Global Stroke Statistics 2023: Availability of Reperfusion Services Around the World

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aut.relation.endpage270
aut.relation.issue3
aut.relation.journalInternational Journal of Stroke
aut.relation.startpage253
aut.relation.volume19
dc.contributor.authorKim, Joosup
dc.contributor.authorOlaiya, Muideen T
dc.contributor.authorDe Silva, Deidre Anne
dc.contributor.authorNorrving, Bo
dc.contributor.authorBosch, Jackie
dc.contributor.authorAguiar de Sousa, Diana
dc.contributor.authorChristensen, Hanne
dc.contributor.authorRanta, Anna
dc.contributor.authorDonnan, Geoffrey
dc.contributor.authorFeigin, Valery L
dc.contributor.authorMartins, Sheila
dc.contributor.authorSchwamm, Lee
dc.contributor.authorWerring, David
dc.contributor.authorHoward, George
dc.contributor.authorOwolabi, Mayowa
dc.contributor.authorPandian, Jeyaraj Durai
dc.contributor.authorMikulik, Robert
dc.contributor.authorThayabaranathan, Tharshanah
dc.contributor.authorCadilhac, Dominique
dc.date.accessioned2024-06-24T03:56:21Z
dc.date.available2024-06-24T03:56:21Z
dc.date.issued2023-10-18
dc.description.abstractBACKGROUND: Disparities in the availability of reperfusion services for acute ischaemic stroke are considerable globally, and require urgent attention. Contemporary data on the availability of reperfusion services in different countries provide the necessary evidence to prioritise 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 papers, published up to January 2023, with the most recent, representative and relevant data for each country. Keywords included thrombolysis and telemedicine. We also screened reference lists of review papers, citation history of papers, and the grey literature. The information is provided as a narrative summary. RESULTS: Of 11,222 potentially eligible papers 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 (6463% 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 ambulances services (80% in HICs) around the world. CONCLUSION: Despite remarkable advancements in reperfusion therapies for stroke, it is evident from available 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.
dc.identifier.citationInternational Journal of Stroke, ISSN: 1747-4930 (Print); 1747-4930 (Online), SAGE Publications, 19(3), 253-270. doi: 10.1177/17474930231210448
dc.identifier.doi10.1177/17474930231210448
dc.identifier.issn1747-4930
dc.identifier.issn1747-4930
dc.identifier.urihttp://hdl.handle.net/10292/17695
dc.languageeng
dc.publisherSAGE Publications
dc.relation.urihttps://journals.sagepub.com/doi/10.1177/17474930231210448
dc.rights© 2023 World Stroke Organization. Creative Commons License (CC BY-NC 4.0). This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
dc.rights.accessrightsOpenAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectendovascular thrombectomy
dc.subjectmobile stroke unit
dc.subjectReperfusion
dc.subjectreview
dc.subjectStroke
dc.subjectTelemedicine
dc.subjectThrombolysis
dc.subjectworldwide
dc.subjectStroke
dc.subjectmobile stroke unit
dc.subjectreperfusion
dc.subjecttelemedicine
dc.subjectworldwide
dc.subject4203 Health Services and Systems
dc.subject42 Health Sciences
dc.subjectCerebrovascular
dc.subjectBrain Disorders
dc.subjectClinical Research
dc.subjectStroke
dc.subjectHealth Services
dc.subject8.1 Organisation and delivery of services
dc.subject8 Health and social care services research
dc.subjectStroke
dc.subject1103 Clinical Sciences
dc.subject1109 Neurosciences
dc.subjectNeurology & Neurosurgery
dc.subject3202 Clinical sciences
dc.subject3209 Neurosciences
dc.subject4201 Allied health and rehabilitation science
dc.subject.meshHumans
dc.subject.meshStroke
dc.subject.meshIschemic Stroke
dc.subject.meshThrombectomy
dc.subject.meshAmbulances
dc.subject.meshReperfusion
dc.subject.meshHumans
dc.subject.meshReperfusion
dc.subject.meshThrombectomy
dc.subject.meshAmbulances
dc.subject.meshStroke
dc.subject.meshIschemic Stroke
dc.subject.meshHumans
dc.subject.meshStroke
dc.subject.meshIschemic Stroke
dc.subject.meshThrombectomy
dc.subject.meshAmbulances
dc.subject.meshReperfusion
dc.titleGlobal Stroke Statistics 2023: Availability of Reperfusion Services Around the World
dc.typeJournal Article
pubs.elements-id527845
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