Changing the face of stroke care in the Middle East North Africa region

Khan, Maria; Alrukn, Suhail; Alhazzani, Adel; Aref, Hany; Moreira, Tiago Prazeres; Wahlgren, Nils

doi:10.1016/j.jns.2020.116727

Cited by 3 publications

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References 2 publications

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“…Some data suggest that the burden of stroke is increasing in the Middle East and North Africa (MENA) region ( 3 , 4 ). The MENA region has an estimated population of 411 million ( 5 ). A study published in 2010 reported variable stroke incidence rates in the MENA ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services

Hashmi

Shuaib²,

Imam³

et al. 2022

Front. Neurol.

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BackgroundAcute stroke care is complex and requires multidisciplinary networking. There are insufficient data on stroke care in the Middle East and adjacent regions in Asia and Africa.ObjectiveEvaluate the state of readiness of stroke programs in the Middle East North Africa and surrounding regions (MENA+) to treat acute stroke.MethodOnline questionnaire survey on the evaluation of stroke care across hospitals of MENA+ region between April 2021 and January 2022.ResultsThe survey was completed by 34/50 (68%) hospitals. The median population serviced by participating hospitals was 2 million. The median admission of patients with stroke/year was 600 (250–1,100). The median length of stay at the stroke units was 5 days. 34/34 (100%) of these hospitals have 24/7 CT head available. 17/34 (50%) have emergency guidelines for prehospital acute stroke care. Mechanical thrombectomy with/without IVT was available in 24/34 (70.6%). 51% was the median (IQR; 15–75%) of patients treated with IVT within 60 min from arrival. Thirty-five minutes were the median time to reverse warfarin-associated ICH.ConclusionThis is the first large study on the availability of resources for the management of acute stroke in the MENA+ region. We noted the disparity in stroke care between high-income and low-income countries. Concerted efforts are required to improve stroke care in low-income countries. Accreditation of stroke programs in the region will be helpful.

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Section: Introductionmentioning

confidence: 99%

Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services

Hashmi

Shuaib²,

Imam³

et al. 2022

Front. Neurol.

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Accreditation of stroke programs at the MENA + region; between aspiration and reality

Al Hashmi,

Imam,

Mansour

et al. 2024

Journal of Stroke and Cerebrovascular Diseases

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Stroke in Africa: profile, progress, prospects and priorities

et al. 2021

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Stroke is a leading cause of disability, dementia and death worldwide. Approximately 70% of deaths from stroke and 87% of stroke-related disability occur in low-income and middle-income countries. At the turn of the century, the most common diseases in Africa were communicable diseases, whereas non-communicable diseases, including stroke, were considered rare, particularly in sub-Saharan Africa. However, evidence indicates that, today, Africa could have up to 2–3-fold greater rates of stroke incidence and higher stroke prevalence than western Europe and the USA. In Africa, data published within the past decade show that stroke has an annual incidence rate of up to 316 per 100,000, a prevalence of up to 1,460 per 100,000 and a 3-year fatality rate greater than 80%. Moreover, many Africans have a stroke within the fourth to sixth decades of life, with serious implications for the individual, their family and society. This age profile is particularly important as strokes in younger people tend to result in a greater loss of self-worth and socioeconomic productivity than in older individuals. Emerging insights from research into stroke epidemiology, genetics, prevention, care and outcomes offer great prospects for tackling the growing burden of stroke on the continent. In this article, we review the unique profile of stroke in Africa and summarize current knowledge on stroke epidemiology, genetics, prevention, acute care, rehabilitation, outcomes, cost of care and awareness. We also discuss knowledge gaps, emerging priorities and future directions of stroke medicine for the more than 1 billion people who live in Africa.

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Changing the face of stroke care in the Middle East North Africa region

Cited by 3 publications

References 2 publications

Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services

Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services

Accreditation of stroke programs at the MENA + region; between aspiration and reality

Stroke in Africa: profile, progress, prospects and priorities

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