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ArticleFrontiers in neurology

MTAS-MENA: adapting the Stroke Access Barrier Index (SABI) to enhance mechanical thrombectomy access in the Middle East and North Africa region.

Ossama Yassin Mansour, Kaiz S Asif, Violiza Inoa, Farid Aladham, Ibrahim Alnaami, Hosam Maher Al-Jehani, Abdulrahman Alshamy, Faisal Alghamdi, Ozlem Aykac, Mohamed Hamdy and 34 more

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

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

44 authors.

Ossama Yassin MansourStroke and Neurointervention Center, Alexandria University, Alexandria, Egypt.
Kaiz S AsifDepartment of Neurology, Ascension Medical Group Illinois, Chicago, IL, United States.
Violiza InoaDepartment of Neurology, Semmes-Murphey Neurologic and Spine Clinic, Memphis, TN, United States.
Farid AladhamDepartment of Neuroradiology, Amman Specialized IR Center, Amman, Jordan.
Ibrahim AlnaamiDepartment of Neurosurgery, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Hosam Maher Al-JehaniDepartment of Neurosurgery, Imam Abdulrahman AL Faisal University, Dammam, Saudi Arabia.
Abdulrahman AlshamyDepartment of Neuroradiology, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Faisal AlghamdiDepartment of Interventional Neuroradiology, King Abdullah Medical City, Makkah, Saudi Arabia.
Ozlem AykacDepartment of Neurology, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Mohamed HamdyDepartment of Neuroradiology, Ain Shams University, Cairo, Egypt.
Hany HamadaniDepartment of Neurology, Ibn Al Nafees Hospital, Manama, Bahrain.
Mehdi FarhodiDepartment of Neurology, Tabriz University of Medical Sciences, Tabriz, Iran.
Mahmoud GalalDepartment of Neurology, Al-Azhar University, Cairo, Egypt.
Mohamed GhorbaniDepartment of Neurosurgery, Tehran University, Tehran, Iran.
Erdem GurkasDepartment of Neurology, Dr. Lutfi Kirdar City Hospital, Istanbul, Türkiye.
Mohamed Alaa HabibAinShams University, Unit, Cairo, Egypt.
Nadia HammamiDepartment of Interventional Neuroradiology, Institute National de Neurology, Tunis, Tunisia.
Tamer HassanStroke and Neurointervention Center, Alexandria University, Alexandria, Egypt.
Farouk HassanDepartment of Neuroradiology, Cairo University, Cairo, Egypt.
Syed I HussainDepartment of Neurology, Neurological Institute Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Yahia ImamDepartment of Stroke and Vascular Neurology, Weill Cornell Medicine, Doha, Qatar.
Seby JohnDepartment of Neurology, Neurological Institute Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Wael KhalifaDepartment of Neurology, Armed Forces Medical Complex in Maadi, Cairo, Egypt.
Amina El KhamlichiInterventional Neuroradiology, Centre Hospitalier Universaitaire IBN Sina de Rabat, Rabat, Morocco.
Amr MahmoudDepartment of Neuroradiology, Ain Shams University, Cairo, Egypt.
Ahmed OssamaStroke and Neurointervention Center, Alexandria University, Alexandria, Egypt.
Mostafa MahmoudDepartment of Stroke and Vascular Neurology, Weill Cornell Medicine, Doha, Qatar.
Ehab S MohamedDepartment of Neurology, Tanta University, Tanta, Egypt.
Nada NasrStroke and Neurointervention Center, Alexandria University, Alexandria, Egypt.
Atilla Ozcan OzdemirDepartment of Neurology, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Umair RashidDepartment of Neuroradiology, Lahore General Hospital, Lahore, Pakistan.
Salma SaidStroke and Neurointervention Center, Alexandria University, Alexandria, Egypt.
Abdulmonem SaiedDepartment of Interventional Neuroradiology, Military Tripoli General Hospital, Tripoli, Libya.
Maher SaqqurDepartment of Neurology, University of Toronto, Ontario, Canada.
Khalid SobhDepartment of Neurology, Al-Azhar University, Cairo, Egypt.
Ryna ThenDepartment of Neurology, Cooper Medical School of Rowan University, Camden, NJ, United States.
Gillian L Gordon PerueDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, United States.
Mohammed WasayDepartment of Clinical Neurology, Aga Khan University, Karachi, Pakistan.
Hany Zaki EldeenDepartment of Neuroradiology, Ain Shams University, Cairo, Egypt.
Fawaz Al-MuftiDepartment of Neurology, New York Medical College, Valhalla, NY, United States.
Santiago Ortega-GutierrezDepartment of Neurology, University of Iowa, Iowa City, IA, United States.
Sheila MartinsUniversity Federal of Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Dileep R YavagalDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, United States.
Ashfaq ShuaibDepartment of Medicine, University of Alberta, Edmonton, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: We developed and preliminarily validated the Stroke Access Barrier Index (SABI), adapted from the global MTAS framework, then applied it to assess potential barriers to mechanical thrombectomy access in the MENA region. Methods: Cross-sectional survey with embedded instrument development and validation study. We surveyed 352 stroke and neurointerventional facility directors across the Middle East and North Africa (MENA) region, defined as 22 countries/territories, with responses obtained from 17 countries (March-June 2024), receiving 102 responses (29%). The SABI tool evaluates 12 attributes scored 0-3, yielding a total score from 0-36. Emergency medical services (EMS) utilization and health literacy were key measures. Results: The median SABI score for the MENA region was 18.5 (IQR: 10.0-24.0; 95% CI: 16.8-20.2), significantly lower ( Conclusions: The SABI provides an exploratory framework for identifying potential MT access barriers in the MENA region. While preliminary findings suggest substantial challenges (median score 18.5), these results require validation through prospective studies linking scores to actual MT utilization and patient outcomes. This initial assessment may guide hypothesis generation for future intervention studies.

Indexed as

access barriershealthcare systemshealth disparitiesmechanical thrombectomyMENA regionstroke

Identifiers

PMID41798813
PMCPMC12960120

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