Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services
1
Issued Date
2022-10-28
Resource Type
eISSN
16642295
Scopus ID
2-s2.0-85142304175
Journal Title
Frontiers in Neurology
Volume
13
Rights Holder(s)
SCOPUS
Bibliographic Citation
Frontiers in Neurology Vol.13 (2022)
Suggested Citation
Al Hashmi A.M. Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services. Frontiers in Neurology Vol.13 (2022). doi:10.3389/fneur.2022.1016376 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/86695
Title
Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services
Author(s)
Author's Affiliation
Mansoura University Hospitals
Siriraj Hospital
Firoozgar General Hospital
Cleveland Clinic Abu Dhabi
Neurosciences Research Center
Oman Medical Speciality Board
El-Hussein University Hospital
Specialty Hospital, Amman
National Ribat University
Ministry of Health, Kingdom of Bahrain
Hamad General Hospital
Sultan Qaboos Hospital
Khoula Hospital
Services Institute of Medical Sciences Lahore
Lebanese American University
The Aga Khan University
Université de Tunis El Manar, Institut National de Neurologie
Alexandria University
Eskişehir Osmangazi Üniversitesi
Universiti Putra Malaysia
Faculty of Medicine
University of Alberta, Faculty of Medicine and Dentistry
Gaziantep Üniversitesi
King Faisal Specialist Hospital and Research Centre
King Hamad Hospital
Sohar Hospital
Pelni General Hospital
Jaber Al Ahmad Hospital
Family Care Hospital
University Hospital of Sana'a
Prince Sultan Military Medical City
Maadi Military Hospital
Kartal Dr. Lutfi Kirdar City Hospital
MOH
Elshaab Teaching Hospital
Siriraj Hospital
Firoozgar General Hospital
Cleveland Clinic Abu Dhabi
Neurosciences Research Center
Oman Medical Speciality Board
El-Hussein University Hospital
Specialty Hospital, Amman
National Ribat University
Ministry of Health, Kingdom of Bahrain
Hamad General Hospital
Sultan Qaboos Hospital
Khoula Hospital
Services Institute of Medical Sciences Lahore
Lebanese American University
The Aga Khan University
Université de Tunis El Manar, Institut National de Neurologie
Alexandria University
Eskişehir Osmangazi Üniversitesi
Universiti Putra Malaysia
Faculty of Medicine
University of Alberta, Faculty of Medicine and Dentistry
Gaziantep Üniversitesi
King Faisal Specialist Hospital and Research Centre
King Hamad Hospital
Sohar Hospital
Pelni General Hospital
Jaber Al Ahmad Hospital
Family Care Hospital
University Hospital of Sana'a
Prince Sultan Military Medical City
Maadi Military Hospital
Kartal Dr. Lutfi Kirdar City Hospital
MOH
Elshaab Teaching Hospital
Other Contributor(s)
Abstract
Background: Acute 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. Objective: Evaluate the state of readiness of stroke programs in the Middle East North Africa and surrounding regions (MENA+) to treat acute stroke. Method: Online questionnaire survey on the evaluation of stroke care across hospitals of MENA+ region between April 2021 and January 2022. Results: The 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. Conclusion: This 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.