From:  Stroke burden and epidemiological trends in Saudi Arabia: 1990–2021

 Stroke treatment patterns and outcomes in Saudi Arabia.

Treatment metricValueStudy details
IV thrombolysis utilization (urban)1–3.6%National estimates; US national rate ~8–10% [20]
Thrombolysis/thrombectomy (PCS)22.4%n = 160 patients; PCS
EVT successful recanalization84.8%n = 369 patients; anterior circulation
EVT good outcome (mRS 0–2 at 90 days)41%Single-center experience, 2015–2022
EVT mortality22.4%Same cohort as above
Barrier: Late ED arrival77%Analysis of thrombolysis exclusions
Barrier: Recent anticoagulation34%Same cohort
30-day case fatality rate11.1–15%Hospital-based studies
1-year mortality26.9%Tertiary center data
In-hospital mortality9.7%n = 1,249 cases, Aseer region
Stroke unit admission rate~5%National estimate
Active stroke centers (thrombolysis)7Out of > 350 hospitals nationally

Treatment gaps represent a major opportunity for outcome improvement. IV: intravenous; PCS: posterior circulation stroke; EVT: endovascular thrombectomy; mRS: modified Rankin Scale; ED: emergency department.