Evidence map›Paper›PMID 38450968›Full record

ArticleBrain and behavior2024

Time-dependent systolic blood pressure within 72 h after endovascular treatment in large vessel occlusion stroke.

Xin Jiang, Jinghuan Fang, Lijie Gao, Shuju Dong, Jian Wang, Fayun Hu, Li He

Abstract read
In one paragraph

Article in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xin JiangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jinghuan FangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Lijie GaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Shuju DongDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jian WangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Fayun HuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Li HeDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-2034-1027

Funding

China's Post-doctoral Science Foundation 2021M692294Fundamental Research Funds for the Central Universities 2021SCU12012National Natural Science Foundation of China 82101395Science and Technology Planning Project of Sichuan Province 2021YJ0437
6 · The paper itself

Abstract

backgroundThe association of systolic blood pressure (SBP) and ischemic stroke outcome has recently been proved to be varied at different time points within 72 h after acute ischemic stroke onset; however, the specific status of how SBP affects prognosis at different time points within 72 h after endovascular treatment (EVT) among patients with large vessel occlusion (LVO) remains unclear.

methodsConsecutive LVO patients treated with EVT were enrolled in our study. BP data were collected at eight time points (1, 2, 4, 8, 16, 24, 48, and 72 h post-EVT). Outcome measure of interest was functional dependence, which was defined as mRS >2 at 90 days.

resultsA total of 406 LVO patients treated with EVT from 2016 to 2022 were included. At 16 h after EVT, the relationship between SBP and functional dependence showed a nonlinear association. At other time points after EVT, SBP had linear relationships with functional dependence. Furthermore, higher SBP, as either a linear or quadratic term, had an adverse effect on functional outcome. In addition, three SBP trajectories were observed, and the high-to-low group was independently associated with functional dependence.

conclusionTaken together, higher SBP within the first 72 h after EVT has a time-dependent association with adverse clinical outcomes. Optimal blood pressure management during the first 72 h after EVT may be important to improve clinical outcome.

Indexed as

Drug-Related Side Effects and Adverse ReactionsIschemic StrokeBlood PressureHumansblood pressureclinical outcomeendovascular treatmentlarge vessel occlusion stroketime dependency

Identifiers

PMID38450968
PMCPMC10918593

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