在患有急性缺血性中风的老年患者中,机械血栓切除术后结果非常差的预测因素
Jie Xue1, Xiao-Guang Zhang2, Dong Zhang2
1Department of Neurology, Zhongshan Hospital, Fudan University, Shanghai, China; Department of Neurology, Yangpu Hospital Tongji University School of Medicine, Shanghai, China.
World neurosurgery
|March 21, 2024
概括
在接受机械血栓切除术 (MT) 进行中风的老年患者中,女性性别和发展性肺炎与不良结果有关. 识别这些预测因素有助于管理老年人中风恢复.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 干预心脏病学 干预心脏病学
背景情况:
- 机械血栓切除术 (MT) 是由于大血管封闭而引起的急性缺血性中风的关键治疗方法.
- 然而,老年患者即使在成功重新道化后也可能经历不良结果.
- 预测这个人群中非常糟糕的结果对于治疗规划至关重要.
研究的目的:
- 确定80岁及以上接受MT治疗的患者在3个月后出现非常差的预测结果的预测因素.
- 在这个老年人群中分析与中风后功能状况不佳 (mRS 5-6) 相关的因素.
主要方法:
- 在2018年4月至2021年1月期间接受MT的62名患者 (≥80岁) 的回顾性分析.
- 非常糟糕的结果的定义是修改后的兰金尺度 (mRS) 评分为5或6在3个月的随访.
- 多重后勤回归用于确定不良结果的独立预测因素.
主要成果:
- 超过一半 (56.5%) 的患者在3个月后经历了非常糟糕的结果.
- 女性性别被确定为一个显著的预测因素 (OR=3.592,P=0.042).
- 与中风相关的肺炎成为一个强有力的独立预测因素 (OR=6.103,P=0.010).
结论:
- 女性性别和中风相关的肺炎是MT治疗的老年中风患者非常糟糕的结果的独立预测因素.
- 这些发现突出了在治疗接受MT的老年中风患者时需要考虑的特定风险因素.
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