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Stroke reperfusion treatment trends in New Zealand

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From Māori Health Review Issue 97
Authors:
  • Fushida-Hardy N et al.
Summary:

A review of the New Zealand National Stroke Register has revealed an increased rate of reperfusion therapy between 2015 and 2020, driven by an increase in the use of stroke clot retrieval (from 0.5 to 5.5% of patients). The rate of intravenous thrombolysis was 6.5% in 2015 and 11.3% in 2020. In 2019, females were less likely to receive intravenous thrombolysis than males. Ethnicity had no impact on overall reperfusion rates. However, median door-to-needle time over the period 2018-2020 was significantly longer for Māori patients compared with NZ Europeans.

Comment:
This paper demonstrates how the introduction of a new health pathway can both increase overall intervention rates (in this case stroke clot retrieval pathways resulting in rising reperfusion rates) AND inequities.
Reference: NZ Med J. 2022;135(1551):68-80.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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