Abstract Number: Esoc2026lb207 Three-Year Outcomes (2023-2025) of the Stroke Action Plan for Europe Implementation in Belarus

Abstract Background and aims Belarus, a Central European country, faces a high burden of stroke (4.55 per 1,000) with over 40,000 stroke hospitalizations annually. Before 2022, stroke care was marked by high mortality (~20%) and low reperfusion therapy use (2% for ischemic stroke). Methods In 2022, hospitals were designated as either intravenous thrombolysis (IVT) - only or both thrombolysis and thrombectomy centers. Roadmaps for stroke patients were created, and structured neurologist training began. Results As of January 1, 2026, Belarus has 2,074 stroke beds across 35 hospitals in 24 cities. Endovascular thrombectomy (EVT) is available in 24 of these centers. From May 2023 to December 2025, 311 stroke neurologists (89.1% of all such specialists) completed training. Stroke mortality decreased substantially: all strokes from 26.8% (2021) to 14.1% (2025); ischemic stroke from 23.5% (2021) to 10.6% (2025). Reperfusion therapy use increased 8.5-fold over three years. Conclusions The implementation of the Stroke Action Plan for Europe (SAP-E) enabled rapid improvement in stroke care quality in Belarus. Further efforts remain essential to fully achieve the plan’s objectives. Dispite signification progress, further efforts are required to meet all the benchmarks set by the Stroke Action Plan for Europe. Conflict of interest Figure 1 - belongs to Results