Table 1.

Declaration of Gramado.

Declaration of Gramado Gramado, Brazil 2 August 2018
Commitments for Facing Stroke in Latin America countries:
1. To provide education of the population on the stroke warning signs, treatment urgency, and control of risk factors;
2. To promote safe and healthy environments for the practice of physical activity;
3. To implement policies to control smoking, to stimulate healthy eating habits and physical activity, to reduce sodium intake and alcohol abuse and to control weight, aiming in reducing the incidence of cardiovascular and cerebrovascular diseases;
4. To set strategies for the detection of treatable risk factors, as hypertension, atrial fibrillation, diabetes, and hyperlipidemia;
5. To promote healthcare for the control of treatable risk factors;
6. To organize the prehospital care to prioritize the patient with stroke;
7. To prioritize the structuring of stroke centers:
• To organize stroke units with a defined physical space and a trained multidisciplinary team;
• To provide evidence-based acute treatments;
• To provide exams for minimal etiological workup;
• To promote the prescription of secondary prevention therapies in the hospital discharge;
• To encourage the use of telemedicine in hospitals without specialist 24 h a day, 7 days a week, to advise acute treatment.
8. To increase access to in-hospital and post-hospital rehabilitation;
9. To train all the professionals engaged in stroke care;
10. To monitor national prevalence of the main risk factors and quality indicators of stroke care nationwide;
11. To set national and regional evidence-based practice guidelines, with frequent updates, to standardize stroke care;
12. To prioritize the structuring of integrated networks for continuous care of patients with stroke or stroke risk factors, that encompass all levels of healthcare, creating a line of care;
13. To assign human and financial resources for the development of a stroke line of care;
14. To implement national stroke care policies;
15. To promote exchange of experiences among countries for the improvement of stroke care;
16. To implement research in stroke, based on the priorities and realities of each country.