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In-hospital ischaemic stroke treated with intravenous thrombolysis or mechanical thrombectomy
- Source :
- Journal of Neurology. 264:1804-1810
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- Patients with in-hospital strokes (IHS) may be eligible for recanalization therapies. The objective of this study is to compare outcomes in patients with IHS and community-onset strokes (COS) treated by recanalization therapy. We analysed data prospectively collected in consecutive patients treated by thrombolysis, thrombectomy, or both for cerebral ischemia at the Lille University Hospital. We compared four outcomes measures at 3 months in patients with IHS and COS: (1) modified Rankin scale (mRS) 0-1, (2) mRS 0-2, (3) death, and (4) symptomatic intracranial haemorrhage (ECASS 2 definition). Of 1209 patients, 64 (5.3%) had IHS, with an increasing proportion over time (p = 0.001). Their median onset-to-needle time was 128 min vs. 145 in COS (p
- Subjects :
- Male
medicine.medical_specialty
Vitamin K
Mechanical Thrombolysis
medicine.drug_class
medicine.medical_treatment
Brain Ischemia
Time-to-Treatment
03 medical and health sciences
0302 clinical medicine
Fibrinolytic Agents
Modified Rankin Scale
Humans
Medicine
Thrombolytic Therapy
Prospective Studies
030212 general & internal medicine
Prospective cohort study
Stroke
Aged
Aged, 80 and over
business.industry
Odds ratio
Thrombolysis
Middle Aged
Vitamin K antagonist
medicine.disease
Confidence interval
Surgery
Hospitalization
Treatment Outcome
Neurology
Anesthesia
Administration, Intravenous
Female
Neurology (clinical)
business
Intracranial Hemorrhages
030217 neurology & neurosurgery
Fibrinolytic agent
Follow-Up Studies
Subjects
Details
- ISSN :
- 14321459 and 03405354
- Volume :
- 264
- Database :
- OpenAIRE
- Journal :
- Journal of Neurology
- Accession number :
- edsair.doi.dedup.....d24df180863bad5ceaeabcd8410622e0
- Full Text :
- https://doi.org/10.1007/s00415-017-8570-4