Evidence map›Paper›PMID 35982743›Full record

ReviewPostepy w kardiologii interwencyjnej = Advances in interventional cardiology2022

Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era - which way to go?

Krzysztof Pawłowski, Artur Dziadkiewicz, Jacek Klaudel, Alicja Mączkowiak, Marek Szołkiewicz

Abstract readReview
In one paragraph

Review in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Exposure to ionizing radiation of medical staff performing vascular and interventional radiology procedures.International journal of occupational medicine and environmental health · 2024
    Article
  3. WIST guidelines: a global solution to increase interventional stroke treatment.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2023
    Article
  4. Making endovascular stroke treatment possible: training to save brains (and lives).Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2023
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Krzysztof PawłowskiDepartment of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, Wejherowo, Poland.
Artur DziadkiewiczDepartment of Neurology and Stroke, Pomeranian Hospitals, Wejherowo, Poland.
Jacek KlaudelDepartment of Invasive Cardiology, St. Adalbert's Hospital, Copernicus PL, Gdansk, Poland.
Alicja MączkowiakDepartment of Neurology and Stroke, Pomeranian Hospitals, Wejherowo, Poland.
Marek SzołkiewiczDepartment of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, Wejherowo, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The interventional treatment of acute ischemic stroke with large vessel occlusion has revolutionized patient care in recent years. The Mechanical Thrombectomy Pilot Program in Poland is due to end soon. It seems the right time to summarize the achievements and name the problems of a centralized stroke care system and decide what future model of treatment and transportation to implement. In order to provide the best care for our patients, it is crucial to establish the actual needs in stroke and tailor the mechanical thrombectomy system structure accordingly. The analysis of data from well-organized health systems in the world suggests that to deliver adequate numbers of mechanical thrombectomy to stroke patients in Poland, we would need to at least double the number of procedures currently performed. To achieve this, an essential system reorganization and adjustments are required, with special emphasis on the number of mechanical thrombectomy centers and transportation models. The strengths and weaknesses of two dominant transportation models (mothership and drip-and-ship) are herein discussed, and a proposal on how to build an efficient and cost-effective mechanical thrombectomy stroke network in Poland is put forward. The article is an invitation to open an interdisciplinary discussion on the best treatment model of acute ischemic stroke patients requiring mechanical thrombectomy in Poland.

Indexed as

acute ischemic strokemechanical thrombectomystroke network modelingstroke transportation modelthrombectomy-capable stroke center

Identifiers

PMID35982743
PMCPMC9199023

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.