2023年全球中风统计:2023年全球中风统计:2023年全球中风统计:2023年全球中风统计:2023年全球中风统计:2023年全球中风统计:2023年全球中风统计:2023年全球中风统计:2023年全球中风统计:2023年全球中风
Joosup Kim1,2, Muideen T Olaiya1, Deidre A De Silva3
1Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.
概括
全球获得急性缺血性中风再输疗法,如血栓溶解和血栓切除术是有限的,服务集中在高收入国家. 关于可用性的数据很少,这阻碍了全球解决关键治疗缺口的努力.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 全球卫生平等全球卫生平等
背景情况:
- 在全球范围内,对于急性缺血性中风的再注射服务的可用性存在重大差异.
- 迫切需要注意解决这些在急性中风治疗获取的不平等.
研究的目的:
- 提供关于急性缺血性中风再输服务的已发表文献的全球概述.
- 包括远程医疗和移动中风病房提供的服务.
主要方法:
- 搜索了PubMed的文章,直到2023年1月,包括诸如血栓溶解,内血管血栓切除和远程医疗等关键词.
- 选参考清单,引用历史和灰色文献;数据也来自国家注册表 (RES-Q,PRESTO).
主要成果:
- 70个国家 (63%的高收入国家) 发现了静脉血栓溶解服务,33个国家 (68%的高收入国家) 发现了血管内血栓切除.
- 确定了远程医疗计划 (93%在高收入国家) 和移动中风单位 (80%在高收入国家).
- 最近 (2019年以后) 的数据缺少52%的已知数据的国家.
结论:
- 对中风的再输液疗法在全球分布不均.
- 即使在高收入国家,当代数据的稀缺性也阻碍了对全球治疗差距的准确评估.
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