Core Insights - The 2025 China Stroke Conference was held in Beijing from November 7 to 9, highlighting significant advancements in stroke center construction across the country [1] Group 1: Stroke Center Development - As of the end of October this year, stroke center construction has covered over 70% of districts and counties nationwide [1] - A total of 745 tertiary hospital stroke centers and 1,681 secondary hospital stroke centers have been established, representing increases of 16.8% and 15.1% respectively compared to the previous year [3] - Stroke centers now cover 97.9% of cities and 70.6% of districts and counties [3] Group 2: Stroke Prevention Initiatives - The "Million Disability Reduction Project" aims to reduce 1 million new disabilities by 2030, with a focus on hypertension as a key risk factor for stroke prevention [3] - Citizens aged 30 and above are encouraged to undergo annual blood pressure checks [3] Group 3: Treatment Improvements - The median time from hospital admission to thrombolysis for stroke patients has been reduced to 40 minutes, which is better than the international standard of 60 minutes [6] - In 2024, 1,175 counties are expected to meet standards for intravenous thrombolysis, covering a population of 850 million [5] - A total of 733 counties are expected to meet standards for thrombectomy [5] Group 4: Future Directions - The National Health Commission plans to guide the reasonable arrangement of stroke center construction to meet treatment needs [8] - There will be an emphasis on building a continuous service system for stroke diagnosis and treatment, as well as a graded diagnosis and treatment model for stroke [8]

Core Insights - The risk of stroke for Chinese residents is as high as 40%, ranking first among 195 countries, which is inconsistent with the country's economic status and medical level [2][7] - The average age of first stroke occurrence in China is 61, which is 13 years earlier than in the United States, leading to a significant number of working-age individuals affected [2][7] - Approximately 60% of stroke patients in China may experience functional disabilities, highlighting the importance of stroke prevention and control [2][4] Stroke Prevention and Control Efforts - The "Million Reduction of Disability Project" has established over 2,000 stroke centers nationwide, and the introduction of 5G mobile stroke units has reduced treatment time to 8 minutes [3][4] - Despite progress, the five-year recurrence rate for stroke patients is 41%, and the screening rate is only 0.24%, with county-level treatment network coverage at 52.4% [3][4] - The government aims to implement a three-tiered medical alliance for stroke prevention, targeting a 30% reduction in incidence, a 40% decrease in disability mortality, and a 50% reduction in recurrence rates by 2025 [3][8] Current Challenges in Stroke Management - Stroke in China exhibits high incidence, high recurrence, high disability rates, and a trend towards younger patients, making it a severe social issue [4][7] - The annual new stroke cases exceed 2 million, with approximately 18 million existing stroke patients, making stroke the leading cause of disability in the country [4][7] - There are significant disparities in stroke center coverage, with less than 60% coverage and only 41% of provinces achieving coverage in 60% of districts [5][7] Future Goals and Strategies - By 2025, the government aims for a 60% identification and awareness rate of hypertension among residents aged 30 and above, with at least one secondary hospital in every city and county routinely performing thrombolysis and thrombectomy [7][8] - A proactive screening mechanism has been established, leveraging community health workers to increase hypertension screening rates to over 90% [8] - The goal is to reduce stroke incidence by over 30%, disability mortality by 40%, and recurrence rates by 50% through active health strategies [8]