지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.3
- 발행연도
- 2015.1
- 수록면
- 173 - 179 (7page)
이용수
초록· 키워드
오류제보하기
Objective:We evaluated the effect of endovascular treatment (EVT) for acute ischemic stroke in patients over 80 years of age. Materials and Methods:The records of 156 acute stroke patients aged over 80 years who were considered as candidates for EVT were analyzed. Fifty-six patients (35.9%, EVT group) underwent EVT and 100 patients (64.1%, non-EVT group) did not. Outcomes, in terms of functional outcomes and rates of symptomatic hemorrhage, in-hospital morbidity and mortality, were compared between groups. Each comparison was adjusted for age, time from onset, initial National Institute of Health Stroke Scale, and pre-stroke modified Rankin Scale (mRS). Results:More patients in the EVT group achieved good outcomes (mRS score of 0-2) at 3 months (35.7% vs. 11.0%, adjusted odds ratio [OR] 4.779 [95% confidence interval 1.972-11.579], p = 0.001) and 12 months (35.7% vs. 14.0%, adjusted OR 3.705 [1.574-8.722], p = 0.003) after stroke. During admission, rates of hospital-acquired infection including pneumonia (12.5% vs. 29.0%, adjusted OR 0.262 [0.098-0.703], p = 0.008) and urinary tract infection (16.0% vs. 34.0%, adjusted OR 0.256 [0.099-0.657], p = 0.005) were significantly lower in the EVT group. More symptomatic hemorrhages (10.7% vs. 2.0%, adjusted OR 6.859 [1.139-41.317], p = 0.036) occurred in the EVT group, but no significant difference was observed in in-hospital mortality rate (12.5% vs. 8.0%, adjusted OR 1.380 [0.408-4.664], p = 0.604). Conclusion:EVT improved functional outcome and reduced the risk of hospital-acquired infections in acute stroke patients over 80 years of age without increasing the risk of in-hospital mortality, although symptomatic hemorrhage occurred more frequently after EVT.
목차
등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Alshekhlee A / 2010 / Is thrombolysis safe in the elderly?:analysis of a national database / Stroke 41(10):2259~2264
Aslanyan S / 2004 / Pneumonia and urinary tract infection after acute ischaemic stroke: a tertiary analysis of the GAIN International trial / Eur J Neurol 11(1):49~53
Bang JS / 2010 / Intracranial stent placement for recanalization of acute cerebrovascular occlusion in 32 patients / AJNR Am J Neuroradiol 31(7):1222~1225
Bateman BT / 2006 / Factors associated with in-hospital mortality after administration of thrombolysis in acute ischemic stroke patients: an analysis of the nationwide inpatient sample 1999 to 2002 / Stroke 37(2):440~446
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372(1):11~20
Aslanyan S / 2004 / Pneumonia and urinary tract infection after acute ischaemic stroke: a tertiary analysis of the GAIN International trial / Eur J Neurol 11(1):49~53
Bang JS / 2010 / Intracranial stent placement for recanalization of acute cerebrovascular occlusion in 32 patients / AJNR Am J Neuroradiol 31(7):1222~1225
Bateman BT / 2006 / Factors associated with in-hospital mortality after administration of thrombolysis in acute ischemic stroke patients: an analysis of the nationwide inpatient sample 1999 to 2002 / Stroke 37(2):440~446
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372(1):11~20
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Consensus Statements by Korean Society of Interventional Neuroradiology and Korean Stroke Society: Hyperacute Endovascular Treatment Workflow to Reduce Door-to-Reperfusion Time
Journal of Korean Medical Science
2018 .01
-
Endovascular versus Medical Management of Acute Basilar Artery Occlusion: A Systematic Review and Meta-Analysis of the Randomized Controlled Trials
대한뇌졸중학회지
2023 .01
-
Decision-Making Visual Aids for Late, Imaging-Guided Endovascular Thrombectomy for Acute Ischemic Stroke
대한뇌졸중학회지
2020 .01
-
Endovascular Treatment with Intravenous Thrombolysis versus Endovascular Treatment Alone for Acute Anterior Circulation Stroke : A Meta-Analysis of Observational Studies
대한신경외과학회지
2018 .01
-
Endovascular Treatment versus Open Surgical Repair for Isolated Iliac Artery Aneurysms
Vascular Specialist International
2024 .09
-
Acute Stroke Care in Korea in 2013–2014: National Averages and Disparities
Journal of Korean Medical Science
2020 .01
-
The Clinical Benefit and Care Burden of Extending the Window of Endovascular Thrombectomy for Stroke in the Emergency Room
Journal of Clinical Neurology
2019 .01
-
Annual Endovascular Thrombectomy Case Volume and Thrombectomy-capable Hospitals of Korea in Acute Stroke Care
예방의학회지
2023 .03
-
Routing to Endovascular Treatment of Ischemic Stroke in Korea: Recognition of Need for Process Improvement
Journal of Korean Medical Science
2020 .01
-
Impact of Multiphase Computed Tomography Angiography for Endovascular Treatment Decision- Making on Outcomes in Patients with Acute Ischemic Stroke
대한뇌졸중학회지
2021 .09
-
Meta-Analysis of Endovascular Treatment for Acute M2 Occlusion
대한신경외과학회지
2019 .01
-
Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques
대한뇌졸중학회지
2019 .01
-
Efficacy and Safety of Endovascular Treatment in Patients with Internal Carotid Artery Occlusion and Collateral Middle Cerebral Artery Flow
대한신경외과학회지
2019 .01
-
Intravenous Thrombolysis in Patients with Stroke Taking Rivaroxaban Using Drug Specific Plasma Levels: Experience with a Standard Operation Procedure in Clinical Practice
대한뇌졸중학회지
2017 .01
-
Selection of Candidates for Endovascular Treatment: Characteristics According to Three Different Selection Methods
대한뇌졸중학회지
2019 .01
-
Trends in Stroke Presentations before and during the COVID-19 Pandemic: A Meta-Analysis
대한뇌졸중학회지
2022 .01
-
Prognosis of Acute Intracranial Atherosclerosis- Related Occlusion after Endovascular Treatment
대한뇌졸중학회지
2018 .01
-
Endovascular Thrombectomy for Large Ischemic Strokes: A Living Systematic Review and Meta-Analysis of Randomized Trials
대한뇌졸중학회지
2023 .05
-
Endoscopic Management of Anastomotic Leakage after Esophageal Surgery: Ten Year Analysis in a Tertiary University Center
Clinical Endoscopy
2022 .01
-
Low- versus Standard-Dose Intravenous Alteplase in the Context of Bridging Therapy for Acute Ischemic Stroke: A Korean ENCHANTED Study
대한뇌졸중학회지
2018 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0