Evidence map›Paper›PMID 37520173›Full record

ArticleJournal of neuroendovascular therapy2020

Current Status of Treatment for Acute Large Vessel Occlusion Stroke in Awaji Island Area after the Introduction of Endovascular Treatment.

Takashi Mizowaki, Masahiro Nakahara, Atsushi Fujita, Yoshio Sakagami, Eiji Kohmura

Abstract read
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Article in Journal of neuroendovascular therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Takashi MizowakiDepartment of Neurosurgery, Hyogo Prefectural Awaji Medical Center, Sumoto, Hyogo, Japan.
Masahiro NakaharaDepartment of Neurosurgery, Hyogo Prefectural Awaji Medical Center, Sumoto, Hyogo, Japan.
Atsushi FujitaDepartment of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Yoshio SakagamiDepartment of Neurosurgery, Hyogo Prefectural Awaji Medical Center, Sumoto, Hyogo, Japan.
Eiji KohmuraDepartment of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We retrospectively analyzed the current status of treatment for anterior circulation large vessel occlusion (LVO) in island areas with a high population aging rate. Methods: We investigated 62 consecutive patients with ischemic stroke due to acute anterior circulation LVO between October 1, 2017 and June 30, 2019. Results: In all, 26 (41.1%) patients underwent endovascular treatment (EVT). The successful recanalization rate of EVT was 88.5% (23/26). There was a significant difference in the age (median, 75.5 years vs. 81 years, respectively, P = 0.0411) and the rate of intravenous tissue plasminogen activator (tPA) therapy (53.5% vs. 11.1%, respectively, P <0.001) between the EVT group and the non-EVT group. Patients in the EVT group achieved a favorable outcome more frequently than those in the non-EVT group (50% vs. 11.1%, respectively, P = 0.0012). In the analysis based on the place of onset among the three cities comprising Awaji Island and the four groups with in-hospital onset, there was no significant difference in the rate of EVT, and the outcome of the in-hospital onset group was poor. Among the EVT group, there was a significant difference in the pre-treatment National Institutes of Health Stroke Scale score (median, 15 vs. 19, respectively, P = 0.0237) and time from onset to recanalization (O2R; median, 240 min vs. 323 min, respectively, P = 0.0128) between the favorable outcome group and the unfavorable outcome group. Conclusion: Even in an island area, it is possible to complete the treatment of ischemic stroke due to LVO within the regional medical area.

Indexed as

acute ischemic strokeendovascular treatmentlarge vessel occlusion

Identifiers

PMID37520173
PMCPMC10374371

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