Global Stroke Statistics 2023: Availability of reperfusion services around the world.

2023-10-18

Kim, Joosup

Olaiya, Muideen T

De Silva, Deidre Anne

Norrving, Bo

Bosch, Jackie

Aguiar de Sousa, Diana

Christensen, Hanne

Ranta, Anna

Donnan, Geoffrey A

Feigin, Valery L

Martins, Sheila

Schwamm, Lee

Werring, David

Howard, George

Owolabi, Mayowa

Pandian, Jeyaraj Durai

Mikulik, Robert

Thayabaranathan, Tharshanah

Cadilhac, Dominique

Reperfusion

Stroke

Telemedicine

Thrombolysis

endovascular thrombectomy

mobile stroke unit

review

worldwide

Journal Article

0000-0002-4079-0428

0000-0002-4070-0533

0000-0002-7123-2381

#PLACEHOLDER_PARENT_METADATA_VALUE#

#PLACEHOLDER_PARENT_METADATA_VALUE#

0000-0002-6702-7924

#PLACEHOLDER_PARENT_METADATA_VALUE#

0000-0002-3223-3330

0000-0001-6324-3403

0000-0002-6372-1740

#PLACEHOLDER_PARENT_METADATA_VALUE#

#PLACEHOLDER_PARENT_METADATA_VALUE#

0000-0003-2074-1861

#PLACEHOLDER_PARENT_METADATA_VALUE#

0000-0003-1146-3070

0000-0003-0028-1968

#PLACEHOLDER_PARENT_METADATA_VALUE#

0000-0003-2504-7772

0000-0001-8162-682X

10.1177/17474930231210448

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. 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. 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. 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.

link

International Journal of Stroke : Official Journal of the International Stroke Society 2023-10-18

International Journal of Stroke : Official Journal of the International Stroke Society

1747-4949