Evidence map›Paper›PMID 37853529›Full record

ReviewInternational journal of stroke : official journal of the International Stroke Society2024

Global stroke statistics 2023: Availability of reperfusion services around the world.

Joosup Kim, Muideen T Olaiya, Deidre A De Silva, Bo Norrving, Jackie Bosch, Diana A De Sousa, Hanne K Christensen, Anna Ranta, Geoffrey A Donnan, Valery Feigin and 9 more

Open access · hybridAbstract readReview
In one paragraph

Review in International journal of stroke : official journal of the International Stroke Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 1% of its field
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Transcranial laser therapy for acute ischaemic stroke.The Cochrane database of systematic reviews · 2025
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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

19 authors at 17 institutions in 13 countries.

Joosup KimStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.ORCID 0000-0002-4079-0428
Muideen T OlaiyaStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.ORCID 0000-0002-4070-0533
Deidre A De SilvaDepartment of Neurology, Singapore General Hospital Campus, National Neuroscience Institute, Singapore.ORCID 0000-0002-7123-2381
Bo NorrvingDepartment of Clinical Sciences, Section of Neurology, Lund University, Skåne University Hospital, Lund, Sweden.
Jackie BoschSchool of Rehabilitation Science, Population Health Research Institute, McMaster University, Hamilton, ON, Canada.
Diana A De SousaDepartment of Neurosciences (Neurology), Hospital de Santa Maria, University of Lisbon, Lisbon, Portugal.ORCID 0000-0002-6702-7924
Hanne K ChristensenDepartment of Neurology, University of Copenhagen and Bispebjerg Hospital, Copenhagen, Denmark.
Anna RantaDepartment of Medicine, University of Otago, Wellington, Wellington, New Zealand.ORCID 0000-0002-3223-3330
Geoffrey A DonnanMelbourne Brain Centre, The University of Melbourne, Royal Melbourne Hospital, Parkville, VIC, Australia.ORCID 0000-0001-6324-3403
Valery FeiginNational Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-6372-1740
Sheila MartinsNeurology Department, Hospital Moinhos de Vento, Porto Alegre, Brazil.
Lee H SchwammYale School of Medicine, New Haven, CT, USA.
David J WerringStroke Research Centre, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0003-2074-1861
George HowardDepartment of Biostatistics, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA.
Mayowa OwolabiCenter for Genomic and Precision Medicine, University of Ibadan, Ibadan, Nigeria.ORCID 0000-0003-1146-3070
Jeyaraj PandianDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, India.ORCID 0000-0003-0028-1968
Robert MikulikHealth Management Institute, Brno, Czech Republic.
Tharshanah ThayabaranathanStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.ORCID 0000-0003-2504-7772
Dominique A CadilhacStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.ORCID 0000-0001-8162-682X
Florey Institute of Neuroscience and Mental Health · AUMonash Health · AUAuckland University of Technology · NZBaťa (Czechia) · CZChristian Medical College, Vellore · INHospital Moinhos de Vento · BRLund University · SENational Hospital for Neurology and Neurosurgery · GBPopulation Health Research Institute · CASingapore General Hospital · SGThe Royal Melbourne Hospital · AUUniversity of Alabama at Birmingham · USUniversity of Copenhagen · DKUniversity of Ibadan · NGUniversity of Lisbon · PTUniversity of Otago · NZYale University · US

Funding

Medical Research Council GRANT NO. 1154273
6 · The paper itself

Abstract

backgroundDisparities in the availability of reperfusion services for acute ischemic stroke are considerable globally and require urgent attention. Contemporary data on the availability of reperfusion services in different countries are used to provide the necessary evidence to prioritize where access to acute stroke treatment is needed.

aimsTo provide a snapshot of published literature on the provision of reperfusion services globally, including when facilitated by telemedicine or mobile stroke unit services.

methodsWe searched PubMed to identify original articles, published up to January 2023 for the most recent, representative, and relevant patient-level data for each country. Keywords included thrombolysis, endovascular thrombectomy and telemedicine. We also screened reference lists of review articles, citation history of articles, and the gray literature. The information is provided as a narrative summary.

resultsOf 11,222 potentially eligible articles retrieved, 148 were included for review following de-duplications and full-text review. Data were also obtained from national stroke clinical registry reports, Registry of Stroke Care Quality (RES-Q) and PRE-hospital Stroke Treatment Organization (PRESTO) repositories, and other national sources. Overall, we found evidence of the provision of intravenous thrombolysis services in 70 countries (63% high-income countries (HICs)) and endovascular thrombectomy services in 33 countries (68% HICs), corresponding to far less than half of the countries in the world. Recent data (from 2019 or later) were lacking for 35 of 67 countries with known year of data (52%). We found published data on 74 different stroke telemedicine programs (93% in HICs) and 14 active mobile stroke unit pre-hospital ambulance services (80% in HICs) around the world.

conclusionDespite remarkable advancements in reperfusion therapies for stroke, it is evident from available patient-level data that their availability remains unevenly distributed globally. Contemporary published data on availability of reperfusion services remain scarce, even in HICs, thereby making it difficult to reliably ascertain current gaps in the provision of this vital acute stroke treatment around the world.

Indexed as

Ischemic StrokeStrokeAmbulancesHumansReperfusionThrombectomymobile stroke unitreperfusionStroketelemedicineworldwide

Identifiers

PMID37853529
PMCPMC10903148
OpenAlexW4387764916

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.