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Delivery of acute i...
Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020
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- Aguiar de Sousa, Diana (author)
- University of Lisbon
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- Wilkie, Arlene (author)
- Stroke Alliance for Europe
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- Norrving, Bo (author)
- Lund University,Lunds universitet,Klinisk strokeforskning,Forskargrupper vid Lunds universitet,Stroke policy och kvalitetsregisterforskning,Clinical Stroke Research Group,Lund University Research Groups,Stroke policy and quality register research,Skåne University Hospital
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- Macey, Chris (author)
- Irish Heart Foundation
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- Bassetti, Claudio (author)
- University of Bern
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- Tiu, Cristina (author)
- Carol Davila University of Medicine and Pharmacy
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- Roth, Greg (author)
- University of Washington
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- Lunde, Grethe (author)
- Stroke Alliance for Europe
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- Christensen, Hanne (author)
- Copenhagen University Hospital
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- Fiehler, Jens (author)
- University Medical Center Hamburg-Eppendorf
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- Pezzella, Francesca Romana (author)
- Azienda Ospedaliera San Camillo Forlanini
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- Dichgans, Martin (author)
- Ludwig-Maximilian University of Munich,German Center for Neurodegenerative Diseases (DZNE), Munich
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- Roaldsen, Melinda B. (author)
- UiT The Arctic University of Norway, Tromsø,University Hospital of North Norway
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- Kelly, Peter (author)
- University College Dublin
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- Mikulik, Robert (author)
- Masaryk University,St. Anne's University Hospital Brno
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- Sacco, Simona (author)
- University of L'Aquila
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- Caso, Valeria (author)
- University of Perugia
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- Fischer, Urs (author)
- University Hospital Basel,University of Basel
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(creator_code:org_t)
- 2023
- 2023
- English 11 s.
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In: European Stroke Journal. - 2396-9873. ; 8:3, s. 618-628
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Introduction: 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. Patients and methods: 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. Results: 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. Conclusion: 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- acute stroke treatment
- endovascular treatment
- Europe
- health care resources
- intravenous thrombolysis
- stroke care implementation
- stroke unit
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Aguiar de Sousa, ...
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Wilkie, Arlene
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Norrving, Bo
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Macey, Chris
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Bassetti, Claudi ...
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Tiu, Cristina
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Roth, Greg
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Lunde, Grethe
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Christensen, Han ...
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Fiehler, Jens
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Pezzella, France ...
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Dichgans, Martin
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Roaldsen, Melind ...
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Kelly, Peter
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Mikulik, Robert
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Sacco, Simona
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Caso, Valeria
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Fischer, Urs
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
- Articles in the publication
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European Stroke ...
- By the university
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Lund University