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Preceding transient ischemic attack was associated with functional outcome after stroke thrombectomy: A propensity score matching study

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 Changchun St, Beijing 100053, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, 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 Emergency, Beijing, Peoples R China [5]Wayne State Univ, Dept Neurosurg, Detroit, MI USA
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关键词: Transient ischemic attack acute ischemic stroke endovascular therapy systemic immune-inflammation index prognosis

摘要:
Whether preceding transient ischemic attack (TIA) can provide neuroprotective benefits in subsequent acute ischemic stroke (AIS) caused by large vessel occlusion remains unclarified. This study aimed to investigate the association between preceding TIA and functional outcomes in AIS patients with endovascular therapy (EVT). Eligible patients were divided into TIA and non-TIA groups according to whether they experienced TIA within 96 hours prior to stroke. Two groups were balanced using propensity score matching (PSM) analysis at a 1:3 ratio. Onset stroke severity and 3-month functional independence were evaluated. A total of 887 patients were included. After PSM, 73 patients with and 217 patients without preceding TIA were well matched. Onset stroke severity was not different between the groups (p > 0.05). However, the TIA group had a lower systemic immune-inflammation index (SII) (median, 1091 versus 1358, p < 0.05). Preceding TIA was significantly associated with 3-month functional independence (adjusted odds ratio, 2.852; 95% confidence interval [CI], 1.481-5.495; adjusted p < 0.01). The effects of preceding TIA on functional independence were partially mediated by SII (average causal mediation effects 0.02; 95% CI, 0.001-0.06, p < 0.05). In AIS patients treated by EVT, preceding TIA within 96 hours was associated with three-month functional independence but not with reduced onset stroke severity.

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出版当年[2022]版:
大类 | 1 区 医学
小类 | 1 区 神经科学 1 区 内分泌学与代谢 2 区 血液学
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[2021]版:
Q1 ENDOCRINOLOGY & METABOLISM Q1 NEUROSCIENCES Q2 HEMATOLOGY
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[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 Changchun St, Beijing 100053, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 Changchun St, Beijing 100053, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypox Conditioning Translat Med, Beijing, Peoples R China [*1]Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
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