{
  "abstract": "Introduction Stroke is a leading cause of death and disability in the Caribbean, yet there is limited published information on the availability and utilisation of diagnostic imaging and treatment methods. Inequities in healthcare infrastructure, access to neuroimaging and acute treatment options may contribute to poorer outcomes following stroke, particularly in the low-resource settings that characterise most of the Caribbean region. The objective of this review is to map the literature on access to diagnostic and therapeutic modalities for adult stroke care in the Caribbean to identify potential limitations in acute treatment and examine how restricted access may impact outcomes. The resulting data can help inform strategies for improving access to stroke care in resource-limited communities.Methods and analysis We will apply a three-step strategy based on the Joanna Briggs Institute methodological framework: first, a limited search to identify relevant articles; second, selection of key search terms; third, implementation into a comprehensive search strategy. The query will range from 1 January 1995 to 1 June 2025 (date of final search). Search results will be extracted and screened by two independent reviewers, and findings will be presented in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. We will consider studies focusing on ischaemic and haemorrhagic stroke in the Caribbean, emphasising access to diagnostic imaging, stroke centres, prehospital management and emergent treatment. Studies examining acute stroke management capacity within the region will be considered. Studies will be excluded if they: focus exclusively on primary stroke prevention, postacute care, longitudinal care pathways for stroke victims or paediatric populations; are unrelated to stroke diagnosis or treatment or are conducted outside the Caribbean.Ethics and dissemination This protocol aims to perform secondary analysis of previously published literature; therefore, ethical approval is not required. The results of this review will be disseminated through academic conferences and peer-reviewed publication.",
  "authors": [
    {
      "affiliations": [
        "Department of Neurology, SUNY Downstate Health Sciences University, Brooklyn, New York, USA",
        "Department of Neurology, Brookdale University Hospital and Medical Center, Brooklyn, New York, USA",
        "Society of Haitian Neuroscientists, Inc, New York city, New York, USA"
      ],
      "name": "Hélène Clervius"
    },
    {
      "affiliations": [
        "College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA",
        "Global Neurosurgery Lab, SUNY Downstate Health Sciences University, Brooklyn, New York, USA"
      ],
      "name": "Tadeusz H Wroblewski"
    },
    {
      "affiliations": [
        "Caribbean Institute for Health Research, The University of the West Indies, Kingston, Jamaica"
      ],
      "name": "Nadia Bennett"
    },
    {
      "affiliations": [
        "Department of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA"
      ],
      "name": "Michael J Wells"
    },
    {
      "affiliations": [
        "College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA",
        "Global Neurosurgery Lab, SUNY Downstate Health Sciences University, Brooklyn, New York, USA"
      ],
      "name": "Maria Lee"
    },
    {
      "affiliations": [
        "Jackson Memorial Hospital, Miami, Florida, USA"
      ],
      "name": "Domini Crandon"
    },
    {
      "affiliations": [
        "Jefferson Einstein Philadelphia Hospital, Philadelphia, Pennsylvania, USA"
      ],
      "name": "Ryna Then"
    },
    {
      "affiliations": [
        "University at Buffalo, Buffalo, New York, USA"
      ],
      "name": "Gloria Aidoo-Frimpong"
    },
    {
      "affiliations": [
        "Society of Haitian Neuroscientists, Inc, New York city, New York, USA",
        "New York Medical College, New York city, New York, USA"
      ],
      "name": "Mill Etienne"
    },
    {
      "affiliations": [
        "Department of Neurosurgery, Curaçao Medical Center, Willemstad, Curaçao",
        "Department of Neurosurgery, Hospital Nacional de Itaugua, Itaugua, Paraguay"
      ],
      "name": "Ellianne J Dos Santos Rubio"
    },
    {
      "affiliations": [
        "The University Hospital of the West Indies, Mona, Jamaica"
      ],
      "name": "Tameka March-Downer"
    },
    {
      "affiliations": [
        "Semmes-Murphey Clinic, Memphis, Tennessee, USA"
      ],
      "name": "Violiza Inoa"
    },
    {
      "affiliations": [
        "Society of Haitian Neuroscientists, Inc, New York city, New York, USA",
        "Global Neurosurgery Lab, SUNY Downstate Health Sciences University, Brooklyn, New York, USA",
        "Division of Neurosurgery, Department of Surgery, SUNY Downstate Health Sciences University, Brooklyn, New York, USA",
        "Department of Surgery, Brookdale University Hospital and Medical Center, Brooklyn, New York, USA"
      ],
      "name": "Ernest J Barthélemy"
    },
    {
      "affiliations": [
        "Department of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA"
      ],
      "name": "Gillian Gordon Perue"
    }
  ],
  "title": "Acute stroke management in the Caribbean: a scoping review protocol",
  "uid": "2fe7e4bc-4fd8-57e6-8863-e3689759e474"
}