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Outcome of endovascular stroke therapy in a large mandatory stroke-registry.
Hyrenbach, Sonja; Rode, Susanne; Schabet, Martin; Daffertshofer, Michael; Schoser, Karin; Neumaier, Stephan; Ringleb, Peter A.
Afiliação
  • Hyrenbach S; Stroke Working Group, Office for Quality Assurance in Hospitals (QiG BW), Stuttgart, Germany.
  • Rode S; Stroke Working Group, Office for Quality Assurance in Hospitals (QiG BW), Stuttgart, Germany.
  • Schabet M; Stroke Working Group, Office for Quality Assurance in Hospitals (QiG BW), Stuttgart, Germany.
  • Daffertshofer M; Stroke Working Group, Office for Quality Assurance in Hospitals (QiG BW), Stuttgart, Germany.
  • Schoser K; Stroke Working Group, Office for Quality Assurance in Hospitals (QiG BW), Stuttgart, Germany.
  • Neumaier S; Stroke Working Group, Office for Quality Assurance in Hospitals (QiG BW), Stuttgart, Germany.
  • Ringleb PA; Stroke Working Group, Office for Quality Assurance in Hospitals (QiG BW), Stuttgart, Germany. Peter.Ringleb@med.uni-heidelberg.de.
Neurol Res Pract ; 5(1): 67, 2023 Dec 21.
Article em En | MEDLINE | ID: mdl-38124178
ABSTRACT

BACKGROUND:

Endovascular stroke treatment (EST) has become the standard treatment for patients with stroke due to large vessel occlusion, especially in earlier time windows. Only few data from population-based registries on effectiveness of EST have been published.

METHODS:

Baden-Wuerttemberg is the third largest state in Germany in terms of area and population and has a structured stroke concept since 1998 which includes mandatory collection of quality assurance data. In 2018 and 2019, 3820 of 39,168 ischemic stroke patients (9.8%) were treated by EST (age median 78 y, NIHSS median 14). We analyzed the clinical outcome of these patients determined with the modified Rankin Scale (mRS) at discharge from the hospital or with the initiation of palliative therapy using logistic regression analysis with adjustment for the mRS at admission, additive IVT, age, and NIHSS.

RESULTS:

The probability of an excellent clinical outcome (mRS 0 or 1 at discharge) and for a good clinical outcome (mRS 0-2) were significantly higher in EST-patients (odds-ratio (OR) 1.27; 95% confidence interval (95% CI) 1.13-1.43, and OR of 1.15 (95% CI 1.04-1.28). Also, the regression model showed an advantage for EST-patients with less frequent 'decision for palliative care' (OR 0.87; 95% CI 0.78-0.98). Sensitivity analysis adjusting for intracranial vessel occlusion as further factor showed similar results.

CONCLUSION:

Our data suggest that EST can be of benefit also for an area-wide unselected stroke population, in a large German federal state with sometimes long distance to the next thrombectomy center.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article