دورية أكاديمية
Current Status of Stroke Thrombolysis in the Mission Thrombectomy 2020+ Caribbean Region
| العنوان: | Current Status of Stroke Thrombolysis in the Mission Thrombectomy 2020+ Caribbean Region |
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| المؤلفون: | Gillian Gordon Perue, Esmeralda Segura, Domini Crandon, Francene Gayle, Jude Charles, Nycole Joseph, Garly Saint Croix, Ryna Then, Violiza Inoa |
| المصدر: | Stroke: Vascular and Interventional Neurology, Vol 4, Iss 3 (2024) |
| بيانات النشر: | Wiley, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | Caribbean, stroke centers, stroke network, stroke service, stroke system of care, thrombolysis, Neurology. Diseases of the nervous system, RC346-429, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Background Low‐ to middle‐income countries have limited access to thrombolytic therapy. To our knowledge, there is no validated tool available to objectively measure access to thrombolytic agents or barriers to routine clinical use. Methods We developed the 17‐item tissue plasminogen activator Spot Check tool to assess usage of acute stroke thrombolysis regarding local experience, financial constraints, and perceived barriers to care; evaluating the current state of clinical practices in the Mission Thrombectomy 2020+ Caribbean region. The survey was disseminated via an online link, and the information was collected and analyzed via SPSS. Results The tool was validated by 3 international experts with an Average Content Validity Index of 1 and a Universal Agreement Index of 1 across 3 domains: local experience, financial constraints, and barriers to usage. The participant survey response rate was 64%, representing 15 of 44 Mission Thrombectomy 2020+ Caribbean countries. There was limited or no access to thrombolytic agents in 40% of countries surveyed. Among cases treated with thrombolytics, 43% of patients had to pay out of pocket before treatment was provided, and l100 cases per year. Most respondents (88%) agreed there were barriers to acute stroke thrombolysis in the region. The tissue plasminogen activator Spot Check tool was able to identify barriers impacting the number of cases per year, including absence of stroke protocol (P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2694-5746 |
| Relation: | https://doaj.org/toc/2694-5746 |
| DOI: | 10.1161/SVIN.123.001161 |
| URL الوصول: | https://doaj.org/article/4d00c75ad71c41ab99c0fcc8e5606507 |
| رقم الأكسشن: | edsdoj.4d00c75ad71c41ab99c0fcc8e5606507 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 26945746 |
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| DOI: | 10.1161/SVIN.123.001161 |