Stroke is a major medical problem and one of the leading causes of mortality and disability
all over in Europe. However, there are significant East-West differences in stroke
care as well as in stroke mortality and morbidity rates. Central and Eastern European
countries that formerly had centralized and socialist health care systems have serious
and similar problems in organizing health and stroke care 20 years after the political
transition. In Central and Eastern Europe, stroke is more frequent, the mortality
rate is higher, and the victims are younger than in Western Europe. High-risk patients
live in worse environmental conditions, and the socioeconomic consequences of stroke
further weaken the economic development of these countries. To address these issues,
a round table conference was organized. The main aim of this conference was to discuss
problems to be solved related to acute and chronic stroke care in Central and Eastern
European countries, and also, to exchange ideas on possible solutions. In this article,
the discussed problems and possible solutions will be summarized, and introduce 'The
Budapest Statement of Stroke Experts of Central and Eastern European countries'.