-
Something wrong with this record ?
Global stroke statistics 2023: Availability of reperfusion services around the world
J. Kim, MT. Olaiya, DA. De Silva, B. Norrving, J. Bosch, DA. De Sousa, HK. Christensen, A. Ranta, GA. Donnan, V. Feigin, S. Martins, LH. Schwamm, DJ. Werring, G. Howard, M. Owolabi, J. Pandian, R. Mikulik, T. Thayabaranathan, DA. Cadilhac
Language English Country United States
Document type Journal Article, Review
- MeSH
- Stroke * epidemiology therapy MeSH
- Ischemic Stroke * MeSH
- Humans MeSH
- Reperfusion MeSH
- Ambulances MeSH
- Thrombectomy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
BACKGROUND: Disparities in the availability of reperfusion services for acute ischemic stroke are considerable globally and require urgent attention. Contemporary data on the availability of reperfusion services in different countries are used to provide the necessary evidence to prioritize where access to acute stroke treatment is needed. AIMS: To provide a snapshot of published literature on the provision of reperfusion services globally, including when facilitated by telemedicine or mobile stroke unit services. METHODS: We searched PubMed to identify original articles, published up to January 2023 for the most recent, representative, and relevant patient-level data for each country. Keywords included thrombolysis, endovascular thrombectomy and telemedicine. We also screened reference lists of review articles, citation history of articles, and the gray literature. The information is provided as a narrative summary. RESULTS: Of 11,222 potentially eligible articles retrieved, 148 were included for review following de-duplications and full-text review. Data were also obtained from national stroke clinical registry reports, Registry of Stroke Care Quality (RES-Q) and PRE-hospital Stroke Treatment Organization (PRESTO) repositories, and other national sources. Overall, we found evidence of the provision of intravenous thrombolysis services in 70 countries (63% high-income countries (HICs)) and endovascular thrombectomy services in 33 countries (68% HICs), corresponding to far less than half of the countries in the world. Recent data (from 2019 or later) were lacking for 35 of 67 countries with known year of data (52%). We found published data on 74 different stroke telemedicine programs (93% in HICs) and 14 active mobile stroke unit pre-hospital ambulance services (80% in HICs) around the world. CONCLUSION: Despite remarkable advancements in reperfusion therapies for stroke, it is evident from available patient-level data that their availability remains unevenly distributed globally. Contemporary published data on availability of reperfusion services remain scarce, even in HICs, thereby making it difficult to reliably ascertain current gaps in the provision of this vital acute stroke treatment around the world.
Center for Genomic and Precision Medicine University of Ibadan Ibadan Nigeria
Department of Medicine University of Otago Wellington Wellington New Zealand
Department of Neurology Christian Medical College and Hospital Ludhiana India
Department of Neurology Singapore General Hospital Campus National Neuroscience Institute Singapore
Department of Neurology University of Copenhagen and Bispebjerg Hospital Copenhagen Denmark
Department of Neurosciences Hospital de Santa Maria University of Lisbon Lisbon Portugal
Health Management Institute Brno Czech Republic
Melbourne Brain Centre The University of Melbourne Royal Melbourne Hospital Parkville VIC Australia
Neurology Department Bata Hospital Zlin Czech Republic
Neurology Department Hospital Moinhos de Vento Porto Alegre Brazil
Stroke Theme The Florey Institute of Neuroscience and Mental Health Heidelberg VIC Australia
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc24006997
- 003
- CZ-PrNML
- 005
- 20240423155634.0
- 007
- ta
- 008
- 240412s2024 xxu f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1177/17474930231210448 $2 doi
- 035 __
- $a (PubMed)37853529
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a xxu
- 100 1_
- $a Kim, Joosup $u Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia $u Stroke Theme, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia $1 https://orcid.org/0000000240790428
- 245 10
- $a Global stroke statistics 2023: Availability of reperfusion services around the world / $c J. Kim, MT. Olaiya, DA. De Silva, B. Norrving, J. Bosch, DA. De Sousa, HK. Christensen, A. Ranta, GA. Donnan, V. Feigin, S. Martins, LH. Schwamm, DJ. Werring, G. Howard, M. Owolabi, J. Pandian, R. Mikulik, T. Thayabaranathan, DA. Cadilhac
- 520 9_
- $a BACKGROUND: Disparities in the availability of reperfusion services for acute ischemic stroke are considerable globally and require urgent attention. Contemporary data on the availability of reperfusion services in different countries are used to provide the necessary evidence to prioritize where access to acute stroke treatment is needed. AIMS: To provide a snapshot of published literature on the provision of reperfusion services globally, including when facilitated by telemedicine or mobile stroke unit services. METHODS: We searched PubMed to identify original articles, published up to January 2023 for the most recent, representative, and relevant patient-level data for each country. Keywords included thrombolysis, endovascular thrombectomy and telemedicine. We also screened reference lists of review articles, citation history of articles, and the gray literature. The information is provided as a narrative summary. RESULTS: Of 11,222 potentially eligible articles retrieved, 148 were included for review following de-duplications and full-text review. Data were also obtained from national stroke clinical registry reports, Registry of Stroke Care Quality (RES-Q) and PRE-hospital Stroke Treatment Organization (PRESTO) repositories, and other national sources. Overall, we found evidence of the provision of intravenous thrombolysis services in 70 countries (63% high-income countries (HICs)) and endovascular thrombectomy services in 33 countries (68% HICs), corresponding to far less than half of the countries in the world. Recent data (from 2019 or later) were lacking for 35 of 67 countries with known year of data (52%). We found published data on 74 different stroke telemedicine programs (93% in HICs) and 14 active mobile stroke unit pre-hospital ambulance services (80% in HICs) around the world. CONCLUSION: Despite remarkable advancements in reperfusion therapies for stroke, it is evident from available patient-level data that their availability remains unevenly distributed globally. Contemporary published data on availability of reperfusion services remain scarce, even in HICs, thereby making it difficult to reliably ascertain current gaps in the provision of this vital acute stroke treatment around the world.
- 650 _2
- $a lidé $7 D006801
- 650 12
- $a cévní mozková příhoda $x epidemiologie $x terapie $7 D020521
- 650 12
- $a ischemická cévní mozková příhoda $7 D000083242
- 650 _2
- $a trombektomie $7 D017131
- 650 _2
- $a sanitky $7 D000552
- 650 _2
- $a reperfuze $7 D015424
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a přehledy $7 D016454
- 700 1_
- $a Olaiya, Muideen T $u Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia $1 https://orcid.org/0000000240700533
- 700 1_
- $a De Silva, Deidre A $u Department of Neurology, Singapore General Hospital Campus, National Neuroscience Institute, Singapore $1 https://orcid.org/0000000271232381
- 700 1_
- $a Norrving, Bo $u Department of Clinical Sciences, Section of Neurology, Lund University, Skåne University Hospital, Lund, Sweden
- 700 1_
- $a Bosch, Jackie $u School of Rehabilitation Science, Population Health Research Institute, McMaster University, Hamilton, ON, Canada
- 700 1_
- $a De Sousa, Diana A $u Department of Neurosciences (Neurology), Hospital de Santa Maria, University of Lisbon, Lisbon, Portugal $1 https://orcid.org/0000000267027924
- 700 1_
- $a Christensen, Hanne K $u Department of Neurology, University of Copenhagen and Bispebjerg Hospital, Copenhagen, Denmark
- 700 1_
- $a Ranta, Anna $u Department of Medicine, University of Otago, Wellington, Wellington, New Zealand $1 https://orcid.org/0000000232233330
- 700 1_
- $a Donnan, Geoffrey A $u Melbourne Brain Centre, The University of Melbourne, Royal Melbourne Hospital, Parkville, VIC, Australia $1 https://orcid.org/0000000163243403
- 700 1_
- $a Feigin, Valery $u National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand $1 https://orcid.org/0000000263721740 $7 xx0060283
- 700 1_
- $a Martins, Sheila $u Neurology Department, Hospital Moinhos de Vento, Porto Alegre, Brazil
- 700 1_
- $a Schwamm, Lee H $u Yale School of Medicine, New Haven, CT, USA
- 700 1_
- $a Werring, David J $u Stroke Research Centre, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK $1 https://orcid.org/0000000320741861
- 700 1_
- $a Howard, George $u Department of Biostatistics, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA
- 700 1_
- $a Owolabi, Mayowa $u Center for Genomic and Precision Medicine, University of Ibadan, Ibadan, Nigeria $1 https://orcid.org/0000000311463070
- 700 1_
- $a Pandian, Jeyaraj $u Department of Neurology, Christian Medical College and Hospital, Ludhiana, India $1 https://orcid.org/0000000300281968
- 700 1_
- $a Mikulik, Robert $u Health Management Institute, Brno, Czech Republic $u Neurology Department, Bata Hospital, Zlin, Czech Republic
- 700 1_
- $a Thayabaranathan, Tharshanah $u Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia $1 https://orcid.org/0000000325047772
- 700 1_
- $a Cadilhac, Dominique A $u Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia $u Stroke Theme, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia $1 https://orcid.org/000000018162682X
- 773 0_
- $w MED00176295 $t International journal of stroke $x 1747-4949 $g Roč. 19, č. 3 (2024), s. 253-270
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/37853529 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y - $z 0
- 990 __
- $a 20240412 $b ABA008
- 991 __
- $a 20240423155631 $b ABA008
- 999 __
- $a ok $b bmc $g 2081160 $s 1216764
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2024 $b 19 $c 3 $d 253-270 $e 20240101 $i 1747-4949 $m International journal of stroke $n Int J Stroke $x MED00176295
- LZP __
- $a Pubmed-20240412
