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Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020.
Aguiar de Sousa, D. ; Wilkie, A. ; Norrving, B. ; Macey, C. ; Bassetti, C. ; Tiu, C. ; Roth, G. ; Lunde, G. ; Christensen, H. ; Fiehler, J. ; Pezzella, F. R. ; Dichgans, M.DZNE* ; Roaldsen, M. B. ; Kelly, P. ; Mikulik, R. ; Sacco, S. ; Caso, V. ; Fischer, U. ; Committee, S. (Collaboration Author) ; Basha, E. (Contributor) ; Yeghiazaryan, N. (Contributor) ; Kiechl, S. (Contributor) ; Shiraliyeva, R. (Contributor) ; Vanacker, P. (Contributor) ; Bender, M. (Contributor) ; Emilov Tsalta-Mladenov, M. (Contributor) ; Budincevic, H. (Contributor) ; Tomek, A. (Contributor) ; Kaponides, G. (Contributor) ; Klingenberg Iversen, H. (Contributor) ; Faiss, J. (Contributor) ; Kõrv, J. (Contributor) ; Sairanen, T. (Contributor) ; Igor, S. (Contributor) ; Tsiskaridze, A. (Contributor) ; Ntaios, G. (Contributor) ; Tsivgoulis, G. (Contributor) ; Szapary, L. (Contributor) ; Logi Thorarinsson, B. (Contributor) ; Harbison, J. (Contributor) ; Bornstein, N. M. (Contributor) ; Toni, D. (Contributor) ; Fisnik, J. (Contributor) ; Karbozova, K. (Contributor) ; Miglane, E. (Contributor) ; Dalius, J. (Contributor) ; Droste, D. (Contributor) ; Mallia, M. (Contributor) ; Jevto, E. (Contributor) ; Arsovska, A. (Contributor) ; Fromm, A. (Contributor) ; Kobayashi, A. (Contributor) ; Azevedo, E. (Contributor) ; Groppa, S. (Contributor) ; Cristina, T. (Contributor) ; Guekht, A. (Contributor) ; Zivanovic, Z. (Contributor) ; Nosal, V. (Contributor) ; Zvan, B. (Contributor) ; López-Cancio, E. (Contributor) ; Pérez de la Ossa, N. (Contributor) ; Norrving, B. (Contributor) ; Nedeltchev, K. (Contributor) ; Vrijhoef, B. (Contributor) ; Akif Topcuoglu, M. (Contributor) ; Flomin, Y. (Contributor) ; Ahmed, R. (Contributor) ; Shelesko, A. (Contributor) ; Petrela, M. (Contributor) ; Zubalova, L. (Contributor) ; Hasanov, R. (Contributor) ; Raedt, S. D. (Contributor) ; Nevena, M. (Contributor) ; Peteva Andonova, S. (Contributor) ; Poljakovic, Z. (Contributor) ; Skoda, O. (Contributor) ; Søren Paaske, J. (Contributor) ; Med Helmuth Steinmetz, P. D. (Contributor) ; Kõrv, J. (Contributor) ; Sairanen, T. (Contributor) ; Denis, S. (Contributor) ; Lobjanidze, N. (Contributor) ; Milionis, H. (Contributor) ; Mitsias, P. (Contributor) ; Tarkanyi Md, G. (Contributor) ; Elisabeth Klinke, M. (Contributor) ; Tanne, D. (Contributor) ; Luca, P. (Contributor) ; Dren, B. (Contributor) ; Turgumbaev, D. (Contributor) ; Guntis, K. (Contributor) ; Dalius, J. (Contributor) ; Droste, D. (Contributor) ; Mladen, D. (Contributor) ; Arsovska, A. (Contributor) ; Kurz, M. (Contributor) ; Anna, C. (Contributor) ; Eremei, Z. (Contributor) ; Elena Oana, T. (Contributor) ; Martinov, M. (Contributor) ; Jovanović, D. (Contributor) ; Gdovinova, Z. (Contributor) ; Zvan, B. (Contributor) ; López-Cancio, E. (Contributor) ; Camps Renom, P. (Contributor) ; Kwa, V. (Contributor) ; Murat Arsava, E. (Contributor) ; Gulyayeva, M. (Contributor) ; Dharmasiri, M. (Contributor) ; Basha, E. (Contributor) ; Korompoki, E. (Contributor) ; Vadikolias, K. (Contributor) ; Bereczki Md, D. (Contributor) ; Bryndis Einarsdottir, A. (Contributor) ; Afrim, B. (Contributor) ; Mamytova, E. (Contributor) ; Kristaps, J. (Contributor) ; Daiva, R. (Contributor) ; Costache, O. (Contributor) ; Milovan, R. (Contributor) ; Fromm, A. (Contributor) ; Michal, K. (Contributor) ; Alexandru, G. (Contributor) ; Sorin, T. (Contributor) ; Fidler, M. (Contributor) ; Raičević, R. (Contributor) ; Zaletel, M. (Contributor) ; Castellanos, M. (Contributor) ; Gómez-Choco, M. (Contributor) ; Sirin, H. (Contributor) ; Lebedynets, D. (Contributor) ; Khaira, J. (Contributor) ; Enesi, E. (Contributor) ; Sahakyan, D. (Contributor) ; Mammadbayli, A. (Contributor) ; Lemmens, R. (Contributor) ; Dževdet, S. (Contributor) ; Emilov Tsalta-Mladenov, M. (Contributor) ; Budincevic, H. (Contributor) ; Sramek, M. (Contributor) ; Nabavi, M. D. (Contributor) ; Vibo, R. (Contributor) ; Strbian, D. (Contributor) ; Aliyev, R. (Contributor) ; Mikulik, R. (Contributor) ; Ozretic, D. (Contributor) ; Rocek, M. (Contributor) ; Trine, S. (Contributor) ; Med Claus Zimmer, P. D. (Contributor) ; Malikov, V. (Contributor) ; Lappalainen, K. (Contributor) ; Jerome, B. (Contributor) ; Khinikadze, M. (Contributor) ; Brountzos, E. (Contributor) ; Vilmarsson, V. (Contributor) ; Karlis, K. (Contributor) ; Marius, K. (Contributor) ; Hoffmann, M. (Contributor) ; Grech, R. (Contributor) ; Marija, M. (Contributor) ; Kjellevold Wathle, G. (Contributor) ; Wojciech, P. (Contributor) ; Igor, C. (Contributor) ; Bogdan, D. (Contributor) ; Till, V. (Contributor) ; Klepanec, A. (Contributor) ; Milosevic, Z. (Contributor) ; Macho, J. (Contributor) ; Ozdemir, O. (Contributor) ; Shchehlov, D. (Contributor) ; Dorte, D. (Contributor) ; Hermanek, P. (Contributor) ; Sturua, L. (Contributor) ; Siskou, O. (Contributor) ; Tsivgoulis, G. (Contributor) ; Libruder, C. (Contributor) ; Indredavik, B. (Contributor) ; Azevedo, E. (Contributor) ; Elena, M. (Contributor) ; Mijajlović, M. (Contributor) ; Turcani, P. (Contributor) ; Norrving, B. (Contributor) ; Bonati, L. (Contributor) ; Nederkoorn, P. (Contributor) ; Ertuğrul Eğin, M. (Contributor) ; Samofalov, D. (Contributor) ; Diana, O. (Contributor) ; Rita, G. (Contributor) ; Droste, D. (Contributor) ; Implementation of the Stroke Action Plan in Europe (Collaboration author)
2023
Sage Publishing
London
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Please use a persistent id in citations: doi:10.1177/23969873231186042
Abstract: We assessed best available data on access and delivery of acute stroke unit (SU) care, intravenous thrombolysis (IVT) and endovascular treatment (EVT) in the European region in 2019 and 2020.We compared national data per number of inhabitants and per 100 annual incident first-ever ischaemic strokes (AIIS) in 46 countries. Population estimates and ischaemic stroke incidence were based on United Nations data and the Global Burden of Disease Report 2019, respectively.The estimated mean number of acute SUs in 2019 was 3.68 (95% CI: 2.90-4.45) per one million inhabitants (MIH) with 7/44 countries having less than one SU per one MIH. The estimated mean annual number of IVTs was 21.03 (95% CI: 15.63-26.43) per 100,000 and 17.14% (95% CI: 12.98-21.30) of the AIIS in 2019, with highest country rates at 79.19 and 52.66%, respectively, and 15 countries delivering less than 10 IVT per 100,000. The estimated mean annual number of EVTs in 2019 was 7.87 (95% CI: 5.96-9.77) per 100,000 and 6.91% (95% CI: 5.15-8.67) of AIIS, with 11 countries delivering less than 1.5 EVT per 100,000. Rates of SUs, IVT and EVT were stable in 2020. There was an increase in mean rates of SUs, IVT and EVT compared to similar data from 2016.Although there was an increase in reperfusion treatment rates in many countries between 2016 and 2019, this was halted in 2020. There are persistent major inequalities in acute stroke treatment in the European region. Tailored strategies directed to the most vulnerable regions should be prioritised.
Keyword(s): Humans (MeSH) ; Stroke: epidemiology (MeSH) ; Brain Ischemia: epidemiology (MeSH) ; Thrombolytic Therapy (MeSH) ; Treatment Outcome (MeSH) ; Endovascular Procedures (MeSH) ; Ischemic Stroke: epidemiology (MeSH) ; Europe ; acute stroke treatment ; endovascular treatment ; health care resources ; intravenous thrombolysis ; stroke care implementation ; stroke unit
Contributing Institute(s):
- Vascular Cognitive Impairment & Post-Stroke Dementia (AG Dichgans)
Research Program(s):
- 353 - Clinical and Health Care Research (POF4-353) (POF4-353)
Appears in the scientific report
2023
Database coverage: ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Essential Science Indicators ; IF >= 5 ; JCR ; National-Konsortium ; PubMed Central ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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