J Neurosci Nurs. 2006;38:354-60

     8. Wei et al. Variations and determinants of hospital costs for acute stroke in China. PLoS One 2010;28; 5(9):e13041.
doi:10.1371/journal.pone.0013041

     9. Go AS, Hylek EM, Phillips KA et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management

     10. Murphy NF, Simpson CR, Jhund PS et al. A national survey of the prevalence, incidence, primary care burden and treatment of atrial fibrillation in Scotland. Heart 2007;93:606-12

     11. Kirchhof et al. Early and comprehensive management of atrial fibrillation: Proceedings from the 2nd AFNET/EHRA consensus conference on AF entitled ‘research perspectives in AF’. EurHJ 2009

     12. Wolfe C, Rudd A. The Burden of Stroke White Paper: Raising awareness of the global toll of stroke-related disability and death, 2007. http://www.safestroke.org/Portals/10/FINAL%20Burden%20of%20Stroke.pdf. Accessed March 2011

     13. World Health Organization. The Atlas of Heart Disease and Stroke. 2004 http://www.who.int/cardiovascular_diseases/resources/atlas/en/. Accessed March 2011

     14. World Health Organization. The global burden of disease: 2004 update. Disease and injury regional estimates for 2004. Prevalence for WHO regions. 2008. http://www.who.int/entity/healthinfo/global_burden_disease/PREV6%202004.xls. Accessed March 2011

     15. World Health Organization. The global burden of disease: 2004 update. 2008http://www.who.int/healthinfo/global_burden_disease/GBD_
report_2004update_full.pdf. Accessed March 2011

     16. Lamassa M, Di Carlo A, Pracucci G et al. Characteristics, outcome, and care of stroke associated with atrial fibrillation in Europe: data from a multicenter multinational hospital based registry (The European Community Stroke Project). Stroke 2001;32:392-8

     17. J0rgensen HS, Nakayama H, Reith J et al. Acute stroke with atrial fibrillation. The Copenhagen Stroke Study. Stroke 1996;27:1765-9

     18. Zhou Z, Hu D. An epidemiological study on the prevalence of atrial fibrillation in the Chinese population of mainland China. J Epidermiol 2008;18:209-16

     19. Hu D, Sun Y. Epidemiology, risk factors for stroke, and management of atrial fibrillation in China. JACC 2008;52:865-8

     20. World Health Organization. Cardiovascular diseases (CVDs): Fact sheet Ndegrees317. 2011
http://www.who.int/mediacentre/factsheets/fs317/en/index.html. Accessed March 2011