Evidence map›Paper›PMID 38376545›Full record

ArticleJournal of neurology2024

Effectiveness of endovascular treatment for in-hospital stroke vs. community-onset stroke: a propensity score-matched analysis.

Jae Wook Jung, Kwang Hyun Kim, Jaeseob Yun, Hyo Suk Nam, Ji Hoe Heo, Minyoul Baik, Joonsang Yoo, Jinkwon Kim, Hyungjong Park, Sung-Il Sohn and 24 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 12 institutions in 1 country.

Jae Wook JungDepartment of Neurology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Kwang Hyun KimDepartment of Neurology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Jaeseob YunDepartment of Neurology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Hyo Suk NamDepartment of Neurology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Ji Hoe HeoDepartment of Neurology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Minyoul BaikDepartment of Neurology, Yonsei University College of Medicine, Yongin Severance Hospital, Yongin, South Korea.
Joonsang YooDepartment of Neurology, Yonsei University College of Medicine, Yongin Severance Hospital, Yongin, South Korea.
Jinkwon KimDepartment of Neurology, Yonsei University College of Medicine, Yongin Severance Hospital, Yongin, South Korea.
Hyungjong ParkDepartment of Neurology, Brain Research Institute, Keimyung University School of Medicine, Daegu, South Korea.
Sung-Il SohnDepartment of Neurology, Brain Research Institute, Keimyung University School of Medicine, Daegu, South Korea.
Jeong-Ho HongDepartment of Neurology, Brain Research Institute, Keimyung University School of Medicine, Daegu, South Korea.
Byung Moon KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, South Korea.
Dong Joon KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, South Korea.
JoonNyung HeoDepartment of Radiology, Yonsei University College of Medicine, Seoul, South Korea.
Oh Young BangDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Woo-Keun SeoDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Jong-Won ChungDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Kyung-Yul LeeDepartment of Neurology, Gangnam Severance Hospital, Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul, South Korea.
Yo Han JungDepartment of Neurology, Gangnam Severance Hospital, Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul, South Korea.
Hye Sun LeeDepartment of Research Affairs, Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, South Korea.
Seong Hwan AhnDepartment of Neurology, Chosun University School of Medicine, Gwangju, South Korea.
Dong Hoon ShinDepartment of Neurology, Gachon University Gil Medical Center, Incheon, South Korea.
Hye-Yeon ChoiDepartment of Neurology, Kyung Hee University at Gangdong, Kyung Hee University College of Medicine, Seoul, South Korea.
Han-Jin ChoDepartment of Neurology, Pusan National University School of Medicine, Busan, South Korea.
Jang-Hyun BaekDepartment of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Gyu Sik KimDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, South Korea.
Kwon-Duk SeoDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, South Korea.
Seo Hyun KimDepartment of Neurology, Yonsei University Wonju College of Medicine, Wonju, South Korea.
Tae-Jin SongDepartment of Neurology, College of Medicine, Seoul Hospital, Ewha Womans University, Seoul, South Korea.
Sang Won HanDepartment of Neurology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, South Korea.
Joong Hyun ParkDepartment of Neurology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, South Korea.
Jin Kyo ChoiDepartment of Neurology, Seoul Medical Center, Seoul, South Korea.
Young Dae KimDepartment of Neurology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea. neuro05@yuhs.ac.
SECRET Study Group
Yonsei University · KRKeimyung University · KRSamsung Medical Center · KRInje University Sanggye Paik Hospital · KRNational Health Insurance Service Ilsan Hospital · KRChosun University · KREwha Womans University · KRGachon University Gil Medical Center · KRKangbuk Samsung Hospital · KRKyung Hee University Hospital at Gangdong · KRPusan National University · KRSeoul Medical Center · KR

Funding

Ministry of Health and Welfare RS-2023-00265497Yonsei University College of Medicine 6-2022-0170
6 · The paper itself

Abstract

backgroundThe effectiveness of endovascular treatment for in-hospital stroke remains debatable. We aimed to compare the outcomes between patients with in-hospital stroke and community-onset stroke who received endovascular treatment.

methodsThis prospective registry-based cohort study included consecutive patients who underwent endovascular treatment from January 2013 to December 2022 and were registered in the Selection Criteria in Endovascular Thrombectomy and Thrombolytic Therapy study and Yonsei Stroke Cohort. Functional outcomes at day 90, radiological outcomes, and safety outcomes were compared between the in-hospital and community-onset groups using logistic regression and propensity score-matched analysis.

resultsOf 1,219 patients who underwent endovascular treatment, 117 (9.6%) had in-hospital stroke. Patients with in-hospital onset were more likely to have a pre-stroke disability and active cancer than those with community-onset. The interval from the last known well to puncture was shorter in the in-hospital group than in the community-onset group (155 vs. 355 min, p<0.001). No significant differences in successful recanalization or safety outcomes were observed between the groups; however, the in-hospital group exhibited worse functional outcomes and higher mortality at day 90 than the community-onset group (all p<0.05). After propensity score matching including baseline characteristics, functional outcomes after endovascular treatment did not differ between the groups (OR: 1.19, 95% CI 0.78-1.83, p=0.4). Safety outcomes did not significantly differ between the groups.

conclusionEndovascular treatment is a safe and effective treatment for eligible patients with in-hospital stroke. Our results will help physicians in making decisions when planning treatment and counseling caregivers or patients.

Indexed as

Endovascular ProceduresPropensity ScoreRegistriesStrokeAgedAged, 80 and overCohort StudiesFemaleHospitalizationHumansMaleMiddle AgedOutcome Assessment, Health CareProspective StudiesThrombectomyThrombolytic TherapyEndovascular treatmentIn-hospital strokeIschemic strokePropensity score

Identifiers

PMID38376545
OpenAlexW4391956770

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.