- Aimed at the prevention of cerebral thrombosis
In Denmark, struck ca. 12,000 people a year by a brain blood clot / stroke - stroke, while more than 50,000 living with the consequences. This is matter of perception after brain too high a number and totally unsatisfactory in light of the fact that it is possible to prevent up to 50% of these cases, due to high blood pressure is the major risk factor for development of cerebral thrombosis and cerebral haemorrhage. Furthermore, at least
Besides the human cost of brain clots and brain haemorrhages costing this disease society huge sums - minimum 2.7 billion. annually - depending on the inventory method. The cost includes both hospital care as a loss of earnings. It is worth mentioning that the Welfare Commission in its final report of 2005, pointed out that Denmark is among the countries which have the highest incidence of s &
deaths include as a result of stroke.
Well 18% of all deaths in the age group 0-74 years as "avoidable". With demographic trends in mind - and a growing number of diabetics - fear brain matter that the number of strokes will increase the coming years, if not implemented a much more targeted prevention efforts.
Brain matter wants to delay taking political initiative to a specific and targeted efforts to prevent stroke. The brain matter clear view that a targeted prevention efforts will have a significant impact. It confirms the experience of cardiac action plan from the 90s, including has contributed to the number of heart clots and the risk of death in connection therewith has been reduced significantly. On the
Brain matter objectives are:
80% to now approx. 50% of all citizens in Denmark must know their blood pressure.
That citizens must know what is a normal blood pressure and identify the main strategies when it comes to prevention of hypertension.
That people with high blood pressure early in treatment and in collaboration with their doctor to ensure that blood pressure is reduced and then maintained at a satisfactory level.
The number of brain blood clots in the next 5 years will be reduced by at least 33%.
The number of new stroke cases must be less than 8,000 annually in 2011.
Brain case recognizes that not all citizens have equal good genetic, social, educational and professional prerequisites for a normal blood pressure. Seen in this light, the brain matter of goals that
all citizens are guaranteed equal access to prevention and effective treatment. Such action requires both will and adequate financial resources. The brain-matter goals that efforts for prevention of cerebral thrombosis is a strategic priority in the preventive work for better public health. After Brain Background believe it is not sufficient to integrate the prevention of cerebral thrombosis in a
The brain matter seeking to forge a broad understanding and acceptance that prevention should be seen as a necessary social "investment" that will be repaid many times if the number of cerebral thrombosis is reduced. The Brain Application view that - with the knowledge lægesagkundskaben now have - would be both cynical and irresponsible not to intensify preventive efforts against
cerebral thrombosis in Denmark.
The Brain Application hope that efforts to prevent brain clots and bleeding generally must be:
Municipal anchored wherever possible but be based on common national guidelines.
Targeting those who have the highest risk.
Clear (ie have to communicate) and receiver-oriented.
Based on scientific evidence to the extent possible.
Brain matter want to be a professional and continuous effort aimed at getting people to change their behavior when it comes to detection, prevention, treatment and control of high blood pressure. Therefore, brain matter that there will be one of simple example, an annual national prevention campaign under the auspices of such Sundhedsstyrelsen but municipalities in the wake of the municipal receive special an
Brain case recommend that the preventive approach to brain blood-stoppers must be a tender in all municipalities. Efforts must be prioritized so that the particular benefit to the communities at greatest risk of incurring a cerebral blood clot. Envisaged in the context of those such as smoke, are overweight, are diabetic or suffering from general arteriosclerosis.
Elements of the Action Plan - 10 points
Brain matter recommended that the Action Plan into practice built around a number of specific messages and advice which, in a relatively easy and simple way to explain to people of national or local health authorities.
Brain matter believes that the following 10 points are the most central to reducing the number of brain blood clots. These suggestions of course does not exclude an additional action, which more generally aimed at promoting people's general health.
1) The individual must know his blood pressure
Blood pressure is the most important marker for an increased risk of cerebral embolism. Since only ca. half the population over 40 years to know their blood pressure, there is a need for more people regularly get measured blood pressure. It is also important that the individual be
aware of the link between high blood pressure and some risk factors - including lifestyle.
Proposal: Health must ensure that all citizens above 40 years are offered to have their blood pressure measured at least once a year.
2) All citizens must have easy access to get their blood pressure measured
Many citizens will not have their blood pressure measured regularly, even though they regularly go to the doctor. As a result, it may take a long time between the individual becomes aware of his blood pressure. Access to the measured blood pressure in a qualified manner must therefore be increased and individuals should meet on their own court - ie. everyday at work, in recreational life, or at home. Furthermore, the municipality
Proposal: Municipalities must ensure that it becomes possible for people to get their blood pressure measured at the municipal health centers or through home care or, alternatively, that individuals can borrow a home blood pressure device.
3) All citizens must have equal and easy access to blood pressure lowering therapy
All citizens should - regardless of economic performance - offering a modern blood pressure-lowering treatment with as few side effects as possible. Because there is often talk about lifelong treatment has to be good compliance, (ie, patients' regulatory administration of their medication) is a priority to ensure that more patients when their
individual treatment. In the days when only ca. third of patients achieve their goals. It is crucial that the treating physician regularly follows the patient so that treatment goals are achieved.
Proposal: Health, in cooperation with the relevant scientific societies develop an action plan to ensure that at least 2 / 3 of approx. 200,000 patients are currently treated with blood pressure lowering medication, most recently in 2007 has come down to the recognized sphygmomanometer at 140/90 - or lower, for example diabetics.
4) All citizens must know the main risk factors associated with cerebral thrombosis
It is essential that each citizen un