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Endovascular Treatment for Acute Ischemic Stroke Patients over 80 Years of Age
DC Field | Value | Language |
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dc.contributor.author | Hwang, Kihwan | - |
dc.contributor.author | Hwang, Gyojun | - |
dc.contributor.author | Kwon, O-Ki | - |
dc.contributor.author | Kim, Chang Hyeun | - |
dc.contributor.author | Ban, Seung Pil | - |
dc.contributor.author | Han, Moon-Ku | - |
dc.contributor.author | Bae, Hee-Joon | - |
dc.contributor.author | Kim, Beom Joon | - |
dc.contributor.author | Bang, Jae Seung | - |
dc.contributor.author | Oh, Chang Wan | - |
dc.contributor.author | Lee, Boram | - |
dc.contributor.author | Jeong, Eun-A | - |
dc.date.accessioned | 2024-08-08T01:38:38Z | - |
dc.date.available | 2024-08-08T01:38:38Z | - |
dc.date.created | 2018-11-08 | - |
dc.date.created | 2018-11-08 | - |
dc.date.issued | 2015-09 | - |
dc.identifier.citation | Journal of Cerebrovascular and Endovascular Neurosurgery, Vol.17 No.3, pp.173-179 | - |
dc.identifier.issn | 2234-8565 | - |
dc.identifier.uri | https://hdl.handle.net/10371/207125 | - |
dc.description.abstract | 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. | - |
dc.language | 영어 | - |
dc.publisher | 대한뇌혈관외과학회 | - |
dc.title | Endovascular Treatment for Acute Ischemic Stroke Patients over 80 Years of Age | - |
dc.type | Article | - |
dc.identifier.doi | 10.7461/jcen.2015.17.3.173 | - |
dc.citation.journaltitle | Journal of Cerebrovascular and Endovascular Neurosurgery | - |
dc.citation.endpage | 179 | - |
dc.citation.number | 3 | - |
dc.citation.startpage | 173 | - |
dc.citation.volume | 17 | - |
dc.identifier.kciid | ART002035810 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Kwon, O-Ki | - |
dc.contributor.affiliatedAuthor | Han, Moon-Ku | - |
dc.contributor.affiliatedAuthor | Bae, Hee-Joon | - |
dc.contributor.affiliatedAuthor | Oh, Chang Wan | - |
dc.type.docType | Article | - |
dc.description.journalClass | 2 | - |
dc.subject.keywordAuthor | Stroke | - |
dc.subject.keywordAuthor | Aged | - |
dc.subject.keywordAuthor | Thrombolytic therapy | - |
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