Evidence map›Paper›PMID 41316091›Full record

ArticleBMC neurology2025

Sudanese physicians' insights on managing stroke during Sudan's war 2024.

Fatima Elbasri Abuelgasim Mohammed, Marafi Jammaa Ahmed, Barah Badreldin Ali MohamedAhmed, Abuelgasim Mohamed, Noon Mohamed Elfatih Ahmed, Hanan Mohamed Naeim Gandour, Eilaf Eltahir Mohamed Idris, Saja Mohammed Salih Mohammed Mohammed Salih, Ahmed Saeed Ahmed Saeed, Aziza Abd Almahmoud Elseed and 12 more

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Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

Fatima Elbasri Abuelgasim MohammedFaculty of Medicine, Khartoum University, Khartoum, Sudan.
Marafi Jammaa AhmedFaculty of Medicine, Bahri University, Khartoum, Sudan.ORCID http://orcid.org/0009-0000-5032-8627
Barah Badreldin Ali MohamedAhmedFaculty of Medicine, El-Razi University, Khartoum, Sudan.ORCID http://orcid.org/0009-0008-0351-592X
Abuelgasim MohamedFaculty of Medicine, Al-neelain University, Khartoum, Sudan.
Noon Mohamed Elfatih AhmedFaculty of Medicine, Al-neelain University, Khartoum, Sudan.ORCID http://orcid.org/0009-0003-6587-0891
Hanan Mohamed Naeim GandourFaculty of Medicine, Al-neelain University, Khartoum, Sudan.ORCID http://orcid.org/0009-0005-0221-8980
Eilaf Eltahir Mohamed IdrisFaculty of Medicine, Al-neelain University, Khartoum, Sudan.ORCID http://orcid.org/0009-0009-5234-4669
Saja Mohammed Salih Mohammed Mohammed SalihFaculty of Medicine, Bahri University, Khartoum, Sudan.ORCID http://orcid.org/0009-0006-5244-8829
Ahmed Saeed Ahmed SaeedFaculty of Medicine, Al-neelain University, Khartoum, Sudan.
Aziza Abd Almahmoud ElseedFaculty of Medicine, National University, Khartoum, Sudan.ORCID http://orcid.org/0009-0001-2373-0925
Mohamed Osama Mohamed IdrisFaculty of Medicine, Bahri University, Khartoum, Sudan.ORCID http://orcid.org/0009-0006-6860-3053
Talha Zuhair Elameir MohammedFaculty of Medicine, Sudan International University, Khartoum, Sudan.ORCID http://orcid.org/0009-0009-2601-8763
Abdelrahman Khalfalla Abdelrahman MustafaFaculty of Medicine, University of Gezira, Gezira, Sudan.ORCID http://orcid.org/0009-0008-1691-7100
Razan Azhari GailiFaculty of Medicine, Bahri University, Khartoum, Sudan.
Sara Abdallah Alameen SaeedFaculty of Medicine, Sudan International University, Khartoum, Sudan.
Khalid Abbas Hassan SaadFaculty of Medicine and Health Science, Omdurman Islamic University, Omdurman, Sudan.
Mmdooh Badreldin Ali MohammedAhmedFaculty of Medicine, El-Razi University, Khartoum, Sudan.
Shahd Amir Yousif SulimanFaculty of Medicine, Khartoum University, Khartoum, Sudan.
Mohamed Salah Gamar ElawadFaculty of Medicine, University of Gezira, Gezira, Sudan.ORCID http://orcid.org/0009-0003-0396-7778
Yasir Abdelrafi Dafalla FadlelmoulaFaculty of Medicine, University of Gezira, Gezira, Sudan.ORCID http://orcid.org/0009-0003-6978-8801
Gotof Abdesalam MustafaFaculty of Medicine, Khartoum University, Khartoum, Sudan.
Khabab Abbasher Hussien Mohammed AhmedFaculty of Medicine, Khartoum University, Khartoum, Sudan. khabab9722@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a major public health burden, with high mortality and long-term disability, particularly in low-resource and conflict-affected settings. In Sudan, the ongoing armed conflict since April 2023 has critically impacted healthcare delivery, yet its effects on stroke care remain underexplored.

methodsA descriptive cross-sectional survey was conducted among 431 physicians managing stroke cases during the 2024 Sudan conflict. Data were collected through a self-administered questionnaire distributed via medical networks. Descriptive statistics summarized the findings, and Kruskal-Wallis tests assessed associations.

resultsMost respondents were general practitioners (49.2%), with over 80% having ≤ 5 years' experience and working in public hospitals. Nearly 49% reported significantly worsened stroke outcomes since the war, and 58% noted increases in both incidence and severity. Key barriers included delayed hospital arrival (38.5%), lack of neuroimaging (28.8%), and financial constraints. Over 70% cited shortages in supplies; rehabilitation was disrupted by facility loss, displacement, and inadequate follow-up. Complications such as recurrent strokes (57.5%) and infections (53.4%) were common. No significant associations were found between demographic factors and responses patterns to stroke management services.

conclusionThe war has led to a systemic collapse in stroke management in Sudan. A coordinated response is urgently needed to address diagnostic limitations, security risks, and rehabilitation gaps. Strengthening training, infrastructure, and resource delivery must be prioritized in future recovery strategies.

Indexed as

Armed ConflictsPhysiciansStrokeAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSudanSurveys and QuestionnairesHealth systemsNeuroimagingRehabilitationStrokeStroke managementSudan conflictThrombolysisWar medicine

Identifiers

PMID41316091
PMCPMC12763908

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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.