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用途,工作流程和结果的内血管血栓切除术在患者与没有先发性残疾在国家注册
Aravind Ganesh1, Ondrej Volny1, Ingrid Kovacova1
1Calgary Stroke Program (AG, MDH), Departments of Clinical Neurosciences and Community Health Sciences, the Hotchkiss Brain Institute, and the O'Brien Institute for Public Health, University of Calgary Cumming School of Medicine, Canada; Department of Neurology (OV, MB), University Hospital Ostrava, Ostrava; International Clinical Research Centre (OV, IK, RM), Stroke Research Program, St. Anne's University Hospital, Brno; Faculty of Medicine (OV, MB), University Ostrava; Department of Neurology (OV), Charles University, 2nd Medical Faculty; Institute of Health Information and Statistics of the Czech Republic (AT), Prague; Department of Radiology (RP), 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital; Department of Radiology (FC), Masaryk Hospital, Usti nad Labem; Department of Neurology (MN), Hospital Ceske Budejovice; Neurocenter (LJ), Regional Hospital Liberec; Department of Neurology (RH), Military University Hospital; Department of Neurology (MK), Na Homolce Hospital, Prague; Department of Neurology (PS, VR), Faculty of Medicine in Pilsen, Charles University in Prague; Department of Neurology (JF), Charles University, First Faculty of Medicine and General University Hospital, Prague; Masaryk Hospital Usti nad Labem - KZ a.s. (DC), Department of Neurology-Comprehensive Stroke Center; Department of Neurology (RJ), University Hospital Brno and Faculty of Medicine Masaryk University, Brno; Department of Neurology (DV), AGEL Research and Training Institute, Ostrava Vitkovice Hospital, Czech Republic; Departments of Radiology and Medicine (MDH), University of Calgary Cumming School of Medicine, Alberta, Canada; and Department of Neurology (RM), Tomas Bata Regional Hospital Zlin, Czech Republic.
患有先发性残疾的患者接受了较少的内血管血栓切除术 (EVT),结果更差. 然而,无论残疾状况如何,EVT都改善了结果,三分之一的患者恢复到中风前的功能水平.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗干预 医疗干预
背景情况:
- 关于急性中风治疗在患有先发性残疾患者的疗效和安全性的数据有限.
- 这些患者有可能被排除在潜在的救命治疗中,例如内血管血栓切除术 (EVT).
研究的目的:
- 检查EVT的使用情况,相关的工作流程,以及在患有或没有先发性残疾的患者中中风后的结果.
- 为了比较这些组之间的治疗时间和功能恢复.
主要方法:
- 分析捷克共和国 (2016-2020) 缺血性中风患者的国家注册数据.
- 病前残疾定义为在中风前修改的兰金尺度 (mRS) 评分≥3.
- 使用倾向分数加权和匹配,比较EVT率,工作流时间和结果 (ΔmRS,3个月mRS,NIHSS,死亡率).
主要成果:
- 患有先发性残疾的患者接受EVT的可能性较低 (10.1%对20.7%),并且门到动脉穿刺时间较长.
- 尽管结果较差 (较高的ΔmRS,死亡率),但EVT与医疗管理相比,无论残疾状况如何,都与更好的结果有关.
- 大约32.1%的患有先发性残疾的治疗患者恢复了他们中风前的功能状态.
结论:
- 患有先发性残疾的患者在EVT获取方面面临差异,并经历更长的治疗延迟,导致治疗结果较差.
- 对于中风患者来说,EVT提供了显著的好处,无论他们的病前功能状态如何.
- 需要进一步的研究,以优化现有残疾人的急性中风护理.

