Global stroke statistics 2023: Availability of reperfusion services around the world.

Journal: International journal of stroke : official journal of the International Stroke Society

Volume: 19

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia. Department of Neurology, Singapore General Hospital Campus, National Neuroscience Institute, Singapore. Department of Clinical Sciences, Section of Neurology, Lund University, Skåne University Hospital, Lund, Sweden. School of Rehabilitation Science, Population Health Research Institute, McMaster University, Hamilton, ON, Canada. Department of Neurosciences (Neurology), Hospital de Santa Maria, University of Lisbon, Lisbon, Portugal. Department of Neurology, University of Copenhagen and Bispebjerg Hospital, Copenhagen, Denmark. Department of Medicine, University of Otago, Wellington, Wellington, New Zealand. Melbourne Brain Centre, The University of Melbourne, Royal Melbourne Hospital, Parkville, VIC, Australia. National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand. Neurology Department, Hospital Moinhos de Vento, Porto Alegre, Brazil. Yale School of Medicine, New Haven, CT, USA. Stroke Research Centre, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK. Department of Biostatistics, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA. Center for Genomic and Precision Medicine, University of Ibadan, Ibadan, Nigeria. Department of Neurology, Christian Medical College and Hospital, Ludhiana, India. Health Management Institute, Brno, Czech Republic.

Abstract summary 

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.To provide a snapshot of published literature on the provision of reperfusion services globally, including when facilitated by telemedicine or mobile stroke unit services.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.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.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.

Authors & Co-authors:  Kim Joosup J Olaiya Muideen T MT De Silva Deidre A DA Norrving Bo B Bosch Jackie J De Sousa Diana A DA Christensen Hanne K HK Ranta Anna A Donnan Geoffrey A GA Feigin Valery V Martins Sheila S Schwamm Lee H LH Werring David J DJ Howard George G Owolabi Mayowa M Pandian Jeyaraj J Mikulik Robert R Thayabaranathan Tharshanah T Cadilhac Dominique A DA

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Langhorne P, Audebert HJ, Cadilhac DA, Kim J, Lindsay P. Stroke systems of care in high-income countries: what is optimal? Lancet 2020; 396: 1433–1442.
Authors :  19
Identifiers
Doi : 10.1177/17474930231210448
SSN : 1747-4949
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Stroke;mobile stroke unit;reperfusion;telemedicine;worldwide
Study Design
Narrative Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States