Your browser doesn't support javascript.
loading
Performance evolution over 645 acute stroke thrombectomies in a public Brazilian healthcare institution.
de Castro-Afonso, Luís H; Nakiri, Guilherme S; Fornazari, Vitor R; Abud, Thiago G; Monsignore, Lucas M; Pazuello, Guilherme B; Dias, Francisco A; Martins-Filho, Rui K do Vale; Camilo, Millene R; Aléssio-Alves, Frederico F; Fábio, Soraia Cr; Pazin-Filho, Antônio; Pontes-Neto, Octávio M; Abud, Daniel G.
Affiliation
  • de Castro-Afonso LH; Division of Interventional Neuroradiology, Department of Radiology, Hematology and Oncology, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Nakiri GS; Division of Interventional Neuroradiology, Department of Radiology, Hematology and Oncology, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Fornazari VR; Division of Interventional Neuroradiology, Department of Radiology, Hematology and Oncology, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Abud TG; Division of Interventional Neuroradiology, Department of Radiology, Hematology and Oncology, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Monsignore LM; Department of Interventional Neuroradiology, Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Pazuello GB; Division of Interventional Neuroradiology, Department of Radiology, Hematology and Oncology, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Dias FA; Division of Interventional Neuroradiology, Department of Radiology, Hematology and Oncology, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Martins-Filho RKDV; Division of Neurology, Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Camilo MR; Division of Neurology, Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Aléssio-Alves FF; Division of Neurology, Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Fábio SC; Division of Neurology, Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Pazin-Filho A; Division of Neurology, Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
  • Pontes-Neto OM; Division of Emergency, Department of Internal Medicine, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil.
  • Abud DG; Division of Neurology, Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Int J Stroke ; 16(8): 927-934, 2021 10.
Article in En | MEDLINE | ID: mdl-33115383
ABSTRACT

BACKGROUND:

Assessment of the impact of the thrombectomy learning curve on clinical outcomes is essential for developing healthcare system protocols.

AIMS:

The aim of this study was to assess the effect of thrombectomy case volume on procedural and clinical outcomes in a Brazilian registry.

METHODS:

A total of 645 patients with acute ischemic stroke treated by thrombectomy were included in the analysis. Patients were divided into two groups regarding the period of treatment the early period group and the late period group.

RESULTS:

In the adjusted analysis, treatment in the late period was an independent predictor of recanalization (odds ratio 1.91, 95% CI 1.28-2.86) and excellent neurologic outcomes at three months (odds ratio 1.77, 95% CI 1.04-3.01). Treatment in the late period had no significant association with mortality (odds ratio 0.88, 95% CI 0.55-1.41).

CONCLUSIONS:

An increase in thrombectomy case volume for the treatment of AIS over time was an independent predictor of recanalization and excellent neurologic outcome.
Subject(s)
Key words
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Brain Ischemia / Stroke / Endovascular Procedures Type of study: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: America do sul / Brasil Language: En Journal: Int J Stroke Year: 2021 Document type: Article Affiliation country:
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Brain Ischemia / Stroke / Endovascular Procedures Type of study: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: America do sul / Brasil Language: En Journal: Int J Stroke Year: 2021 Document type: Article Affiliation country: