ArticleEuropean stroke journal2022
The impact of a comprehensive national policy on improving acute stroke patient care in Lithuania.
Article in European stroke journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- Cross-national differences in stroke management in the Baltic states: analysis within the Stroke Action Plan for Europe framework.European stroke journal · 2026Article
- Burnout and career satisfaction in neurology.Frontiers in public health · 2026Article
- Stroke Action Plan for Europe 2018-2030 (SAP-E): mid-term review and update.European stroke journal · 2026Review
- The Lithuanian Stroke Database: selection of national stroke care performance measures.Frontiers in neurology · 2025Article
- Addressing Disparities in Acute Stroke Management and Prognosis.Journal of the American Heart Association · 2024Review
- Early Epileptic Seizures after Ischemic Stroke: Their Association with Stroke Risk Factors and Stroke Characteristics.Medicina (Kaunas, Lithuania) · 2023Article
- Prehospital Stroke Care, Paramedic Training Needs, and Hospital-Directed Feedback in Lithuania.Healthcare (Basel, Switzerland) · 2022Article
- High Prevalence of Atrial Fibrillation in a Lithuanian Stroke Patient Cohort.Medicina (Kaunas, Lithuania) · 2022Observational
- Reperfusion Therapies for Acute Ischemic Stroke in COVID-19 Patients: A Nationwide Multi-Center Study.Journal of clinical medicine · 2022Article
- Interactive Training of the Emergency Medical Services Improved Prehospital Stroke Recognition and Transport Time.Frontiers in neurology · 2022Article
- Decentralizing acute stroke reperfusion therapies: moving from structural centralization to organizational equity.Frontiers in neurologyArticle
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Reperfusion therapy (RT) is a mainstay treatment for acute ischemic stroke (AIS). We aimed to evaluate the impact of a comprehensive national policy (CNP) to improve access to RT for AIS patients across Lithuania. Patients and methods: Aggregated anonymized data on AIS cases treated in Lithuanian hospitals between 2006 and 2019 were retrospectively obtained from the Institute of Hygiene and the Stroke Integrated Care Management Committee. Through an interrupted time series analysis, we examined the trends in AIS hospital admissions, RT, and in-hospital case fatality rates prior to the enactment of CNP in 2014, changes immediately after the intervention, and differences in trends between the pre- and post-intervention periods. Mean yearly door-to-needle times were calculated post-intervention. Results: 114,436 cases were treated for AIS in Lithuanian hospitals before, and 65,084 after the government intervention. We observed a significant decreasing post-intervention trend change in AIS hospital admission rate per 100,000 population (regression coefficient ± standard error: β = -16.47 ± 3.95, Conclusion: The comprehensive national stroke patient care policy could be associated with an immediate increase in stroke center treatment rate, increased access to RT, and improved stroke care performance measures.
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