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000263623 1001_ $$00000-0002-6702-7924$$aAguiar de Sousa, Diana$$b0
000263623 245__ $$aDelivery of acute ischaemic stroke treatments in the European region in 2019 and 2020.
000263623 260__ $$aLondon$$bSage Publishing$$c2023
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000263623 520__ $$aWe 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.
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000263623 650_7 $$2Other$$aEurope
000263623 650_7 $$2Other$$aacute stroke treatment
000263623 650_7 $$2Other$$aendovascular treatment
000263623 650_7 $$2Other$$ahealth care resources
000263623 650_7 $$2Other$$aintravenous thrombolysis
000263623 650_7 $$2Other$$astroke care implementation
000263623 650_7 $$2Other$$astroke unit
000263623 650_2 $$2MeSH$$aHumans
000263623 650_2 $$2MeSH$$aStroke: epidemiology
000263623 650_2 $$2MeSH$$aBrain Ischemia: epidemiology
000263623 650_2 $$2MeSH$$aThrombolytic Therapy
000263623 650_2 $$2MeSH$$aTreatment Outcome
000263623 650_2 $$2MeSH$$aEndovascular Procedures
000263623 650_2 $$2MeSH$$aIschemic Stroke: epidemiology
000263623 7001_ $$aWilkie, Arlene$$b1
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000263623 7001_ $$aImplementation of the Stroke Action Plan in Europe$$b189$$eCollaboration author
000263623 773__ $$0PERI:(DE-600)2851287-X$$a10.1177/23969873231186042$$gVol. 8, no. 3, p. 618 - 628$$n3$$p618 - 628$$tEuropean stroke journal$$v8$$x2396-9873$$y2023
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