Frontiers in Neurology (Oct 2022)
Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services
- Amal. M. Al Hashmi,
- Ashfaq Shuaib,
- Yahia Imam,
- Dareen Amr,
- Hani Humaidan,
- Firas Al Nidawi,
- Ahmed Sarhan,
- Wessam Mustafa,
- Wael Khalefa,
- Ismail Ramadan,
- Fritz Sumantri Usman,
- Elyar Sadeghi Hokmabadi,
- Mohammed Ghorbani,
- Temeem Nassir,
- Farid Aladham,
- Athari Salmeen,
- Raghid Kikano,
- Sobri Muda,
- Sachin Jose,
- Manal Al Bulushi,
- Badrai Sajwani,
- Mohammad Wasay,
- Qasim Bashir,
- Adel Al Hazzani,
- Waleed Khoja,
- Radwan Alkadere,
- Haytham Osman,
- Abbashar Hussein,
- Anchalee Churojana,
- Nadia Hammami,
- Atilla Ozcan Ozdemir,
- Semih Giray,
- Erdem Gurkas,
- Seyd Irteza Hussain,
- Abdul Rahman Sallam,
- Ossama Yassin Mansour
Affiliations
- Amal. M. Al Hashmi
- Central Stroke Unit, Neuroscience Directorate, Khoula Hospital, MOH, Muscat, Oman
- Ashfaq Shuaib
- Division of Neurology, Department of Medicine, University of Alberta, Edmonton, AB, Canada
- Yahia Imam
- Neuroscience Institute, Hamad General Hospital, Doha, Qatar
- Dareen Amr
- Stroke and Neurointervention Unit, Alexandria University School of Medicine, Alexandria, Egypt
- Hani Humaidan
- Stroke Unit, Salmaniya Medical Complex, Al Manamah, Bahrain
- Firas Al Nidawi
- King Hamad Hospital, Al Muharaq, Bahrain
- Ahmed Sarhan
- Al-Hussein University Hospital, Cairo, Egypt
- Wessam Mustafa
- Department of Neurology, Mansoura University Hospital, Mansoura, Egypt
- Wael Khalefa
- Department of Neurology, Maady Military Hospital, Cairo, Egypt
- Ismail Ramadan
- 0Department of Neurology, Semoha Emergency Hospital, Alexandria University, Alexandria, Egypt
- Fritz Sumantri Usman
- 1Stroke Unit, Pelni General Hospital, Jakarta, Indonesia
- Elyar Sadeghi Hokmabadi
- 2Neuroscience Research Center, Tabriz University of Medical Science, Tabriz, Iran
- Mohammed Ghorbani
- 3Division of Vascular and Endovascular Neurosurgery Firoozgar Hospital, Tehran, Iran
- Temeem Nassir
- 4Department of Internal Medicine, Maysan Cardiac Center, MOH, Musan, Iraq
- Farid Aladham
- 5Specialty Hospital, Amman, Jordan
- Athari Salmeen
- 6Department of Neurology, Jaber Al Ahmad Hospital, Kuwait City, Kuwait
- Raghid Kikano
- 7Lebanese American University, Head of Interventional Radiology, Beirut, Lebanon
- Sobri Muda
- 8Department of Radiology, Pengajar Hospital UPM, FPSK, Universiti Putra Malaysia, Serdang, Malaysia
- Sachin Jose
- 9Statistical Specialist, Oman Medical Specialty Board (OMSB), Muscat, Oman
- Manal Al Bulushi
- 0Stroke Unit, Sultan Qaboos Hospital, MOH of Oman, Salalah, Oman
- Badrai Sajwani
- 1Stroke Unit, Sohar Hospital, MOH of Oman, Sohar, Oman
- Mohammad Wasay
- 2Department of Neurology, Aga Khan University, Karachi, Pakistan
- Qasim Bashir
- 3Department of Neurology, Services Institute of Medical Sciences, Lahore, Pakistan
- Adel Al Hazzani
- 4Neuroscience Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Waleed Khoja
- 5Department of Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
- Radwan Alkadere
- 6Family Care Hospital, Riyadh, Saudi Arabia
- Haytham Osman
- 7Department of Neurology, National Ribat University, Khartoum, Sudan
- Abbashar Hussein
- 8Department of Neurology, El Shaab Teaching Hospital, Khartoum, Sudan
- Anchalee Churojana
- 9Department of Radiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand
- Nadia Hammami
- 0National Institute Mongi Ben Hamida of Neurology, Tunis, Tunisia
- Atilla Ozcan Ozdemir
- 1Interventional Neurology and Neurocritical Care Program, Eskisehir Osmangazi University,, Eskişehir, Turkey
- Semih Giray
- 2Gaziantep University Medical Faculty, Gaziantep, Turkey
- Erdem Gurkas
- 3Stroke Center, Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
- Seyd Irteza Hussain
- 4Neurological Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
- Abdul Rahman Sallam
- 5Department of Neurology, University Hospital of Sana'a, Sanan, Yemen
- Ossama Yassin Mansour
- 6Department of Neurology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
- DOI
- https://doi.org/10.3389/fneur.2022.1016376
- Journal volume & issue
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Vol. 13
Abstract
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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