Weber R, Krogias C, Eyding J, et al. - Utilizing a complete analysis of all German hospitalized cases of ischemic stroke, researchers examined age- and gender-related differences in access to stroke unit treatment, and use of intravenous thrombolysis (IVT) and mechanical thrombectomy (MT). Participants in the study were subdivided into six predefined age groups (20–44, 45–59, 60–69, 70–79, 80–89, and > 90 years). In total, 1,112,570 individuals were hospitalized for first or recurrent ischemic stroke from 2013 to 2017. Overall, stroke unit treatment raised significantly from 66.8% in 2013 to 73.5% in 2017, as did IVT (from 12.4% to 15.9%) and MT (from 2.4% to 5.8%). Although the difference was reduced over time, treatments were still received by individuals ≥ 80 years of age significantly less often. In both older patients and women of all ages, access to the stroke unit treatment must be increased. Although there was no gender difference in IVT use, the significantly higher frequency of MT in women with ischemic stroke regardless of age is important to further investigate.