ZASUSLocally Adapted Stroke Unit for Improved Outcomes in Lusaka, Zambia

This study aims to evaluate a new system of stroke care at the University Teaching Hospital in Lusaka, Zambia, to see if it can improve outcomes for people who have had a stroke. Stroke is a major health issue in Zambia and worldwide, especially in low- and middle-income countries where most stroke-related deaths and disabilities occur. The new system is designed to be locally relevant by considering unique risk factors and the resources available in Zambia. This research is important because it could lead to better stroke care and reduce deaths and disabilities in Zambia and potentially in other similar settings. Participants in this study will be adults who have experienced a stroke and are admitted to the hospital in Lusaka. The study will compare the results of stroke care under the new guidelines with past care practices to see if there is an improvement in the quality of care and patient outcomes. Researchers will look at how well the hospital follows the new stroke care guidelines and measure in-hospital and post-discharge mortality rates. The study does not involve any new drugs or acute stroke treatments but focuses on improving the organization and delivery of stroke care. If successful, the findings could help improve stroke care systems in other similar regions.