ArticleStroke (Hoboken, N.J.)2022
INFluence of Revascularization Attempts on Clinical Outcomes of Mechanical Thrombectomy Patients and its Economic BURDEN.
Article in Stroke (Hoboken, N.J.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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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.
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Who cites it
2 citing papers in PubMed.
- Article
- Endovascular Detection of Catheter-Thrombus Contact by Vacuum Excitation.IEEE transactions on bio-medical engineering · 2024Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Emerging evidence suggests that clinical and economic benefits of treatment with mechanical thrombectomy vary by level of reperfusion achieved, and the number of passes required to achieve revascularization. This study aimed to investigate the Methods: Primary clinical outcomes were reperfusion (modified thrombolysis in cerebral infarction 2b-3 or <2b) and functional outcome (90-day modified Rankin Scale ≤2 or modified Rankin Scale >2) among patients treated with 1-3 passes compared with ≥4 passes. Multivariable generalized linear models examined the association between number of passes with outcomes, with adjustment for covariates that may affect outcomes (eg, age, pre-procedure modified Rankin Scale, National Institutes of Health Stroke Scale, Alberta Stroke Program Early CT Score, occlusion site, time from symptom onset to groin puncture). A 90-day decision-tree and Markov model with a 5-year time horizon evaluated the cost-effectiveness of mechanical thrombectomy from the Irish public healthcare payer perspective. Results: Eight hundred twenty three patients met the inclusion criteria. Compared with patients in the ≥4 passes group, patients in the 1-3 passes group achieved a significantly higher rate of successful reperfusion (94% versus 78%, odds ratio [OR], 4.7; Conclusion: This study illustrates that the number of passes has a significant effect on both clinical outcomes and health care costs.
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