Highlights
- •NASIS-REVASC was a prospective registry of patients treated with systemic tPA (IVT) and/or thrombectomy (EVT) in Israel.
- •Among 1,432 patients included in NASIS-REVASC, 143 (10%) were of Arab ethnicity.
- •Arab patients were younger, had higher rates of smoking and diabetes and were less frequently treated with tPA.
- •The rates of any intervention with either IVT or EVT and rates of favorable outcomes and mortality were comparable.
- •These findings indicate lack of disparity in stroke care among patients treated acutely with IVT and/or EVT in Israel.
Abstract
Background
According to the latest reported data from the National Acute Stroke Israeli Survey
(NASIS), around 18,000 strokes occur annually in Israel. Data regarding disparities
in stroke care between the Jewish and the Arab populations in Israel are lacking.
Aims
We wished to compare demographics, comorbidities, stroke characteristics and outcomes
between Jewish and Arab stroke patients in Israel that were acutely treated with intravenous
thrombolysis (IVT) and/or endovascular thrombectomy (EVT), in order to test if there
are disparities or any ethnic-specific parameters.
Methods
The National Acute Stroke Israeli registry of patients undergoing revascularization
(NASIS-REVASC) prospectively enrolled patients in six comprehensive stroke centers
between 1/2014 and 3/2016. In this observational research, we compared demographics,
comorbidities, time metrics, stroke characteristics and outcomes between Jewish and
Arab patients enrolled.
Results
NASIS-REVASC included 1432 patients out of which 143 (10%) were of Arab ethnicity
and 1289 (90%) of Jewish ethnicity. Arab patients were significantly younger (66 ± 14
vs. 73 ± 29, p = 0·004), exhibited higher rates of smoking and diabetes (31% vs. 18% and 57% vs.
34%, p < 0·001 for both), and were less often treated with systemic thrombolysis (48% vs.
59%, p = 0·012). However, the rates of any interventional treatment with either intravenous
thrombolysis or endovascular thrombectomy as well as the rates of favorable outcomes
and mortality were comparable between groups.
Conclusions
Despite several baseline differences between Arab and Jewish Israeli stroke patients,
treatment allocations, survival and functional outcomes were similar indicating lack
of disparity in stroke care among patients treated acutely with IVT and/or EVT in
Israel.
Data access statement
Full data is available following a formal request to the NASIS-REVASC registry at
the Israeli Health Ministry.
Keywords
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Article info
Publication history
Published online: February 19, 2021
Accepted:
February 17,
2021
Received in revised form:
February 17,
2021
Received:
December 7,
2020
Identification
Copyright
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