Worse endovascular mechanical recanalization results for patients with in-hospital onset acute ischemic stroke

Journal of Neurology
Sebastian MönchBenjamin Friedrich

Abstract

Strokes with onset inside the hospital account for approximately 2-17% of all acute ischemic strokes. The few existing studies addressing these in-hospital strokes lack a thorough analysis of patients who underwent endovascular mechanical thrombectomy-the state of the art therapy for acute strokes due to large vessel occlusions. The objective of the study was to evaluate the efficacy and safety of mechanical revascularization therapy in in-hospital stroke patients. In a single-center case-control study, a propensity score-matched analysis in a 1:2 ratio with the covariates sex, age, type of occluded large vessel, i.v. thrombolysis, and National Institutes of Health Stroke Scale prior to endovascular mechanical thrombectomy was performed. All identified in-hospital stroke patients between 2010 and 2017 were matched to two consecutive out-of-hospital stroke patients. 27 in-hospital strokes were compared to 54 out-of-hospital strokes. After propensity score matching, the baseline characteristics were well balanced between these groups. The times for symptom onset to alarm, symptom onset to imaging, symptom onset/alarm to start of recanalization and symptom onset to final recanalization respectively were faster in in-hospital strok...Continue Reading

References

May 1, 1986·Stroke; a Journal of Cerebral Circulation·R E Kelley, A G Kovacs
Dec 1, 1993·Stroke; a Journal of Cerebral Circulation·M J AlbertsD V Dawson
Jul 19, 2003·Stroke; a Journal of Cerebral Circulation·Randall T HigashidaUNKNOWN Technology Assessment Committee of the Society of Interventional Radiology
Nov 26, 2003·Lancet Neurology·David J Blacker
Jun 17, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·R VeraUNKNOWN Stroke Project of the Spanish Cerebrovascular Diseases Study Group
Dec 4, 2010·Stroke; a Journal of Cerebral Circulation·Ethan CumblerDon B Smith
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Dec 30, 2014·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Ethan Cumbler, Jennifer Simpson
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 18, 2015·The New England Journal of Medicine·Jeffrey L SaverUNKNOWN SWIFT PRIME Investigators
Apr 18, 2015·The New England Journal of Medicine·Tudor G JovinUNKNOWN REVASCAT Trial Investigators
May 6, 2015·JAMA Neurology·Alexandra P SaltmanMoira K Kapral
Aug 20, 2015·The Neurohospitalist·Ethan Cumbler
Jan 15, 2016·Journal of Neurology·Kolja SchürmannArno Reich
Jun 29, 2017·Stroke; a Journal of Cerebral Circulation·Charles D KassardjianGustavo Saposnik
Oct 12, 2017·Stroke; a Journal of Cerebral Circulation·Kévin PrematFrédéric Clarençon

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Citations

May 15, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sebastian MönchBenjamin Friedrich
Jun 27, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Salem AlmutairiMohammed A Almekhlafi
Sep 14, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Kai QiuHai-Bin Shi
Jan 29, 2021·Case Reports in Neurology·Tsong-Hai Lee

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