Mechanical Thrombectomy Access Score: A Systematic Review and Modified Delphi of Global Barriers to Endovascular Therapy

医学 系统回顾 心理干预 德尔菲法 冲程(发动机) 医疗急救 急诊科 紧急医疗服务 梅德林 急诊医学 护理部 人工智能 计算机科学 机械工程 工程类 政治学 法学
作者
Sushanth Aroor,Cynthia Zevallos,Kaiz Asif,Nishita Singh,Jennifer Potter‐Vig,Aarón Rodríguez-Calienes,Bijoy K. Menon,Aravind Ganesh,Jeffrey L. Saver,Hooman Kamel,Anne W. Alexandrov,Edward C. Jauch,Zhongrong Miao,Xiaochuan Huo,Pankajavalli Ramakrishnan,Shashvat M. Desai,Kaustubh Limaye,Mohammad El‐Ghanem,Gábor Tóth,Chethan Venkatasubba Rao
出处
期刊:Stroke [Lippincott Williams & Wilkins]
被引量:2
标识
DOI:10.1161/strokeaha.124.047805
摘要

BACKGROUND: The availability of mechanical thrombectomy (MT) for acute ischemic stroke is limited, and vast disparities exist between countries. We aim to create a MT access score to measure the drivers of access to help quantify and accelerate treatment worldwide. METHODS: We used a systematic review complemented by a modified Delphi method. In the first of 3 rounds, 4 independent investigators performed a systematic literature review using key search terms that drive MT access, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. In the second round, a panel of 6 anonymous international experts selected key attributes needed for scoring. In the final round, a total of 12 attributes were selected on consensus, each given a score on a 0 to 3 scale. An ultimate MT access score (range, 0–36) was proposed as a new tool to use in identifying barriers to MT access and assist in providing an initial framework for public health interventions. RESULTS: Of 2864 abstracts screened, 121 studies were included in the final systematic review. A total of 34 attributes that potentially drive MT access were initially identified. In the final round, 12 attributes were selected by the expert panel: public awareness, emergency medical services transportation, prehospital large vessel occlusion screening, interhospital transfer policy, emergency department protocols, stroke imaging protocols, emergency department stroke expertise or telestroke availability, interventionalists, MT-capable centers, device availability, and insurance coverage. These attributes were weighted as part of the final score of 0 to 36. CONCLUSIONS: The MT access score represents the first tool to quantify barriers to global MT access. Its implementation stands not just as an academic achievement but as a beacon of hope for improving stroke care and outcomes worldwide, bringing us a step closer to bridging the gap in stroke treatment disparities.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
朝菌完成签到,获得积分10
1秒前
1秒前
李新阳完成签到,获得积分10
4秒前
4秒前
4秒前
vic关闭了vic文献求助
5秒前
ZJFL完成签到,获得积分10
5秒前
5秒前
兰蕙发布了新的文献求助10
5秒前
6秒前
6秒前
斯文败类应助笔墨留香采纳,获得50
6秒前
英姑应助Lu采纳,获得10
7秒前
9秒前
潘多拉发布了新的文献求助10
10秒前
10秒前
马夋完成签到,获得积分10
11秒前
实验顺利完成签到,获得积分10
11秒前
11秒前
大白鹅发布了新的文献求助10
12秒前
焕颜发布了新的文献求助10
12秒前
赘婿应助Leewener采纳,获得10
12秒前
zhou完成签到,获得积分10
12秒前
13秒前
13秒前
在水一方应助严冥幽采纳,获得10
15秒前
田様应助科研小白采纳,获得10
16秒前
半糖糖完成签到,获得积分10
17秒前
18秒前
雷雷发布了新的文献求助10
19秒前
笔墨留香发布了新的文献求助50
19秒前
爆米花应助天玄一刀采纳,获得10
19秒前
20秒前
华仔应助Alicyclobacillus采纳,获得10
21秒前
焕颜完成签到,获得积分20
22秒前
香蕉觅云应助畅快的涵蕾采纳,获得10
24秒前
CipherSage应助畅快的长颈鹿采纳,获得10
24秒前
25秒前
25秒前
不可思宇完成签到,获得积分10
25秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3969917
求助须知:如何正确求助?哪些是违规求助? 3514626
关于积分的说明 11175060
捐赠科研通 3249928
什么是DOI,文献DOI怎么找? 1795165
邀请新用户注册赠送积分活动 875617
科研通“疑难数据库(出版商)”最低求助积分说明 804891