Performance evolution over 645 acute stroke thrombectomies in a public Brazilian healthcare institution
| Autor: | Lucas Moretti Monsignore, Vitor Rodrigues Fornazari, Antonio Pazin-Filho, Octavio M. Pontes-Neto, Rui Kleber Martins-Filho, Millene Rodrigues Camilo, Luis Henrique de Castro-Afonso, Francisco Antunes Dias, Guilherme Borghini Pazuello, Soraia Cr Fábio, Daniel Giansante Abud, Guilherme Seizem Nakiri, Frederico F Alessio-Alves, Thiago Giansante Abud |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Endovascular Procedures 030204 cardiovascular system & hematology Brain Ischemia Stroke 03 medical and health sciences 0302 clinical medicine Treatment Outcome Neurology Health care Emergency medicine SISTEMA DE SAÚDE Medicine Humans business Acute ischemic stroke Delivery of Health Care 030217 neurology & neurosurgery Large vessel occlusion Healthcare system Acute stroke Retrospective Studies Thrombectomy |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1747-4949 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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