ESO-EAST “Enhancing and Accelerating Stroke Treatment”

Why do we need ESO-EAST?
Stroke is the second leading cause of death (WHO) and the leading cause of long term disability.
In stroke, there are numerous treatments that save lives. But the implementation is missing.
For many patients, the effective treatment is not accessible.
We can change that!.

The aim of this ESO project is to offer a multi-year collaboration with selected physicians from Eastern European countries, in order to optimise and implement Stroke Care best practices in their countries.

What is ESO-EAST?

ESO-EAST (European Stroke Organisation: Enhancing and Accelerating Stroke Treatment) is the first comprehensive programme of improving stroke care in Europe. ESO-EAST Programme is initiated by the European Stroke Organisation and implemented in Eastern European countries through participation of stroke professionals, professional organisations and local authorities of all these countries. ESO-EAST Programme is planned for the period 2015 – 2022 (at least).

ESO-EAST is supported by an independent and unrestricted educational grant from Boehringer Ingelheim.

ESO-EAST Supporter      

ESO-EAST Programming is Built on Three Pillars


Quality Improvement

Stroke Care Policy

Building a strong and highly professional human infrastructure with good management structure and communication tools, involving all who are interested and providing leadership to members of this network.
Measuring and improving stroke care quality through a) using a newly developed RES-Q, the Registry of Stroke Care Quality and existing SITS registry, and b) providing education to stroke professionals.
Development and implementation through involvement of all stakeholders and all subjects of the value chain as (inter)national professional organisations, Ministries of Health etc. and providing facts and solutions for stroke care improvement.


  • Improve outcomes of patients after stroke through scaled-up evidence-based treatments in ESO-EAST countries.
  • Decrease disparities in stroke care in Eastern countries compare to Western European countries.
  • Measure the quality of stroke healthcare systems across diverse countries.
  • Change the current clinical practice and improve health services in ESO-EAST countries.
  • Improve access and conditions of health-care staff to professional training.
  • Increase research knowledge and performance of health professionals in ESO-EAST countries.
  • Develop methodology of stroke care improvement scalable beyond ESO-EAST countries.

Join ESO-EAST Activities

  1. Contact your Country Representative who coordinates national ESO-EAST projects.
  2. Join RES-Q – Registry of Stroke Care Quality and help us to improve stroke care
  3. Contact members of SC through ESO-EAST Administrator Mariana Boudova,
  4. Follow our  Social Media: ESO-EAST LinkedIn Group, ESO Twitter, ESO Facebook.

ESO-EAST Steering Committee

  • Robert Mikulik, Czech Republic – ESO-EAST Chair
  • Valeria Caso, Italy – ESO Past President
  • Natan Bornstein, Israel
  • Francesca Romana Pezzella, Italy
  • Veronika Svobodova, Czech Republic
  • Milan Vosko, Austria
  • Jennifer Thomsen, ESO Head Office

The ESO-EAST Steering Committee oversees implementation of strategy, coordinates activities between countries, organises ESO-EAST meetings, communications with stakeholders, dealing with fundraising, educational activities, promotion of the ESO-EAST Project and its results.

ESO-EAST Workshops

ESO-EAST Workshop 2019

Download 5th Annual ESO EAST Workshop Info and Programme


5th Annual ESO-EAST Workshop at ESOC

21 May, 2019, 8:00 – 17:00

Venue:  Milano Convention Centre MiCo, Piazzale Carlo Magno, 1, 20149 Milan, Italy

 Moderators: Francesca R. Pezzella and Natan Bornstein

Time Lecture Speaker
8.00 Registration
8.15 Welcome and Introduction Robert Mikulik, Veronika Svobodova
8.30 ESO President Welcome Bart van der Worp
8.40 European Stroke Action Plan 2018-2030 Implementation Valeria Caso
ESO EAST Highlights – 2018/2019 Report
Veronika Svobodova
9.10 RES-Q Data Report and Update Robert Mikulik
9.30 RES-Q Technical News and Plans

Andreea M. Grecu, Steven Simsic

9.40 RES-Q Discussion All
10.00 – 10.15 Coffee Break  
10.20 IRENE COST Action: Quality Improvement Grant Veronika Svobodova
10.35 Guest Lecture: IRENE COST Action: Stroke Registries – A Model for Comprehensive and Sustainable Stroke Care Quality Peter Kolominsky-Rabas
10.55 Moldova pilot study – Brief Introduction Natan Bornstein, Stanislav Groppa
11.05 RES-Q Results in ESO EAST Countries: Guided Poster Session Moderators: Milan Vosko, F. R. Pezzella
12.05 Lunch  

Brief presentations of all ESO EAST Countries

1) The biggest success in stroke care improvement in each ESO EAST country during last 5 years

2) What have we learned from the RES-Q data on stroke care quality in our country?

3) How do we use / plan to use the RES-Q data?

Country Delegates (one by one)
14.30 ESO EAST Advisor`s Lecture  Bo Norrving
14.50 Coffee Break  
15.10 ANGELS activities in ESO EAST region 2018/2019 Thomas Fischer
15.20 Discussion on using RES-Q data – Inputs for the following task Moderator: Robert Mikulik

Preparation of Country Action Plans

1) Defining KPIs for stroke care improvement based on RES-Q data.

2) To whom and how the RES-Q data will be communicated.


Group Task – Country Delegates and ANGELS
16.20 Presentation of Selected Country Action Plans Country Delegates
16.35 Publication Plan 2019/2020 Natan Bornstein
16.50 Conclusion Robert Mikulik

The ESO EAST Project is supported by unrestricted grant from EVER Pharma and Boehringer Ingelheim companies.

The 2019 ESO EAST Workshop is endorsed by the World Stroke Organization (WSO)


  • Invited ESO-EAST Country Representatives and delegates
  • ESO-EAST Steering Committee Members
  • Representatives of Industry Partners (BI, EVER Pharma,)
  • ANGELS Initiative Representatives and Consultants


ESO-EAST Workshop 2018

4th Annual ESO-EAST Workshop at ESOC

Gothenburg, Sweden – 15 May, 2018


The Swedish Exhibition & Congress Centre
Room: J2
Entrance: Gate 8
Mässans Gata/Korsvägen, 412 94 Göteborg, Sweden


Moderators: Francesca R. Pezzella and Natan Bornstein

Time Lecture Speaker
8.00-8.30 Registration
8.30-8.40 Welcome speech and introduction

Valeria Caso, ESO President, Italy

Robert Mikulik, ESO-EAST Chair, Czech Republic

8.40-8.55 The Presidential Speech – The special lecture for ESO-EAST delegates

Valeria Caso

ESO President, Italy

9.00-9.10 ESO-EAST overview and up-date

Veronika Svobodova

ESO-EAST Manager, Czech Republic

9.15-9.30 RES-Q up-date and results

Robert Mikulik

ESO-EAST Chair, Czech Republic

9.35-9.45 RES-Q technical development and news

Andreea Madalina Grecu

RES-Q Manager & Platform Architect, Czech Republic

9.45-10.15 RES-Q questions, discussion All
10.15-10.30 Coffee break  
10.30-11.15 Poster presentation: RES-Q country results – 1st round ESO-EAST Country Representatives

Guest: prof. Sandy Middleton

QASC Protocol Introduction

+ Questions 15 min.

Sandy Middleton

Director, Nursing Research Institute

Australian Catholic University & St Vincent’s Health Australia Sydney

11.45-12.30 Poster presentation: RES-Q country results – 2nd round ESO-EAST Country Representatives
12.30-13.10 Lunch  
13.10-13.30 Leadership – educational lecture

Axel Kohlmetz

Industry Partner, Austria


The best practice of 3 ESO-EAST Countries:

The way they achieved their results.

+ Discussion 15 min.

ESO-EAST Country Representatives

Guest: Dr. Madhu Kanakapura

Strategy of ANGELS in South-East Asia

Madhu Kanakapura

ANGELS Manager, South Asia


Guest: Dr. Epifania V. Collantes

Strategy of Philippines Stroke Society in Stroke Care Improvement

Epifania V. Collantes

President of Stroke Society, Philippines


Guest: Prof. Nguyen Hng Thang

Strategy of Stroke Care Improvement in Vietnam

Nguyen Hng Thang

Head of Stroke Unit,

115 People’s Hospital, Vietnam

15.00-15.15 Coffee break  

SUNEP: The Nursing educational project

Up-date and plans 2018/2019

Yuriy Flomin

SUNEP Coordinator, Ukraine

15.30-15.40 ESO-EAST PR Strategy 2018/2019 and beyond

Milan Vosko, ESO-EAST Steering Committee Member, Austria

Hrvoje Budincevic, Country Representative, Croatia

15.40-15.50 ESO-EAST Strategy in cooperation with governments and international bodies

Francesca R. Pezzella

ESO-EAST Steering Committee Member, Italy

15.50-16.00 Publication support program

Natan Bornstein

ESO-EAST Steering Committee Member, Israel

16.00-16.30 ESO-EAST and ANGELS management alignment + discussion

Thomas Fischer

ANGELS Global Team Leader, Germany

16.30-17.00 Wrap-up All
17.00-17.15 Conclusion Robert Mikulik, ESO-EAST Chair, Czech Republic

The ESO EAST Project is supported by unrestricted grant from EVER Pharma and Boehringer Ingelheim companies.


  • Invited ESO-EAST Country Representatives and delegates
  • ESO-EAST Steering Committee Members
  • Representatives of Industry Partners (BI, EVER Pharma, Medtronic)
  • ANGELS Initiative Representatives and Consultants


Participants are invited to the ESO-EAST post workshop networking dinner at 7 p.m.


This meeting is endorsed by the World Stroke Organisation


ESO-EAST Workshop 2017



Time Programme Speaker
8.30 – 8.45 Introduction: welcome + goals of the meeting Valeria Caso, Robert Mikulik
8.45 – 9.00 ESO-EAST Steering Committee Annual Report Veronika Svobodova
9.00 – 9.20 RES-Q Data Presentation Robert Mikulik
9.20 – 9.40 WHO lecture Jill Farrington (WHO)
9.40 – 10.00 RIBURST – how to implement Riskometer in ESO-EAST countries Valery Feigin
10.00 – 10.15
10.15 – 10.45 Country presentations – block 1 (4 countries) Czech Rep., Slovakia, Poland, Hungary
1 min. Video-greeting WSO
10.45 – 11.15 Country presentations – block 2 (4 countries) Slovenia, Croatia, Bosnia, Serbia
1 min. Video-greeting EAN
11.15 – 11.45 Country presentations – block 3 (4 countries) Bulgaria, Romania, Macedonia, Albania
12.00 – 12.40
12.45 – 13.00 Nursing Education in ESO-EAST – SUNEP Project Yuriy Flomin
13.00 – 13.40 Country presentations – block 4 (5 countries) Lithuania, Estonia, Russia, Moldova, Uzbekistan
1 min. Video-greeting
13.40 – 14.10 Country presentations – block 5 (5 countries) Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan
14.10 – 14.25 Good practice of ESO-EAST implementation in Ukraine T. Mishchenko / N. Chemer / or other representative
14.30 – 14.45
14.45 – 15.00 Program for increasing ESO-EAST papers publishing Valeria Caso/Natan Bornstein
15.00 – 15.20 Tyrol Stroke Pathway: improving stroke care using measuring KPI  – good practice from Austria Michael Knoflach
14.20 – 15.30 PR tools for ESO-EAST and ESO-EAST goals Milan R. Vosko
15.30 – 16.30 Discussion – open discussion about how countries achieved their goals, how they solved obstacles etc.: examples for other countries Moderated by Natan Bornstein + Francesca R. Pezzella
16.30 – 17.00

Summary and action plan for 2017/2018


Robert Mikulik et al
18:30 Delegate Speaker Networking Dinner Invited Delegates and Speakers

The ESO EAST Project is supported by unrestricted grant from EVER Pharma and Boehringer Ingelheim companies.

ESO-EAST Workshop 2016
CCIB – Centre Convencions Internacional de Barcelona, Hall H Room 118 + 119


8.30 – 8.45    INTRODUCTION (welcome speech, intro of ESO-EAST Project)     Valeria Caso    Robert Mikulik
8.45 – 9.15    WHO Opening Lecture    Jill Farrington
9.15 – 9.40    Global Burden of Disease.  Stroke app.    Valery Feigin
9.40 – 9.55    ESO EAST PROJECT UP-DATE: summary of outputs 2015/16   Veronika Svobodova
9.55 – 10.10    ESO EAST PROJECT UP-DATE: summary of results: Robert Mikulik    Natan Bornstein
10.10 – 10.25    Coffee break
10.25 – 11.30    ESO EAST PROJECT UP-DATE part A: Results from 10 countries Each country representative
11.30 – 11.50    Coffee break
11.50 – 12.55    ESO EAST PROJECT UP-DATE part B: Results from 10 countries Each country representative
12.55 – 13.30    Lunch
13.30 – 13.45    Performance measures for endovascular treatment, logistics, target times    Adam Kobayashi    Valeria Caso
13.45 – 14.15
1.    Impact of Israeli registry on stroke care  Natan Bornstein
2.    Impact of SITS on stroke care in the Czech Republic  Robert Mikulik
3.    Impact of Quick registry on stroke care in Poland  Maciej Newada
14.15 – 14.45    Education for Nurses – status quo, next steps, discussion     Yuriy Flomin
14.45 – 15.15    Coffee break
15.15 – 15.30    Funding for healthcare and research    Veronika Svobodova
15.30 – 16.30    Summary of challenges and action plan    Robert Mikulik, Valeria Caso, Natan Bornstein
16.30 – 16.45     Closure     Robert Mikulik
18:00    Delegate Speaker Networking Dinner    Invited Delegates and Speakers

The ESO EAST Project is supported by unrestricted grant from EVER Pharma and Boehringer Ingelheim companies.
The ESO EAST Meeting in Barcelona is also supported by St. Anne’s University Hospital Brno, Czech Republic, by grant ICRC-ERA-HumanBridge No. 316345 funded from the European Union’s Seventh Framework Programme for research, technological development and demonstration.

Prepared by Veronika Svobodova

ESO-EAST Workshop 2015

ESO EAST “Enhancing and Accelerating Stroke Treatment” Workshop 2015
Sponsored by EVER Pharma and Boehringer Ingelheim
Crowne Plaza Hotel, Glasgow, UK
16 April, 2015, 8:30 – 18:00

8:30 – 9:00     Arrival and Welcome
– coffee, tea and cookies –

9:00 – 9:20     Official Opening of the Workshop
–    Kennedy Lees, President,  Valeria Caso, President Elect, Robert Mikulik, Co-Opted Board Member at Large, Nikolay Shamalov, Chair of ESO-EAST

9:20- 9:30        Introduction of Delegates

Moderators: Robert Mikulik and Nikolay Shamalov

9:30-10:00     Tackling stroke in a developing country – what to do first (the Georgian example)  – Alexander Tsiskaridze

10:00-10:30     In hospital stroke care and basic stroke care quality indicators: specific treatment, early prevention, dysphagia, temperature, and hypertension, nursing strategies – Francesca R. Pezzella

10:30-11:00     What we have learned from National registers? The Israeli model: How to design a stroke registry (and what it can achieve?) – Natan Bornstein

11:00-11:30        Morning Coffee Break

Moderators: Alexander Tsiskaridze and Francesca R. Pezzella

11:30-12:00     SITS-EAST- how registry helped to improve stroke care in the Czech Republic – Robert Mikulik

12:00-12:30     Stroke network in the Russian Federation  – Nikolay Shamalov

12:30-13:30         LUNCH

Moderators: Natan Bornstein and Milan R. Vosko

13:30-14:00     How to promote the concept of Stroke Unit? – Milan R. Vosko

14:00-14:30     Stroke epidemiology in Eastern European Countries and Russia – what we know and do not know  -Valery Feigin

14:30-15:00                  Afternoon Coffee Break

Moderators: Natan Bornstein and Robert Mikulik

15:00-17:45      How to Improve Stroke Care in Your Home Country
Work in facilitated groups. Short presentations will be prepared according to template during this session and presented. Discussion and plans for the next year.

17:45-18:00    Closing Remarks – Robert Mikulik

18:30        Networking Dinner Reception (off site)