Evidence map›Paper›PMID 42077249›Full record

ArticleThe Malaysian journal of medical sciences : MJMS2025

Evolution of Stroke Care at Universiti Sains Malaysia Specialist Hospital, Malaysia (1983-2025): Progress, Challenges, and Future Directions.

Sanihah Abdul Halim, Mohamad Masykurin Mafauzy, Nur Asma Sapiai, Nasibah Mohamad, Muhammad Ihfaz Ismail, Mohd Hafizuddin Husin, Bazli Md Yusoff, Muhammad Hafiz Hanafi, Muhammad Syahir Mohamad Fauzi, Wan Syahmi Wan Mohamad and 20 more

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Article in The Malaysian journal of medical sciences : MJMS, 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
–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

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

30 authors.

Sanihah Abdul HalimDepartment of Internal Medicine (Neurology), School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Mohamad Masykurin MafauzyDepartment of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Nur Asma SapiaiDepartment of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Nasibah MohamadDepartment of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Muhammad Ihfaz IsmailDepartment of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Mohd Hafizuddin HusinDepartment of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Bazli Md YusoffDepartment of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Muhammad Hafiz HanafiRehabilitation Medicine Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Muhammad Syahir Mohamad FauziDepartment of Internal Medicine (Neurology), School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Wan Syahmi Wan MohamadDepartment of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Song Yee AngDepartment of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Diana Noma FitzrolDepartment of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Zaitun ZakariaDepartment of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Al Hafiz IbrahimRehabilitation Medicine Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Wan Mohd Aiman Wan Ab RahmanRehabilitation Medicine Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Nur Adilah BoktiDepartment of Internal Medicine (Neurology), School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Laila Ab MukminDepartment of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Mohamad Hasyizan HassanDepartment of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
W Mohd Nazaruddin W HassanDepartment of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Izzat IsmailUniversiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia.
Rose Izura Abdul HamidNeurology Unit, Department of Medicine, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia.
Saidatul Manera Mohd DaudNeurology Unit, Department of Medicine, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia.
Zulzamri IsmailUniversiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia.
Salmi Zura Mohd SallehUniversiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia.
Rosni ManeUniversiti Sains Malaysia Specialist Hospital, Kubang Kerian, Kelantan, Malaysia.
Kamarul Aryffin BaharuddinDepartment of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Mohd Shafie AbdullahDepartment of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Ab Rahman Izaini GhaniDepartment of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Zamzuri IdrisDepartment of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Jafri Malin AbdullahDepartment of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke remains a significant global health burden and is the third leading cause of mortality in Malaysia. Despite advances in the management of acute ischaemic stroke through reperfusion therapies, such as intravenous thrombolysis and endovascular thrombectomy, access to these treatments remains limited in many parts of Malaysia due to high costs and infrastructural constraints. Universiti Sains Malaysia (USM) Specialist Hospital, located in Kelantan state, has transitioned into a comprehensive stroke centre, particularly addressing the needs of suburban and rural populations. USM Specialist Hospital has implemented a multidisciplinary, protocol-driven stroke service that encompasses a rapid triage system, 24-h neuroimaging, reperfusion therapies, a dedicated acute stroke unit, neurocritical care services, cerebrovascular neurosurgery services, and a comprehensive rehabilitation programme. This coordinated stroke management model has improved clinical outcomes, patient survival, and functional recovery rates. The USM Specialist Hospital experience highlights the importance of structured, multidisciplinary stroke care pathways in enhancing treatment access and optimising outcomes, particularly in resource-limited healthcare settings.

Indexed as

comprehensive stroke centrehistory and evolutionstroke careUniversiti Sains Malaysia

Identifiers

PMID42077249
PMCPMC13132108

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Registered trials

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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.