Two previous pan-European consensus meetings, the 1995 and 2006 Helsingborg meetings, were convened to review the scientific evidence and the state of current services to identify priorities for research and development and to set targets for the development of stroke care for the decade to follow. Adhering to the same format, the European Stroke Organisation (ESO) prepared a European Stroke Action Plan (ESAP) for the years 2018 to 2030, in cooperation with the Stroke Alliance for Europe (SAFE). The ESAP included seven domains: primary prevention, organisation of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment and life after stroke. Research priorities for translational stroke research were also identified. Documents were prepared by a working group and were open to public comments. The final document was prepared after a workshop in Munich on 21-23 March 2018. Four overarching targets for 2030 were identified: (1) to reduce the absolute number of strokes in Europe by 10%, (2) to treat 90% or more of all patients with stroke in Europe in a dedicated stroke unit as the first level of care, (3) to have national plans for stroke encompassing the entire chain of care, (4) to fully implement national strategies for multisector public health interventions. Overall, 30 targets and 72 research priorities were identified for the seven domains. The ESAP provides a basic road map and sets targets for the implementation of evidence-based preventive actions and stroke services to 2030.

Centre for Clinical Neurosciences Edinburgh Imaging and UK Dementia Research Institute University of Edinburgh Edinburgh UK

Clinical Center for Neuropsychiatry Russian National Research Medical University Moscow Russia

Department of Clinical Sciences Lund Neurology Skåne University Hospital Lund University Lund Sweden

Department of Neurology CHU Lille Lille France

Department of Neurology Radboud University Medical Centre Nijmegen and Department of Neurology Academic Medical Centre Amsterdam the Netherlands

Department of Neurology Stroke Unit University of Dokuz Eylul Izmir Turkey

Department of Neurology with Stroke Unit Vivantes Hospital Neukölln Berlin Germany

Department of Neurosciences Hospital Universitari Germans Trias i Pujol Universitat Autònoma de Barcelona Barcelona Spain

Guy's and St Thomas' NHS Foundation Trust Stroke NHS England and Royal College of Physicians London UK

Institut d'Investigacions Biomèdiques de Barcelona Barcelona Spain

Institute for Stroke and Dementia Research University Hospital Ludwig Maximilians University Munich and Munich Cluster of Systems Neurology Munich Germany

Institute of Neuroscience and Physiology Sahlgrenska University Hospital Gothenburg Sweden

International Clinical Research Center and Neurology Department St Anne's University Hospital Brno and Masaryk University Brno Czech Republic

School of Health Sciences University of Nottingham Nottingham UK

Stroke Alliance for Europe London UK

Stroke Trials Unit Division of Clinical Neuroscience University of Nottingham Nottingham UK

Stroke Unit Department of Medicine and Cardiovascular Medicine University of Perugia Perugia Italy

Stroke Unit Department of Neurology Hospital Vall d´Hebron Barcelona Spain

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