PT -期刊文章盟Vasu赛盟-路易斯Guada盟Dileep r . Yavagal TI -中风的全球流行病学和急性缺血性中风- 10.1212 / WNL干预援助。0000000000012781 DP - 2021年11月16日TA -神经首页病学PG - S6 S16 VI - 97 IP - 20补充2 4099 - //www.ez-admanager.com/content/97/20_Supplement_2/S6.short 4100 - //www.ez-admanager.com/content/97/20_Supplement_2/S6.full所以Neurology2021 11月16日;97 AB -目的的审查提供的最新评估中风发病率和大血管闭塞(LVO)在全球范围内,以及资格和静脉溶栓(溶)和机械血栓切除术(MT)。最近发现随机临床试验建立了太有或没有溶LVO中风患者的常规治疗长达24小时从症状出现。资格对诊断和超越基于容许成像标准4.5小时。这些进步在过去的5年,已经有资格的人口显著增加患者急性中风干预措施。然而,获得急性中风保健利用MT或溶滞后在这些患者。总结中风残疾和死亡的第二大原因是全球疾病负担最重的共享的低收入和中等收入国家。2016年,全球有1370万新的事件中风;≈87%的缺血性中风和保守估计-20%的LVO占10%左右。少于5%的急性缺血性中风患者接受了溶在全球范围内的合适的治疗时间窗和不到100000 MTs 2016年在全球范围内进行。 This highlights the large gap among eligible patients and the low utilization rates of these advances across the globe. Multiple global initiatives are underway to investigate interventions to improve systems of care and bridge this gap.AHA/ASA=American Heart Association/American Stroke Association; AIS=acute ischemic stroke; ASPECTS=Alberta Stroke Program Early CT Score; CI=confidence interval; DALY=disability-adjusted life-year; ED=emergency department; HS=hemorrhagic stroke; IS=ischemic stroke; IVT=IV thrombolysis; LVO=large vessel occlusion; MCA=middle cerebral artery; mRS=modified Rankin Scale; MSU=mobile stroke unit; MT=mechanical thrombectomy; MT2020+=Mission Thrombectomy 2020+; mTICI=modified Thrombolysis in Cerebral Infarction; NINDS=National Institute of Neurological Disorders and Stroke; OR=odds ratio; QALY=quality-adjusted life-year; RCT=randomized clinical trial; rtPA=recombinant tissue plasminogen activator