| Title |
You Cannot Manage What You Do Not Measure: Advances in Global Stroke Interventions and the Role of the Mechanical Thrombectomy Access Score
|
|---|---|
| Published in |
Cardiology in Review, April 2025
|
| DOI | 10.1097/crd.0000000000000914 |
| Pubmed ID | |
| Authors |
Fawaz Al-Mufti, Zaid Najdawi, Mohamed Elfil, Ankita Jain, Eris Spirollari, Ariel Sacknovitz, Hazem S. Ghaith, Priyank Khandelwal, Victor C. Urrutia, Nabeel A. Herial, Pankajavalli Ramakrishnan, Gabor Toth, Mohammad El-Ghanem, Krishna Amuluru, Viktor Szeder, Jonathan R. Crowe, Karol Budohoski, Zurab Nadareishvili, Kaustubh Limaye, Fazeel Siddiqui, Hamza Shaikh, Nishita Singh, Hesham Masoud, Sushanth R. Aroor, Shashvat M. Desai, Santiago Ortega-Gutierrez, Tareq Kass-Hout, Dileep R. Yavagal, Kaiz S. Asif, On behalf of the SVIN: Mission Thrombectomy Collaborative |
| Abstract |
Global disparities in stroke care, particularly in acute interventions like mechanical thrombectomy (MT), remain profound, with the Mechanical Thombectomy Global Access for Stroke study reporting a median global MT access of just 2.79%. Furthermore, the low- and middle-income countries (LMICs) have been recognized to be disproportionately burdened in this regard as compared with high-income countries. These observed inequities in stroke care impact not only clinical outcomes but also economic productivity and social systems. Recent advancements, such as TeleStroke networks, Mobile Stroke Units, and artificial intelligence-powered tools, have the potential to bridge these gaps. The Mechanical Thrombectomy Access Score (MTAS) offers a novel standardized approach to quantifying barriers to MT access and guiding targeted interventions to mitigate such obstacles. This review explores how MTAS enables the integration of these advancements into global stroke care systems, addressing inequities and optimizing outcomes. Emphasizing the importance of measuring access to manage inequities, we propose strategies to refine and validate MTAS while advocating for systemic investments to enhance global stroke care. |
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X Demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 50% |
| Unknown | 3 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 67% |
| Scientists | 2 | 33% |
Mendeley demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 15 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Unspecified | 4 | 27% |
| Student > Ph. D. Student | 1 | 7% |
| Student > Postgraduate | 1 | 7% |
| Other | 1 | 7% |
| Lecturer > Senior Lecturer | 1 | 7% |
| Other | 0 | 0% |
| Unknown | 7 | 47% |
| Readers by discipline | Count | As % |
|---|---|---|
| Unspecified | 4 | 27% |
| Medicine and Dentistry | 2 | 13% |
| Computer Science | 1 | 7% |
| Chemistry | 1 | 7% |
| Unknown | 7 | 47% |