{"id":"https://openalex.org/W7204994978","doi":"https://doi.org/10.1136/jnis-2026-esmint.60","title":"A22 National EVT rate as an indicator of stroke-system capacity","display_name":"A22 National EVT rate as an indicator of stroke-system capacity","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7204994978","doi":"https://doi.org/10.1136/jnis-2026-esmint.60"},"language":"en","primary_location":{"id":"doi:10.1136/jnis-2026-esmint.60","doi":"https://doi.org/10.1136/jnis-2026-esmint.60","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jnis-2026-esmint.60","pdf_url":"https://jnis.bmj.com/content/neurintsurg/18/Suppl_2/A37.full.pdf","source":{"id":"https://openalex.org/S66405466","display_name":"Journal of NeuroInterventional Surgery","issn_l":"1759-8478","issn":["1759-8478","1759-8486"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://jnis.bmj.com/content/neurintsurg/18/Suppl_2/A37.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5058698974","display_name":"Felix Gunzer","orcid":"https://orcid.org/0000-0001-6257-0381","observed_orcids":["https://orcid.org/0000-0001-6257-0381"]},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210119759"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Felix Gunzer","raw_affiliation_strings":["Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany","institution_ids":["https://openalex.org/I4210119759"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039362461","display_name":"Natalie van Landeghem","orcid":"https://orcid.org/0009-0009-5391-6550","observed_orcids":["https://orcid.org/0009-0009-5391-6550"]},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210119759"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Natalie Van Landeghem","raw_affiliation_strings":["Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany","institution_ids":["https://openalex.org/I4210119759"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103876626","display_name":"Yan Li","orcid":"https://orcid.org/0000-0002-3450-6806","observed_orcids":["https://orcid.org/0000-0002-3450-6806"]},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210119759"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Yan Li","raw_affiliation_strings":["Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany","institution_ids":["https://openalex.org/I4210119759"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031703705","display_name":"Johannes Haubold","orcid":"https://orcid.org/0000-0003-4843-5911","observed_orcids":["https://orcid.org/0000-0003-4843-5911"]},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210119759"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Johannes Haubold","raw_affiliation_strings":["Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany","institution_ids":["https://openalex.org/I4210119759"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210119759"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"A37","last_page":"A38"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mechanical-thrombectomy","display_name":"mechanical thrombectomy","score":0.9919999837875366},{"id":"https://openalex.org/keywords/acute-ischemic-stroke","display_name":"acute ischemic stroke","score":0.9589999914169312},{"id":"https://openalex.org/keywords/stroke-burden","display_name":"stroke burden","score":0.6620000004768372},{"id":"https://openalex.org/keywords/mortality-to-incidence-ratio","display_name":"mortality-to-incidence ratio","score":0.8949999809265137},{"id":"https://openalex.org/keywords/years-of-life-lost","display_name":"years of life lost","score":0.6850000023841858},{"id":"https://openalex.org/keywords/disability-adjusted-life-years","display_name":"disability-adjusted life years","score":0.9210000038146973},{"id":"https://openalex.org/keywords/global-burden-of-disease","display_name":"global burden of disease","score":0.6660000085830688}],"concepts":[{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.5554999709129333},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.3747999966144562},{"id":"https://openalex.org/C149782125","wikidata":"https://www.wikidata.org/wiki/Q160039","display_name":"Econometrics","level":1,"score":0.3192000091075897},{"id":"https://openalex.org/C175605778","wikidata":"https://www.wikidata.org/wiki/Q3299701","display_name":"Natural resource economics","level":1,"score":0.3019999861717224},{"id":"https://openalex.org/C2993643576","wikidata":"https://www.wikidata.org/wiki/Q1277161","display_name":"Climate extremes","level":3,"score":0.2387000024318695},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.22089999914169312},{"id":"https://openalex.org/C112353543","wikidata":"https://www.wikidata.org/wiki/Q5468162","display_name":"Forecast period","level":4,"score":0.20679999887943268},{"id":"https://openalex.org/C202353208","wikidata":"https://www.wikidata.org/wiki/Q1167393","display_name":"Economic indicator","level":2,"score":0.19040000438690186},{"id":"https://openalex.org/C148043351","wikidata":"https://www.wikidata.org/wiki/Q4456944","display_name":"Current (fluid)","level":2,"score":0.16899999976158142},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.16609999537467957}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1136/jnis-2026-esmint.60","doi":"https://doi.org/10.1136/jnis-2026-esmint.60","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jnis-2026-esmint.60","pdf_url":"https://jnis.bmj.com/content/neurintsurg/18/Suppl_2/A37.full.pdf","source":{"id":"https://openalex.org/S66405466","display_name":"Journal of NeuroInterventional Surgery","issn_l":"1759-8478","issn":["1759-8478","1759-8486"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"}],"best_oa_location":{"id":"doi:10.1136/jnis-2026-esmint.60","doi":"https://doi.org/10.1136/jnis-2026-esmint.60","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jnis-2026-esmint.60","pdf_url":"https://jnis.bmj.com/content/neurintsurg/18/Suppl_2/A37.full.pdf","source":{"id":"https://openalex.org/S66405466","display_name":"Journal of NeuroInterventional Surgery","issn_l":"1759-8478","issn":["1759-8478","1759-8486"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204994978.pdf","grobid_xml":"https://content.openalex.org/works/W7204994978.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7222336891","https://openalex.org/W7161034931","https://openalex.org/W6889166431","https://openalex.org/W3213929179","https://openalex.org/W4410980353","https://openalex.org/W4411389687","https://openalex.org/W2883861999","https://openalex.org/W4362519000","https://openalex.org/W4220691674","https://openalex.org/W4295062678"],"abstract_inverted_index":{"Background/Introduction":[0],"Endovascular":[1],"thrombectomy":[2],"(EVT)":[3],"is":[4,51],"a":[5,74,119,222,232,247],"key":[6],"component":[7],"of":[8,23,79,103,225,235,271],"modern":[9],"acute":[10],"ischaemic":[11,110,148,174],"stroke":[12,24,55,111,149,175],"care.":[13],"At":[14],"national":[15,48],"level,":[16],"EVT":[17,49,90,142,190,215,243,261],"rate":[18,50,143,216,244,262],"may":[19,245],"reflect":[20],"the":[21],"organisation":[22],"pathways,":[25],"imaging":[26],"triage,":[27],"transfer":[28],"networks,":[29],"and":[30,59,66,127,134,184,209],"post-acute":[31],"care,":[32],"but":[33],"this":[34],"has":[35],"not":[36,265],"been":[37],"tested":[38],"with":[39,53,130,146],"repeated":[40,75],"observations":[41],"over":[42],"time.":[43],"Objective/Purpose":[44],"To":[45],"assess":[46],"whether":[47],"associated":[52,145],"population-level":[54],"burden":[56,237],"across":[57,82],"countries,":[58],"to":[60,99,218],"distinguish":[61],"between":[62],"stable":[63,194],"between-country":[64,141,189],"differences":[65],"within-country":[67,161],"temporal":[68],"changes.":[69],"Methods/Case":[70],"Description":[71],"We":[72],"performed":[73],"cross-sectional":[76],"ecological":[77],"analysis":[78],"39":[80],"countries":[81],"three":[83],"survey":[84],"waves":[85],"(2016,":[86],"2019,":[87],"2020).":[88],"National":[89,214],"rates":[91],"from":[92],"European":[93],"Stroke":[94],"Organisation":[95],"surveys":[96],"were":[97,116,170],"linked":[98],"year-matched":[100],"Global":[101],"Burden":[102],"Disease":[104],"estimates.":[105],"The":[106,188],"primary":[107],"endpoint":[108],"was":[109,144,163],"mortality-to-incidence":[112],"ratio":[113],"(MIR).":[114],"Associations":[115],"analysed":[117],"using":[118],"Mundlak":[120],"within-between":[121],"decomposition":[122],"adjusted":[123],"for":[124,173],"socio-demographic":[125],"index":[126],"age":[128],"structure,":[129],"country-clustered":[131],"standard":[132],"errors":[133],"wild":[135],"cluster":[136],"bootstrap":[137,154],"inference.":[138],"Results/Findings":[139],"Higher":[140],"lower":[147],"MIR":[150,186],"(\u03b2_between":[151],"\u22120.0125,":[152],"p=0.021;":[153],"p=0.007;":[155],"117":[156],"country-year":[157],"observations).":[158],"No":[159],"consistent":[160],"association":[162],"observed":[164],"(\u03b2_within":[165],"\u22120.0017,":[166],"p=0.401).":[167],"Between-country":[168],"associations":[169],"also":[171],"found":[172],"YLLs":[176,179],"(p=0.049),":[177],"all-stroke":[178,181,185],"(p=0.016),":[180],"DALYs":[182],"(p=0.022),":[183],"(p=0.007).":[187],"signal":[191],"remained":[192],"directionally":[193],"in":[195,260],"sensitivity":[196],"analyses":[197],"including":[198],"Gini":[199],"index,":[200],"universal":[201],"health":[202,205],"coverage,":[203],"total":[204],"expenditure,":[206],"IVT":[207],"rate,":[208],"stroke-unit":[210],"density.":[211],"Discussion/Conclusions/Learning":[212],"Points":[213],"appears":[217],"function":[219],"primarily":[220],"as":[221,231,268],"cross-national":[223],"indicator":[224],"organised":[226],"stroke-system":[227],"capacity":[228],"rather":[229],"than":[230],"short-term":[233],"predictor":[234],"modelled":[236],"reduction.":[238],"For":[239],"thrombectomy-focused":[240],"health-system":[241],"assessment,":[242],"offer":[246],"pragmatic":[248],"benchmarking":[249],"metric":[250],"when":[251],"harmonised":[252],"international":[253],"quality":[254],"indicators":[255],"are":[256],"unavailable.":[257],"Short-term":[258],"increases":[259],"alone":[263],"should":[264],"be":[266],"interpreted":[267],"immediate":[269],"evidence":[270],"improved":[272],"population":[273],"outcomes.":[274]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-09-02T00:00:00"}
