文摘
摘要目的:分析大血管闭塞率(LVO)检测在低美国国立卫生研究院的中风尺度(署)分数患者在一个大型多中心数据库。
背景:署机械血栓切除术低分数的好处(< 6)还不清楚并接受调查。目前,伟大的变异存在于实践模式的计算机断层扫描血管造影(CTA)患者低署。当前的指导方针不解决低署主要由于数据的缺乏。更好的理解LVO率与低署有助于指导临床实践,为扩大的指导建议。
设计/方法:227年急性中风磋商在急诊室看到设施(27个州)从7月1日,2021年到2021年12月31日提取从TeleCare™数据库。最后为人所知的遇到看到在24小时内正常综述了CTA, LVO发现,署得分。多变量分析来确定优势比(或)CTA,在每个署和LVO发现分数≥6 0 - 5的参考。
结果:急性中风遇到包括23166和10507 CTA执行。有较小的几率CTA执行署的患者包括:0(或= 0.14,[0.13,0.15]);1(或= 0.16,[0.15,0.18]);2(或= 0.27,[0.24,0.3]);3(或= 0.33,[0.3,0.37]);4(或= 0.49,[0.43,0.55]);和5(或= 0.71,[0.61,0.82])。此外,有较小的几率一个LVO检测患者的署:0(或= 0.1,[0.07,0.13]);1(或= 0.09,[0.06,0.12]);2(或= 0.16,[0.12,0.22]); 3 (OR=0.14, [0.1,0.2]); 4 (OR=0.24, [0.18,0.32]), and 5 (OR=0.27, [0.2,0.37]).
结论:分析我们的大型远程医疗数据库演示了大量LVOs检测与署< 6,支持降低最低署紧急CTA的分数。截止≥4可能LVO捕捉最佳阈值。我们建议一个合理的方法患者CTA性能包括署≥4或皮质的症状。
披露:Sevilis博士在现代化股票。福勒博士没有披露。阿维拉博士没有披露。Boyd女士没有披露。柯林斯先生没有披露。高博士没有披露。希斯博士已经收到个人补偿的范围0 - 499美元作为流行病学分析顾问与神经科学创新的基础。Devlin博士获得了个人作为一个雇员补偿神经科学创新的基础。Devlin博士已经收到个人薪酬在10000 - 49999美元的范围作为顾问新星的信号。Devlin博士已经收到个人薪酬在10000 - 49999美元的范围为Viz.ai担任顾问。 Dr. Devlin has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Medtronic. Dr. Devlin has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Medtronic. Dr. Devlin has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Viz,ai. Dr. Devlin has received personal compensation in the range of $5,000-$9,999 for serving as an officer or member of the Board of Directors for Neuroscience Innovation Foundation. Dr. Devlin has stock in Nova Signal. Dr. Devlin has stock in Viz.ai. The institution of Dr. Devlin has received research support from Viz.ai. Dr. Devlin has received research support from Nova Signal. Dr. Devlin has received intellectual property interests from a discovery or technology relating to health care.
