Journal
CEREBROVASCULAR DISEASES EXTRA
Volume 11, Issue 3, Pages 155-159Publisher
KARGER
DOI: 10.1159/000521271
Keywords
Egypt; Stroke; Low- and middle-income countries; Thrombolysis; Recombinant tissue plasminogen activator
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Egypt, a low-middle-income country with the highest population in the Middle East, has a high rate of stroke prevalence. Through a corrective plan, significant improvements have been made in stroke services, including an increase in thrombolysis rate, reduction in door-to-needle time, establishment of a patient database, international accreditation of centers, and development of tele-stroke service.
Egypt, a low-middle-income country, is the most populated nation in the Middle East with a high overall crude prevalence rate of stroke (963/100,000 inhabitants), accounting for 6.4% of all deaths. In this article, we discuss how, through a corrective plan, we could change the landscape of stroke services in Egypt, in a relatively short time, raising thrombolysis rate from < 1% to 12.3%, with shortening of door-to-needle time. We could build a database that now exceeds 5,000 patients, our centers received international accreditation and several awards, and we developed tele-stroke service.& nbsp;(C) 2021 The Author(s).Published by S. Karger AG, Basel
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