Evidence map›Paper›PMID 31557420›Full record

ArticleBrain and behavior2019

Predictive value of the THRIVE score for outcome in patients with acute basilar artery occlusion treated with thrombectomy.

Beilei Chen, Liu Yang, Jing Hang, Shoujiang You, Jun Li, Xiaobo Li, Liangzhu Wang, Li Jiang, Wei Li, Hailong Yu

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In one paragraph

Article in Brain and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

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6citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Basilar artery bifurcation anatomy as a determinant of recanalization and stroke outcome: Basilar artery bifurcation anatomy and stroke outcome.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Beilei ChenClinical Medical College of Yangzhou University, Yangzhou City, China.
Liu YangDalian Medical University, Dalian City, China.
Jing HangClinical Medical College of Yangzhou University, Yangzhou City, China.
Shoujiang YouDepartment of Neurology and Suzhou Clinical Research Center of Neurological Disease, The Second Affiliated Hospital of Soochow University, Suzhou City, China.
Jun LiDepartment of Neurology, Northern Jiangsu People's Hospital, Yangzhou City, China.
Xiaobo LiClinical Medical College of Yangzhou University, Yangzhou City, China.
Liangzhu WangDalian Medical University, Dalian City, China.
Li JiangDepartment of Neurology, Northern Jiangsu People's Hospital, Yangzhou City, China.
Wei LiClinical Medical College of Yangzhou University, Yangzhou City, China.
Hailong YuClinical Medical College of Yangzhou University, Yangzhou City, China.ORCID 0000-0002-1557-7465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeA higher Totaled Health Risks in Vascular Events (THRIVE) score has been shown to predict poor functional outcome in patients with acute ischemic stroke (AIS) and anterior circulation large vessel occlusions undergoing thrombectomy treatment. We attempted to evaluate the value of the THRIVE score in predicting the outcome of thrombectomy treatment in AIS patients with basilar artery occlusion (BAO).

methodsA total of 68 AIS patients with BAO who underwent thrombectomy treatment from May 2014 to August 2018 were included in the present study. Multivariable logistic regression was performed to determine the predictive value of the THRIVE score for poor functional outcome (defined as modified Rankin Scale score ≥ 3), all-cause mortality, and hemorrhage transformation (HT) at 3 months.

resultsA total of 42 (61.8%) participants experienced poor functional outcomes, 25 (36.8%) patients died from all causes, and 21 (30.9%) patients had HT during the 3-month follow-up. Multivariable logistic regression showed that a higher THRIVE score was significantly associated with poor functional outcome (odds ratio [OR] 5.86, 95% confidence interval [CI], 2.28-14.91, p < .001) as well as all-cause mortality (OR 2.40, 95% CI, 1.32-4.34, p = .004) but not HT (p = .607). The C-statistic of the THRIVE score was significantly larger than that of the NIHSS score for predicting poor functional outcome (AUC = 0.913; cutoff > 5; sensitivity, 88.5%; specificity, 83.3%, p = .007) and all-cause mortality (AUC = 0.768; cutoff > 5; sensitivity, 92.0%; specificity, 65.1%, p = .018).

conclusionsA high THRIVE score was independently associated with an increased risk of poor functional outcome and all-cause mortality in AIS patients with BAO who underwent thrombectomy treatment. Moreover, the THRIVE score appeared to be a better predictor of clinical outcome than the NIHSS score.

Indexed as

Basilar ArteryBrain IschemiaPostoperative ComplicationsStrokeThrombectomyAgedEndovascular ProceduresFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePrognosisResearch DesignRetrospective StudiesRisk Assessmentbasilar artery occlusionendovascular treatmentstrokeTHRIVE score

Identifiers

PMID31557420
PMCPMC6790301

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.