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Influence of Platelet Count on Procedure-Related Outcomes After Mechanical Thrombectomy for Large Vessel Occlusion: A Systematic Review and Meta-Analysis.
Domingo, Ricardo A; Tripathi, Shashwat; Perez-Vega, Carlos; Martinez, Jaime; Suarez Meade, Paola; Ramos-Fresnedo, Andres; English, Stephen W; Huynh, Thien; Lin, Michelle P; Fox, W Christopher; Tawk, Rabih G.
Afiliação
  • Domingo RA; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
  • Tripathi S; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA; Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
  • Perez-Vega C; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
  • Martinez J; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Suarez Meade P; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
  • Ramos-Fresnedo A; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
  • English SW; Department of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
  • Huynh T; Department of Radiology, Mayo Clinic, Jacksonville, Florida, USA.
  • Lin MP; Department of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
  • Fox WC; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
  • Tawk RG; Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA. Electronic address: tawk.rabih@mayo.edu.
World Neurosurg ; 157: 187-192.e1, 2022 01.
Article em En | MEDLINE | ID: mdl-34653708
ABSTRACT

OBJECTIVE:

To compare outcomes between patients who underwent mechanical thrombectomy for large vessel occlusion based on platelet count low versus normal.

METHODS:

Three studies were included with a pooled cohort of 1125 patients. Data points were collected and pooled by meta-analysis of proportions via a logit transformation to provide a summary statistic. Both fixed-effect and random-effects models were recruited for the analysis. In this meta-analysis, risk of developing symptomatic intracranial hemorrhage, unfavorable clinical outcomes (modified Rankin Scale score >3), and mortality of patients with low platelet counts were compared with patients with normal platelet counts according to the criteria for inclusion used by each study.

RESULTS:

Of patients, 50 (4.7%) had low platelet count, and 1075 (95.3%) had normal platelet count. Patients in the low platelet count group had a substantially higher risk of mortality (risk ratio 1.93, 95% confidence interval 1.43-2.60, P < 0.0001, I2 = 0%), but no differences in clinical outcomes (risk ratio 0.66, 95% confidence interval 0.40-1.11, P = 0.12, I2 = 0%) or symptomatic intracranial hemorrhage (risk ratio 2.03, 95% confidence interval 0.87-4.70, P = 0.10, I2 = 15%) were noted.

CONCLUSIONS:

Patients with low platelet counts had increased mortality compared with patients with normal platelet counts following mechanical thrombectomy for large vessel occlusion.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Contagem de Plaquetas / Resultado do Tratamento / Trombectomia / AVC Isquêmico Tipo de estudo: Prognostic_studies / Systematic_reviews Limite: Humans Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Contagem de Plaquetas / Resultado do Tratamento / Trombectomia / AVC Isquêmico Tipo de estudo: Prognostic_studies / Systematic_reviews Limite: Humans Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos
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