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Association between the time of day at stroke onset and functional outcome of acute ischemic stroke patients treated with endovascular therapy

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机构: [1]Capital Med Univ, Collaborat Innovat Ctr Brain Disorders, Beijing Inst Brain Disorders, Lab Brain Disorders,Minist Sci & Technol, Beijing, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing 100053, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypox Conditioning Translat Med, Beijing, Peoples R China [4]Capital Med Univ, Xuanwu Hosp, Dept Gen Surg, Beijing, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing 100053, Peoples R China
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关键词: Ischemic stroke endovascular therapy circadian rhythm functional outcome time of day

摘要:
To investigate the association between time-of-day of stroke onset and functional outcome in patients with acute ischemic stroke(AIS) treated with endovascular thrombectomy(EVT). AIS patients treated with EVT between January 2013 and December 2018 were recruited and divided them into four 6-h interval groups according to the time-of-day of stroke onset. A total of 438 patients were enrolled, 3-month favorable outcome were achieved in 58.6%, 43.7%, 36.6%, and 30.5% of patients in the 00:00-06:00, 06:00-12:00, 12:00-18:00, and 18:00-24:00 groups, respectively (adjusted OR 0.61, 95% CI 0.40-0.93; p = 0.020). Compared with the 18:00-24:00 interval, patients in the 00:00-06:00 interval (adjusted OR 4.01, 95%CI 1.02-15.80, p = 0.047) and the 06:00-12:00 interval (adjusted OR 3.24, 95% CI 1.09-9.64, p = 0.034) were more likely to achieve favorable outcome. The time-of-day of stroke onset was not associated with 3-month mortality (adjusted p = 0.829), symptomatic intracerebral hemorrhage (sICH, adjusted p = 0.296), or early successful recanalization (adjusted p = 0.074). In conclusion, in AIS patients treated with EVT, those onsets either between 00:00 and 06:00 or between 06:00 and 12:00 appeared to be associated with a higher proportion of favorable outcomes at 3 months, but the time-of-day at stroke onset was not associated with the incidence of sICH, rate of early successful recanalization, or 3-month mortality.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢 2 区 血液学 2 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢 2 区 血液学 2 区 神经科学
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出版当年[2020]版:
Q1 NEUROSCIENCES Q1 HEMATOLOGY Q1 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q1 ENDOCRINOLOGY & METABOLISM Q1 HEMATOLOGY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Capital Med Univ, Collaborat Innovat Ctr Brain Disorders, Beijing Inst Brain Disorders, Lab Brain Disorders,Minist Sci & Technol, Beijing, Peoples R China
通讯作者:
通讯机构: [1]Capital Med Univ, Collaborat Innovat Ctr Brain Disorders, Beijing Inst Brain Disorders, Lab Brain Disorders,Minist Sci & Technol, Beijing, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing 100053, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypox Conditioning Translat Med, Beijing, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing 100053, Peoples R China [*1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [*2]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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