Evidence map›Paper›PMID 36712450›Full record

ArticleFrontiers in neurology2022

Characteristics of stroke service implementation in Armenia.

Greta Sahakyan, Mira Orduyan, Sevak Badalyan, Ani Adamyan, Mariam Hovhannisyan, Hasmik Manucharyan, Sagatel Egoyan, Yuri Makaryan, Hovhannes Manvelyan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Greta SahakyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Mira OrduyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Sevak BadalyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Ani AdamyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Mariam HovhannisyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Hasmik ManucharyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Sagatel EgoyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Yuri MakaryanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.
Hovhannes ManvelyanDepartment of Neurology, Astghik Medical Center, Yerevan State Medical University, Yerevan, Armenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute stroke care service in Armenia was established in 2019 after the implementation of the National Stroke Program (NSP). This study aimed to provide an up-to-date account of the current image and clinical characteristics of acute stroke service implementation at a tertiary hospital in Armenia by analyzing the quality of care and identifying the areas that need improvement. Methods: We analyzed patient data from a single hospital in 1 year after the establishment of acute stroke care service (February 2021-January 2022). We selected patients who were within 0-24 h from symptom onset at admission and included patients who benefited from reperfusion therapies (intravenous thrombolysis (IVT) and/or endovascular thrombectomy (EVT)). A favorable outcome was defined as a drop in the National Institutes of Health Stroke Scale (NIHSS) by more than four points at discharge and a modified Rankin score (mRS) of 0-2 at 90 days. Results: Of the total 385 patients, 155 underwent reperfusion therapies, 91% of patients (141/155) arrived by ambulance, 79.2% (122/155) had neurological improvement at discharge, and 60.6% (94/155) had an mRS of 0-2 at 3 months. Less than 5% of patients had early direct access to the rehabilitation center. Conclusion: Our study demonstrated that the implementation of NSP with organized protocol-driven inpatient care led to significant advancement in acute stroke service performance. We believe that our report will serve as a model for achieving advanced and structured stroke care in a resource-limited context and contribute to the future development of the healthcare system in our country.

Indexed as

Armeniaperformance measurequality indicatorstroke servicethrombolysis (tPA)

Identifiers

PMID36712450
PMCPMC9878671

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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.