CEREBROVASCULAR DISEASE: Edited by Valeria CasoImplementation of the Stroke Action Plan for Europe 2018--2030 during coronavirus disease-2019Christensen, Hannea; Pezzella, Francesca Romanab; on behalf of the Action Plan for Stroke in Europe Implementation Steering Committee∗ Author Information aDepartment of Neurology, Bispebjerg Hospital and University of Copenhagen, Copenhagen, Denmark bStroke Unit, Department of Neuroscience, S Camillo Forlanini Hospital, Rome, Italy Correspondence to Hanne Christensen, Department of Neurology, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark. Tel: +45 38635070; e-mail: [email protected] Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.co-neurology.com). Current Opinion in Neurology 34(1):p 55-60, February 2021. | DOI: 10.1097/WCO.0000000000000893 Buy SDC Metrics Abstract Purpose of review To describe the background, principles and implementation of the Stroke Action Plan for Europe 2018--2030 (SAP-E) in the perspective of the current COVID-19 pandemic. Recent findings SAP-E sets targets for the implementation of evidence-based preventive actions and stroke services to 2030. A recent mapping of stroke care in Europe has documented massive inequalities and even in high-income European countries access to reperfusion therapy and mortality after ischaemic stroke varies significantly. Organized stroke care providing stroke unit care and access to reperfusion therapies reduces mortality and long-term disability. Stroke prevention and care are highly cost-effective. The COVID-19 pandemic has challenged organized care, diverged attention from stroke and necessitated a novel approach to the implementation program because of the continued need for social distancing and reduced travelling. Consequently, meetings, training and engagement will be handled by online resources. Summary Stroke can be prevented and treated but there remain massive inequalities in Europe. SAP-E has set targets for development of stroke care. COVID-19 pandemic has led to further challenges for stroke care and implementation of the Action Plan will rely on online meetings and resources as it is yet unforeseeable when things will return to normal. https://links.lww.com/CONR/A53. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.