1. Outcomes between in-hospital stroke and community-onset stroke after thrombectomy: Propensity-score matching analysis
- Author
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Sheng Liu, Hai-Bin Shi, Lin-Bo Zhao, Kai Qiu, and Qing-Quan Zu
- Subjects
medicine.medical_specialty ,business.industry ,Endovascular Procedures ,Original Articles ,medicine.disease ,Hospitals ,Brain Ischemia ,Stroke ,Treatment Outcome ,Emergency medicine ,Propensity score matching ,medicine ,Humans ,cardiovascular diseases ,In hospital stroke ,business ,Propensity Score ,Community onset ,Ischemic Stroke ,Thrombectomy - Abstract
Background The benefit of endovascular thrombectomy for patients with in-hospital stroke remains unclear. Thus, the aim of this study was to compare the endovascular thrombectomy outcomes between in-hospital stroke and community-onset stroke among patients with acute ischemic stroke. Methods From January 2015 to July 2019, 362 consecutive patients with acute ischemic stroke with large vessel occlusion in the anterior circulation received endovascular thrombectomy in our centre. After propensity score matching with a ratio of 1:2 (in-hospital stroke:community-onset stroke), clinical characteristics and functional outcomes were compared between in-hospital stroke and community-onset stroke groups. Results Thirty-six patients with in-hospital stroke and 72 patients with community-onset stroke were enrolled. The number of patients with New York Heart Association classification III/IV (41.7% vs. 6.9%, p Conclusion Patients with in-hospital stroke had more disadvantageous comorbidities than those with community-onset stroke. Cardiac dysfunction seems to be associated with poor outcomes after thrombectomy. Nevertheless, endovascular thrombectomy still appears to be safe and effective for patients with in-hospital stroke.
- Published
- 2021