ArticleAJNR. American journal of neuroradiology2021
Mechanical Thrombectomy in Nighttime Hours: Is There a Difference in 90-Day Clinical Outcome for Patients with Ischemic Stroke?
Article in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of Off-Hour Admission With Treatment Delay and Unfavorable Outcomes in Patients With Stroke: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2026Pooled it
- The Influence of Circadian Onset Time on Admission Severity in Acute Ischemic Stroke: A Retrospective Cohort Study.Journal of central nervous system disease · 2026Article
- Stroke onset time affected outcomes in the young acute ischemic stroke patients treated with endovascular thrombectomy.Frontiers in neurology · 2025Article
- Mechanical Thrombectomy in Acute Ischemic Stroke: Do Patients Admitted During On-Hours Exhibit Better Results?Sisli Etfal Hastanesi tip bulteni · 2025Article
- The Role of Circadian Rhythms in Stroke: A Narrative Review.Neurochemical research · 2024Review
- Association of the time of day of EVT with clinical outcomes and benefit from successful recanalization after stroke.Annals of clinical and translational neurology · 2023Article
- Differences in mechanical thrombectomy for acute ischemic stroke on weekdays versus nights/ weekends in a Japanese primary stroke core center.Journal of cerebrovascular and endovascular neurosurgery · 2023Article
- Association Between Stroke Presentation During Off-Hours and Mechanical Thrombectomy.Stroke (Hoboken, N.J.) · 2023Article
- Association between the time of day at stroke onset and functional outcome of acute ischemic stroke patients treated with endovascular therapy.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022Article
- Off-hour effect is not significant in endovascular treatment for anterior circulation large vessel occlusion in a multicentre registry.Stroke and vascular neurology · 2021Article
- Performance of the RACE Prehospital Triage Score During Working and Nonworking Hours.Stroke (Hoboken, N.J.) · 2021Article
- Workflow Intervals and Outcomes of Endovascular Treatment for Acute Large-Vessel Occlusion During On-Vs. Off-hours in China: The ANGEL-ACT Registry.Frontiers in neurology · 2021Article
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeFew data are available regarding the influence of the timing of ischemic stroke management, such as daytime and nighttime hours, on the delay of mechanical thrombectomy, the effectiveness of revascularization, and clinical outcomes. We aimed to investigate whether admission during nighttime hours could impact the clinical outcome (mRS at 90 days) of patients with acute ischemic stroke treated by mechanical thrombectomy. MATERIALS AND
methodsWe retrospectively analyzed 169 patients (112 treated during daytime hours and 57 treated during nighttime hours) with acute ischemic stroke in the anterior cerebral circulation. The main outcome was the rate of patients achieving functional independence at 90 days (mRS ≤2), depending on admission time.
resultsIn patients admitted during nighttime hours, the rate of mRS ≤ 2 at 90 days was significantly higher (51% versus 35%,
conclusionsIn a highly organized stroke care network, mechanical thrombectomy is quite effective in the nighttime hours among acute ischemic stroke presentations. Unexpectedly, we found that those patients achieved favorable clinical outcomes more frequently than those treated during daytime hours. Larger series are needed to confirm these results.
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