Deutsch Intern
Institute for Clinical Epidemiology and Biometry


In Germany, 260.000 people suffer from a stroke each year. This number will even increase over the next decades due to demographic change. Worldwide, stroke is the second most cause of death and the third most reason for life years affected by disability. While high-quality care after acute stroke is provided in almost nationwide available stroke units - a hospital unit specialized in stroke - gaps in the care for secondary prevention after stroke are frequent. By secondary prevention it is meant that further strokes, so called recurrent strokes, and similar events are avoided. In Germany, the rate of recurrent strokes is considerably high with 3-6% within 90 days after stroke. Second, the implementation of structured and high-quality post-stroke care as well as regular post-stroke health check-ups is lacking. Third, the rate of patients with guideline-adjusted risk factors such as hypertension, diabetes and overweight after hospital discharge is too low. By guidelines, we mean the most up-to-date and scientific recommendations, based on which physicians are treating their patients.