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Background <p>Stroke is a major public health burden, with high mortality and long-term disability, particularly in low-resource and conflict-affected settings. In Sudan, the ongoing armed conflict since April 2023 has critically impacted healthcare delivery, yet its effects on stroke care remain underexplored.</p> Methods <p>A descriptive cross-sectional survey was conducted among 431 physicians managing stroke cases during the 2024 Sudan conflict. Data were collected through a self-administered questionnaire distributed via medical networks. Descriptive statistics summarized the findings, and Kruskal-Wallis tests assessed associations.</p> Results <p>Most respondents were general practitioners (49.2%), with over 80% having ≤ 5 years’ experience and working in public hospitals. Nearly 49% reported significantly worsened stroke outcomes since the war, and 58% noted increases in both incidence and severity. Key barriers included delayed hospital arrival (38.5%), lack of neuroimaging (28.8%), and financial constraints. Over 70% cited shortages in supplies; rehabilitation was disrupted by facility loss, displacement, and inadequate follow-up. Complications such as recurrent strokes (57.5%) and infections (53.4%) were common. No significant associations were found between demographic factors and responses patterns to stroke management services.</p> Conclusion <p>The war has led to a systemic collapse in stroke management in Sudan. A coordinated response is urgently needed to address diagnostic limitations, security risks, and rehabilitation gaps. Strengthening training, infrastructure, and resource delivery must be prioritized in future recovery strategies.</p>

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Sudanese physicians’ insights on managing stroke during Sudan’s war 2024

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月28日

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  • Fatima Elbasri Abuelgasim Mohammed,
  • Marafi Jammaa Ahmed,
  • Barah Badreldin Ali MohamedAhmed,
  • Abuelgasim Mohamed,
  • Noon Mohamed Elfatih Ahmed,
  • Hanan Mohamed Naeim Gandour,
  • Eilaf Eltahir Mohamed Idris,
  • Saja Mohammed Salih Mohammed Mohammed Salih,
  • Ahmed Saeed Ahmed Saeed,
  • Aziza Abd Almahmoud Elseed,
  • Mohamed Osama Mohamed Idris,
  • Talha Zuhair Elameir Mohammed,
  • Abdelrahman Khalfalla Abdelrahman Mustafa,
  • Razan Azhari Gaili,
  • Sara Abdallah Alameen Saeed,
  • Khalid Abbas Hassan Saad,
  • Mmdooh Badreldin Ali MohammedAhmed,
  • Shahd Amir Yousif Suliman,
  • Mohamed Salah Gamar Elawad,
  • Yasir Abdelrafi Dafalla Fadlelmoula,
  • Gotof Abdesalam Mustafa,
  • Khabab Abbasher Hussien Mohammed Ahmed

摘要

Background

Stroke is a major public health burden, with high mortality and long-term disability, particularly in low-resource and conflict-affected settings. In Sudan, the ongoing armed conflict since April 2023 has critically impacted healthcare delivery, yet its effects on stroke care remain underexplored.

Methods

A descriptive cross-sectional survey was conducted among 431 physicians managing stroke cases during the 2024 Sudan conflict. Data were collected through a self-administered questionnaire distributed via medical networks. Descriptive statistics summarized the findings, and Kruskal-Wallis tests assessed associations.

Results

Most respondents were general practitioners (49.2%), with over 80% having ≤ 5 years’ experience and working in public hospitals. Nearly 49% reported significantly worsened stroke outcomes since the war, and 58% noted increases in both incidence and severity. Key barriers included delayed hospital arrival (38.5%), lack of neuroimaging (28.8%), and financial constraints. Over 70% cited shortages in supplies; rehabilitation was disrupted by facility loss, displacement, and inadequate follow-up. Complications such as recurrent strokes (57.5%) and infections (53.4%) were common. No significant associations were found between demographic factors and responses patterns to stroke management services.

Conclusion

The war has led to a systemic collapse in stroke management in Sudan. A coordinated response is urgently needed to address diagnostic limitations, security risks, and rehabilitation gaps. Strengthening training, infrastructure, and resource delivery must be prioritized in future recovery strategies.