학술논문
Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020
Document Type
Article
Author
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; Mikulik, Robert; Sacco, Simona; Caso, Valeria; Fischer, Urs; Basha, Entela; Yeghiazaryan, Nune; Kiechl, Stefan; Shiraliyeva, Rana; Vanacker, Peter; Bender, Marija; Emilov Tsalta-Mladenov, Mihael; Budincevic, Hrvoje; Tomek, Ales; Kaponides, Georgios; Klingenberg Iversen, Helle; Faiss, Jürgen; Kõrv, Janika; Sairanen, Tiina; Igor, Sibon; Tsiskaridze, Alexander; Ntaios, George; Tsivgoulis, Georgios; Szapary, Laszlo; Logi Thorarinsson, Bjorn; Harbison, Joe; Bornstein, Natan M.; Toni, Danilo; Fisnik, Jashari; Karbozova, Kunduz; Miglane, Evija; Dalius, Jatužis; Droste, Dirk; Mallia, Maria; Jevto, Erakovic; Arsovska, Anita; Fromm, Annette; Kobayashi, Adam; Azevedo, Elsa; Groppa, Stanislav; Cristina, Tiu; Guekht, Alla; Zivanovic, Zeljko; Nosal, Vladimir; Zvan, Bojana; López-Cancio, Elena; Pérez de la Ossa, Natàlia; Norrving, Bo; Nedeltchev, Krassen; Vrijhoef, Bert; Akif Topcuoglu, Mehmet; Flomin, Yuriy; Ahmed, Rubina; Shelesko, Andrey; Petrela, Mentor; Zubalova, Lina; Hasanov, Rovshan; Raedt, Sylvie De; Nevena, Mahmutbegović; Peteva Andonova, Silva; Poljakovic, Zdravka; Skoda, Ondrej; Søren Paaske, Johnsen; med. Helmuth Steinmetz, Prof. Dr.; Kõrv, Janika; Sairanen, Tiina; Denis, Sablot; Lobjanidze, Nino; Milionis, Haralambos; Mitsias, Panagiotis; Tarkanyi MD, Gabor; Elisabeth Klinke, Marianne; Tanne, David; Luca, Petraglia; Dren, Boshnjaku; Turgumbaev, Dzhamal; Guntis, Karelis; Dalius, Jatužis; Droste, Dirk; Mladen, Debeljevic; Arsovska, Anita; Kurz, Martin; Anna, Czlonkowska; Eremei, Zota; Elena Oana, Terecoasa; Martinov, Mikhail; Jovanović, Dejana; Gdovinova, Zuzana; Zvan, Bojana; López-Cancio, Elena; Camps Renom, Pol; Kwa, Vincent; Murat Arsava, Ethem; Gulyayeva, Maryna; Dharmasiri, Michelle; Basha, Entela; Korompoki, Eleni; Vadikolias, Konstantinos; Bereczki MD, Daniel; Bryndis Einarsdottir, Anna; Afrim, Blyta; Mamytova, Elmira; Kristaps, Jurjans; Daiva, Rastenytė; Costache, Oana; Milovan, Roganovic; Fromm, Annette; Michal, Karlinski; Alexandru, Gasnas; Sorin, Tuta; Fidler, Mikhail; Raičević, Ranko; Zaletel, Marjan; Castellanos, Mar; Gómez-Choco, Manuel; Sirin, Hadiye; Lebedynets, Dmytro; Khaira, Jattinder; Enesi, Eugen; Sahakyan, David; Mammadbayli, Ayten; Lemmens, Robin; Dževdet, Smajlović; Emilov Tsalta-Mladenov, Mihael; Budincevic, Hrvoje; Sramek, Martin; Nabavi, med. Darius; Vibo, Riina; Strbian, Daniel; Aliyev, Rahim; Mikulik, Robert; Ozretic, David; Rocek, Miloslav; Trine, Stavngaard; med. Claus Zimmer, Prof. Dr.; Malikov, Vladislav; Lappalainen, Kimmo; Jerome, Berge; Khinikadze, Mirza; Brountzos, Elias; Vilmarsson, Vilhjalmur; Karlis, Kupcs; Marius, Kurminas; Hoffmann, Michel; Grech, Reuben; Marija, Mitric; Kjellevold Wathle, Gaute; Wojciech, Poncyljusz; Igor, Crivorucica; Bogdan, Dorobat; Till, Viktor; Klepanec, Andrej; Milosevic, Zoran; Macho, Juan; Ozdemir, Ozcan; Shchehlov, Dmytro; Dorte, Damgaard; Hermanek, Peter; Sturua, Lela; Siskou, Olga; Tsivgoulis, Georgios; Libruder, Carmit; Indredavik, Bent; Azevedo, Elsa; Elena, Manole; Mijajlović, Milija; Turcani, Peter; Norrving, Bo; Bonati, Leo; Nederkoorn, Paul; Ertuğrul Eğin, Muhammed; Samofalov, Dmytro; Diana, Ose; Rita, Gaidelytė; Droste, Dirk
Source
European Stroke Journal; September 2023, Vol. 8 Issue: 3 p618-628, 11p
Subject
Language
ISSN
23969873; 23969881
Abstract
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.