Delivery of acute ischaemic stroke treatments in the European
region in 2019 and 2020

J 2023

Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020

AGUIAR, de Sousa Diana, Arlene WILKIE, Bo NORRVING, Chris MACEY, Claudio BASSETTI et. al.

Basic information

Original name

Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020

Authors

AGUIAR, de Sousa Diana, Arlene WILKIE, Bo NORRVING, Chris MACEY, Claudio BASSETTI, Cristina TIU, Greg ROTH, Grethe LUNDE, Hanne CHRISTENSEN, Jens FIEHLER, Francesca Romana PEZZELLA, Martin DICHGANS, Melinda B ROALDSEN, Peter KELLY, Robert MIKULÍK (203 Czech Republic, belonging to the institution), Simona SACCO, Valeria CASO and Urs FISCHER

Edition

EUROPEAN STROKE JOURNAL, LONDON, SAGE PUBLICATIONS LTD, 2023, 2396-9873

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 6.100 in 2022

RIV identification code

RIV/00216224:14110/23:00132275

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1177/23969873231186042

UT WoS

001026494000001

Keywords in English

Europe; acute stroke treatment; health care resources; stroke unit; intravenous thrombolysis; endovascular treatment; stroke care implementation

Abstract

V originále

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.

Citovat

AGUIAR, de Sousa Diana, Arlene WILKIE, Bo NORRVING, Chris MACEY, Claudio BASSETTI, Cristina TIU, Greg ROTH, Grethe LUNDE, Hanne CHRISTENSEN, Jens FIEHLER, Francesca Romana PEZZELLA, Martin DICHGANS, Melinda B ROALDSEN, Peter KELLY, Robert MIKULÍK, Simona SACCO, Valeria CASO and Urs FISCHER. Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020. EUROPEAN STROKE JOURNAL. LONDON: SAGE PUBLICATIONS LTD, 2023, vol. 8, No 3, p. 618-628. ISSN 2396-9873. Available from: https://dx.doi.org/10.1177/23969873231186042.

@article{2339659,
   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 Mikulík, Robert and Sacco, Simona and Caso, Valeria and Fischer, Urs},
   article_location = {LONDON},
   article_number = {3},
   doi = {http://dx.doi.org/10.1177/23969873231186042},
   keywords = {Europe; acute stroke treatment; health care resources; stroke unit; intravenous thrombolysis; endovascular treatment; stroke care implementation},
   language = {eng},
   issn = {2396-9873},
   journal = {EUROPEAN STROKE JOURNAL},
   title = {Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020},
   url = {https://journals.sagepub.com/doi/10.1177/23969873231186042},
   volume = {8},
   year = {2023}
}

TY  - JOUR
ID  - 2339659
AU  - Aguiar, de Sousa Diana - Wilkie, Arlene - Norrving, Bo - Macey, Chris - Bassetti, Claudio - Tiu, Cristina - Roth, Greg - Lunde, Grethe - Christensen, Hanne - Fiehler, Jens - Pezzella, Francesca Romana - Dichgans, Martin - Roaldsen, Melinda B - Kelly, Peter - Mikulík, Robert - Sacco, Simona - Caso, Valeria - Fischer, Urs
PY  - 2023
TI  - Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020
JF  - EUROPEAN STROKE JOURNAL
VL  - 8
IS  - 3
SP  - 618-628
EP  - 618-628
PB  - SAGE PUBLICATIONS LTD
SN  - 23969873
KW  - Europe
KW  - acute stroke treatment
KW  - health care resources
KW  - stroke unit
KW  - intravenous thrombolysis
KW  - endovascular treatment
KW  - stroke care implementation
UR  - https://journals.sagepub.com/doi/10.1177/23969873231186042
N2  - 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.
ER  -

AGUIAR, de Sousa Diana, Arlene WILKIE, Bo NORRVING, Chris MACEY, Claudio BASSETTI, Cristina TIU, Greg ROTH, Grethe LUNDE, Hanne CHRISTENSEN, Jens FIEHLER, Francesca Romana PEZZELLA, Martin DICHGANS, Melinda B ROALDSEN, Peter KELLY, Robert MIKULÍK, Simona SACCO, Valeria CASO and Urs FISCHER. Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020. \textit{EUROPEAN STROKE JOURNAL}. LONDON: SAGE PUBLICATIONS LTD, 2023, vol.~8, No~3, p.~618-628. ISSN~2396-9873. Available from: https://dx.doi.org/10.1177/23969873231186042.

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