The Benefit of Endovascular Thrombectomy for Stroke on Functional Outcome Is Sustained at 12 Months
Autor: | Dennis Cordato, Nathan W Manning, Mark T. Parsons, Balaki Parameshwaran, Jason Wenderoth, Andrew Cheung, Cecilia Cappelen-Smith |
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Rok vydání: | 2021 |
Předmět: |
Male
Quality of life medicine.medical_specialty Time Factors Health utility Acute ischemic stroke Disability Evaluation Modified Rankin Scale medicine Diseases of the circulatory (Cardiovascular) system Humans Prospective Studies Registries Limited evidence Endovascular thrombectomy Prospective cohort study Stroke Aged Ischemic Stroke Thrombectomy 12-month functional outcome Aged 80 and over Original Paper Stroke scale business.industry Endovascular Procedures Recovery of Function Middle Aged medicine.disease Functional Status Treatment Outcome Neurology RC666-701 Physical therapy Female Neurology (clinical) Cardiology and Cardiovascular Medicine business |
Zdroj: | Cerebrovascular Diseases Extra Cerebrovascular Diseases Extra, Vol 11, Iss 2, Pp 81-86 (2021) |
ISSN: | 1664-5456 |
Popis: | Background and Purpose: The short-term benefits of endovascular thrombectomy (EVT) for acute ischemic stroke (AIS) have been widely documented, yet there is limited evidence to show that this is sustained in the long term. We aimed to determine whether the benefit of EVT on functional outcome at 3 months is maintained at 12 months and the factors correlating with functional independence and quality of life. Methods: Data for analysis came from a prospective registry of consecutive patients undergoing EVT at a single Comprehensive Stroke Center (Oct 2018–Sep 2019). A phone interview was conducted for 12-month patient outcomes. Functional outcome was assessed by the modified Rankin Scale (mRS). Quality of life was determined by return to usual place of residence, work, or driving and calculation of a health utility index using the European Quality of Life-5 Dimensions questionnaire (EQ-5D-3L). Results: Of the 151 patients who underwent EVT during the study period, 12-month follow-up was available for 145 (96%). At 12 months, 44% ( n = 64) of patients were functionally independent (mRS 0–2) compared to 48% at 3 months. Mortality at 12 months was 26% compared to 17% at 3 months. Significant predictors of functional independence at 12 months were younger age and lower baseline National Institutes of Health Stroke Scale. Better quality of life significantly correlated with return to usual place of residence and driving. Conclusion: Three-month functional independence was sustained at 12 months, indicating that EVT remains beneficial for patients with AIS in the longer term. |
Databáze: | OpenAIRE |
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