Effectiveness of Thrombectomy in Stroke According to Baseline Prognostic Factors

In real-world practice, the benefit of mechanical thrombectomy (MT) is uncertain in stroke patients with very favorable or poor prognostic profiles at baseline. We studied the effectiveness of MT versus medical treatment stratifying by different baseline prognostic factors. Retrospective analysis of...

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Autores: Rudilosso, Salvatore|||0000-0002-8775-6884, Ríos, José|||0000-0002-0716-8784, Rodríguez, Alejandro, Gomis, Meritxell|||0000-0001-7788-9272, Vera, Víctor, Gómez-Choco, Manuel|||0000-0002-4191-7574, Renú, Arturo, Matos, Núria, Llull, Laura, Purroy, Francisco|||0000-0002-1808-5968, Amaro, Sergi|||0000-0001-6838-6390, Terceño, Mikel|||0000-0001-5532-5329, Obach, Víctor|||0000-0002-0518-1053, Serena, Joaquim, Martí-Fàbregas, Joan|||0000-0001-9229-8649, Cardona, Pere-Joan|||0000-0001-5623-7873, Molina Cateriano, Carlos, Rodriguez Campello, Ana Maria|||0000-0001-8621-1420, Cánovas Verge, David|||0000-0002-3483-8106, Krupinski, Jerzy|||0000-0002-5136-8898, Ustrell, Xavier, Torres, Ferran|||0000-0002-7355-7913, San Román, Luis|||0000-0003-0735-4373, Salvat-Plana, Mercè|||0000-0003-0994-6567, Jiménez-Fàbrega, Francesc Xavier, Palomeras, Ernest|||0000-0002-0724-8653, Catena, Esther, Colom, Carla, Cocho, Dolores, Baiges, Juanjo, Aragones, Josep Maria, Diaz, Gloria, Costa, Xavier|||0000-0002-8899-9079, Almendros, María Cruz, Rybyeba, Maria, Barceló, Miquel, Carrión, Dolors, Lòpez, Matilde Núria, Sanjurjo, Eduard, Pérez de la Ossa, Natalia|||0000-0002-6063-211X, Urra, Xabier|||0000-0002-4763-5252, Chamorro, Ángel|||0000-0003-0493-5340
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:250479
Acceso en línea:https://ddd.uab.cat/record/250479
https://dx.doi.org/urn:doi:10.5853/jos.2021.00962
Access Level:acceso abierto
Palabra clave:Thrombectomy
Stroke
Prognosis
Outcome
Registries
Propensity score
Descripción
Sumario:In real-world practice, the benefit of mechanical thrombectomy (MT) is uncertain in stroke patients with very favorable or poor prognostic profiles at baseline. We studied the effectiveness of MT versus medical treatment stratifying by different baseline prognostic factors. Retrospective analysis of 2,588 patients with an ischemic stroke due to large vessel occlusion nested in the population-based registry of stroke code activations in Catalonia from January 2017 to June 2019. The effect of MT on good functional outcome (modified Rankin Score ≤2) and survival at 3 months was studied using inverse probability of treatment weighting (IPTW) analysis in three pre-defined baseline prognostic groups: poor (if pre-stroke disability, age.

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