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@ARTICLE{AguiardeSousa:263623,
author = {Aguiar de Sousa, Diana and Wilkie, Arlene and Norrving, Bo
and Macey, Chris and Bassetti, Claudio and Tiu, Cristina and
Roth, Greg and Lunde, Grethe and Christensen, Hanne and
Fiehler, Jens and Pezzella, Francesca Romana and Dichgans,
Martin and Roaldsen, Melinda B and Kelly, Peter and Mikulik,
Robert and Sacco, Simona and Caso, Valeria and Fischer, Urs},
collaboration = {Committee, Steering and Implementation of the Stroke Action
Plan in Europe},
othercontributors = {Basha, Entela and Yeghiazaryan, Nune and Kiechl, Stefan and
Shiraliyeva, Rana and Vanacker, Peter and Bender, Marija and
Emilov Tsalta-Mladenov, Mihael and Budincevic, Hrvoje and
Tomek, Ales and Kaponides, Georgios and Klingenberg Iversen,
Helle and Faiss, Jürgen and Kõrv, Janika and Sairanen,
Tiina and Igor, Sibon and Tsiskaridze, Alexander and Ntaios,
George and Tsivgoulis, Georgios and Szapary, Laszlo and Logi
Thorarinsson, Bjorn and Harbison, Joe and Bornstein, Natan M
and Toni, Danilo and Fisnik, Jashari and Karbozova, Kunduz
and Miglane, Evija and Dalius, Jatužis and Droste, Dirk and
Mallia, Maria and Jevto, Erakovic and Arsovska, Anita and
Fromm, Annette and Kobayashi, Adam and Azevedo, Elsa and
Groppa, Stanislav and Cristina, Tiu and Guekht, Alla and
Zivanovic, Zeljko and Nosal, Vladimir and Zvan, Bojana and
López-Cancio, Elena and Pérez de la Ossa, Natàlia and
Norrving, Bo and Nedeltchev, Krassen and Vrijhoef, Bert and
Akif Topcuoglu, Mehmet and Flomin, Yuriy and Ahmed, Rubina
and Shelesko, Andrey and Petrela, Mentor and Zubalova, Lina
and Hasanov, Rovshan and Raedt, Sylvie De and Nevena,
Mahmutbegović and Peteva Andonova, Silva and Poljakovic,
Zdravka and Skoda, Ondrej and Søren Paaske, Johnsen and Med
Helmuth Steinmetz, Prof Dr and Kõrv, Janika and Sairanen,
Tiina and Denis, Sablot and Lobjanidze, Nino and Milionis,
Haralambos and Mitsias, Panagiotis and Tarkanyi Md, Gabor
and Elisabeth Klinke, Marianne and Tanne, David and Luca,
Petraglia and Dren, Boshnjaku and Turgumbaev, Dzhamal and
Guntis, Karelis and Dalius, Jatužis and Droste, Dirk and
Mladen, Debeljevic and Arsovska, Anita and Kurz, Martin and
Anna, Czlonkowska and Eremei, Zota and Elena Oana, Terecoasa
and Martinov, Mikhail and Jovanović, Dejana and Gdovinova,
Zuzana and Zvan, Bojana and López-Cancio, Elena and Camps
Renom, Pol and Kwa, Vincent and Murat Arsava, Ethem and
Gulyayeva, Maryna and Dharmasiri, Michelle and Basha, Entela
and Korompoki, Eleni and Vadikolias, Konstantinos and
Bereczki Md, Daniel and Bryndis Einarsdottir, Anna and
Afrim, Blyta and Mamytova, Elmira and Kristaps, Jurjans and
Daiva, Rastenytė and Costache, Oana and Milovan, Roganovic
and Fromm, Annette and Michal, Karlinski and Alexandru,
Gasnas and Sorin, Tuta and Fidler, Mikhail and Raičević,
Ranko and Zaletel, Marjan and Castellanos, Mar and
Gómez-Choco, Manuel and Sirin, Hadiye and Lebedynets,
Dmytro and Khaira, Jattinder and Enesi, Eugen and Sahakyan,
David and Mammadbayli, Ayten and Lemmens, Robin and
Dževdet, Smajlović and Emilov Tsalta-Mladenov, Mihael and
Budincevic, Hrvoje and Sramek, Martin and Nabavi, Med Darius
and Vibo, Riina and Strbian, Daniel and Aliyev, Rahim and
Mikulik, Robert and Ozretic, David and Rocek, Miloslav and
Trine, Stavngaard and Med Claus Zimmer, Prof Dr and Malikov,
Vladislav and Lappalainen, Kimmo and Jerome, Berge and
Khinikadze, Mirza and Brountzos, Elias and Vilmarsson,
Vilhjalmur and Karlis, Kupcs and Marius, Kurminas and
Hoffmann, Michel and Grech, Reuben and Marija, Mitric and
Kjellevold Wathle, Gaute and Wojciech, Poncyljusz and Igor,
Crivorucica and Bogdan, Dorobat and Till, Viktor and
Klepanec, Andrej and Milosevic, Zoran and Macho, Juan and
Ozdemir, Ozcan and Shchehlov, Dmytro and Dorte, Damgaard and
Hermanek, Peter and Sturua, Lela and Siskou, Olga and
Tsivgoulis, Georgios and Libruder, Carmit and Indredavik,
Bent and Azevedo, Elsa and Elena, Manole and Mijajlović,
Milija and Turcani, Peter and Norrving, Bo and Bonati, Leo
and Nederkoorn, Paul and Ertuğrul Eğin, Muhammed and
Samofalov, Dmytro and Diana, Ose and Rita, Gaidelytė and
Droste, Dirk},
title = {{D}elivery of acute ischaemic stroke treatments in the
{E}uropean region in 2019 and 2020.},
journal = {European stroke journal},
volume = {8},
number = {3},
issn = {2396-9873},
address = {London},
publisher = {Sage Publishing},
reportid = {DZNE-2023-00842},
pages = {618 - 628},
year = {2023},
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.},
keywords = {Humans / Stroke: epidemiology / Brain Ischemia:
epidemiology / Thrombolytic Therapy / Treatment Outcome /
Endovascular Procedures / Ischemic Stroke: epidemiology /
Europe (Other) / acute stroke treatment (Other) /
endovascular treatment (Other) / health care resources
(Other) / intravenous thrombolysis (Other) / stroke care
implementation (Other) / stroke unit (Other)},
cin = {AG Dichgans},
ddc = {610},
cid = {I:(DE-2719)5000022},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pmc = {pmc:PMC10472963},
pubmed = {pmid:37431768},
pmc = {PMCID: PMC10472963},
doi = {10.1177/23969873231186042},
url = {https://pub.dzne.de/record/263623},
}
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