Evidence map›Paper›PMID 38816016›Full record

ArticleAJNR. American journal of neuroradiology2024

Influence of Stroke-Onset Location on the Efficacy of Endovascular Thrombectomy: Comparison of Outcomes between In-Hospital versus Community-Onset Strokes.

Paulo Puac-Polanco, Shanelle Subasinghe, Nima Omid-Fard, Liying Zhang, Eduardo Portela de Oliveira, Vered Tsehmaister-Abitbul, Santanu Chakraborty, Carlos Torres, Robert Fahed, Dar Dowlatshahi and 1 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Paulo Puac-PolancoFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada ppuacpolanco@toh.ca.ORCID 0000-0003-2510-7608
Shanelle SubasingheFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.
Nima Omid-FardFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-2255-9476
Liying ZhangFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-5882-6070
Eduardo Portela de OliveiraFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-0818-3679
Vered Tsehmaister-AbitbulFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-8651-4541
Santanu ChakrabortyFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-2975-2260
Carlos TorresFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0003-4104-7115
Robert FahedDivision of Neurology (R.F., D.D.), Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-1887-5097
Dar DowlatshahiDivision of Neurology (R.F., D.D.), Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0003-1379-3612
Richard I AvivFrom the Department of Radiology, Radiation Oncology and Medical Physics (P.P.-P., S.S, N.O.-F., L.Z., E.P.d.O., V.T.-A., S.C., C.T., R.I.A.), University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0003-0259-970X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePrevious studies have suggested that patients experiencing an in-hospital stroke may face delays in treatment and worse outcomes compared with patients with community-onset strokes. However, most studies occurred when IV thrombolysis was the primary treatment. This study aimed to examine the outcomes of patients experiencing an in-hospital stroke in the endovascular thrombectomy era. MATERIALS AND

methodsThis was a single-center retrospective cohort study of patients older than 18 years of age with acute ischemic stroke treated with endovascular thrombectomy within 12 hours of stroke onset from January 1, 2015, to April 30, 2021. Patients were classified into 2 groups: in-hospital strokes and community-onset strokes. We compared the time metrics of stroke care delivery, the rate of successful reperfusion, and functional outcome as scored using the mRS score at 90 days (favorable outcome was defined as mRS 0-2). Differences in proportions were assessed using the Fisher exact and χ

resultsA total of 676 consecutive patients were included, with 69 (10%) comprising the in-hospital stroke group. Patients experiencing in-hospital stroke were more likely to have diabetes (36% versus 18%,

conclusionsPatients with in-hospital stroke had shorter workflow delays to initiation of endovascular thrombectomy compared with their community counterparts but with a similar rate of successful recanalization and clinical outcomes. Most important, 90-day mortality and mRS scores were equivalent between in-hospital stroke and community-onset stroke groups.

Indexed as

Endovascular ProceduresThrombectomyAgedAged, 80 and overCohort StudiesFemaleHumansIschemic StrokeMaleMiddle AgedRetrospective StudiesStrokeTime-to-TreatmentTreatment Outcome

Identifiers

PMID38816016
PMCPMC11448979

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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.