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Quality analysis of YouTube videos on mechanical thrombectomy for acute ischemic stroke

      Abstract

      Objectives

      Acute ischemic stroke is a leading cause of mortality and long-term disability. Mechanical thrombectomy can effectively treat large artery occlusions. This study aimed to evaluate the quality, reliability, and usefulness of videos on mechanical thrombectomy on YT using quantitative and qualitative analyses.

      Materials and methods

      Video searches were performed by entering the following keywords into the YT search bar: “endovascular thrombectomy,” “endovascular treatment of acute stroke,” “mechanical thrombectomy,” “stroke stent retriever,” and “stent retriever thrombectomy.” For each search term, the top 35 videos were reviewed. The videos were analyzed by two independent raters using the DISCERN and JAMA scoring systems. Qualitative and quantitative data were recorded for each video.

      Results

      A total of 150 videos were analyzed. The mean DISCERN score was 41.26, and the mean JAMA score was 1.42. Of the videos, 5.3% were categorized as very poor, 33.3% as poor, 44% as fair, 12% as good, and 5.3% as excellent. The videos that included qualitative features, such as clear information, symptomatology, diagnosis, treatment response, prognosis, etiology, epidemiology, diagram, and radiological image, had significantly higher DISCERN and JAMA scores than their counterparts.

      Conclusion

      A reliable and useful content is not available for individuals searching for information on mechanical thrombectomy on YT. In this paper, we highlighted key points for content creators to increase the quality and audience engagement statistics of their videos. Information provided in YT videos should be verified using more reliable sources.

      Key Words

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      References

        • Underhill C
        • Mckeown L.
        Getting a second opinion: health information and the Internet.
        Health Rep. 2008; 19: 65-69
        • McMullan M.
        Patients using the Internet to obtain health information: how this affects the patient-health Professional relationship.
        Patient Educ Couns. 2006; 63: 24-28
        • Gupta HV
        • Lee RW
        • Raina SK
        • Behrle BL
        • Hinduja A
        • Mittal MK.
        Analysis of youtube as a source of information for peripheral neuropathy.
        Muscle Nerve. 2016; 53: 27-31
        • Lemire M.
        • Paré G.
        • Sicotte C.
        • Harvey C.
        Determinants of Internet use as a preferred source of information on personal health.
        Int J Med Informat. 2008; 77: 723-734
        • American Heart Association
        Executive summary: heart disease and stroke statistics- 2013 update.
        Circulation. 2013; 127: 143-152
        • Emberson J
        • Lees KR
        • Lyden P
        • et al.
        Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischemic stroke: a meta-analysis of individual patient data from randomised trials.
        Lancet. 2014; 384: 1929-1935
        • Bhatia RH
        • Hill MD
        • Shobha N
        • et al.
        Low rates of acute recanalization with intravenous recombinant tissue plasminogen activator in ischemic stroke: real-world experience and a call for action.
        Stroke. 2010; 41: 2254-2258
        • Lambrinos A
        • Schaink AK
        • Dhalla I
        • et al.
        Mechanical thrombectomy in acute ischemic stroke: a systematic review.
        Can J Neurol Sci. 2016; 43: 455-460
        • Altunisik E
        • Firat YE
        • Kiyak Keceli Y
        Content and quality analysis of videos about multiple sclerosis on social media: the case of YouTube [published online ahead of print, 2022 Jul 6].
        Mult Scler Relat Disord. 2022; 65104024
        • Krakowiak M
        • Szmuda T
        • Fercho J
        • Ali S
        • Maliszewska Z
        • Słoniewski P.
        YouTube as a source of information for arteriovenous malformations: A content-quality and optimization analysis.
        Clin Neurol Neurosurg. 2021; 207106723
        • Szmuda T
        • Özdemir C
        • Fedorow K
        • Ali S
        • Słoniewski P.
        YouTube as a source of information for narcolepsy: a content-quality and optimization analysis.
        J Sleep Res. 2021; 30: e13053
        • Rees CE
        • Ford JE
        • Sheard CE.
        Evaluating the reliability of DISCERN: a tool for assessing the quality of written patient information on treatment choices.
        Patient Educ Couns. 2002; 47: 273-275
        • Azer S.A.
        Are DISCERN and JAMA suitable instruments for assessing YouTube videos on thyroid cancer? Methodological concerns.
        J Cancer Educ. 2020; 35: 1267-1277
        • Koo T.K.
        • Li M.Y.
        A guideline of selecting and reporting intraclass correlation coefficients for reliability research.
        J Chiropr Med. 2016; 15: 155-163
        • Saver JL.
        Time is brain - quantified.
        Stroke. 2006; 37: 263-266
        • Dmytriw AA
        • Sorenson TJ
        • Morris JM
        • et al.
        #Fake news: a systematic review of mechanical thrombectomy results among neurointerventional stroke surgeons on Twitter.
        J Neurointerv Surg. 2019; 11: 460-463
        • Denham AM
        • Baker AL
        • Spratt NJ
        • et al.
        YouTube as a resource for evaluating the unmet needs of caregivers of stroke survivors.
        Health Informat J. 2020; 26: 1599-1616
        • Chen Y
        • Abel KT
        • Cramer SC
        • Zheng K
        • Chen Y.
        Recovery in my lens: a study on stroke vlogs.
        in: In: Proceedings of the AMIA annual symposium. 2018: 1300-1309
        • Szmuda T
        • Alkhater A
        • Albrahim M
        • et al.
        YouTube as a source of patient information for stroke: a content-quality and an audience engagement analysis.
        J Stroke Cerebrovasc Dis. 2020; 29105065
        • Charnock D
        • Shepperd S
        • Needham G
        • Gann R.
        DISCERN:An instrument for judging the quality of written consumer health information on treatment choices.
        J Epidemiol Commun Health. 1999; 53: 105-111