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7-Day National Institutes of Health Stroke Scale as a surrogate marker predicting ischemic stroke patients' outcome following endovascular therapy

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资源类型：
Pubmed体系：
作者：
Lai Yuzheng[1,2] * ; Jou Eric[3] ; Mofatteh Mohammad[4] ; Nguyen Thanh N[5] ; Ho Jamie Sin Ying[6] ; Diana Francesco[7] ; Dmytriw Adam A[8] ; He Jianfeng[1,2] ; Yan Wenshan[1,2] ; Chen Yiying[1,2] ; Yan Zile[9] ; Sun Hao[1,2] ; Yeo Leonard L[10,11] ; Chen Yimin[12,13] ; Zhou Sijie[14] ;
机构： [1]Department of Neurology, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Foshan, Guangdong, China [2]Nanhai District Hospital of Traditional Chinese Medicine of Foshan City, Foshan, 528000, Guangdong, China [3]School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom [4]School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, United Kingdom [5]Department of Neurology, Radiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, United States [6]Department of Medicine, Royal Free London NHS Foundation Trust, London, United Kingdom [7]Department of Neuroradiology, A.O.U. San Giovanni di Dio e Ruggi d’Aragona, University of Salerno, Salerno, Italy [8]Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA [9]Department of Neurology and Advanced National Stroke Center, Foshan Sanshui District People’s Hospital, Foshan, 528100, Guangdong, China [10]Division of Neurology, Department of Medicine, National University Health System, Singapore, Singapore [11]Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore [12]Department of Neurology and Advanced National Stroke Center, Foshan Sanshui District People’s Hospital, Foshan, 528100, Guangdong, China [13]Department of Neurology, Neuro International Collaboration (NIC), Foshan, China [14]Department of Surgery of Cerebrovascular Diseases, First People’s Hospital of Foshan, Foshan, 528000, Guangdong, China
出处：
DOI： 10.1515/tnsci-2022-0307
ISSN：

关键词： stroke prognosis mechanical thrombectomy endovascular thrombectomy NIHSS

摘要：
Early neurological deterioration after endovascular thrombectomy (EVT) is associated with poor prognosis. National Institutes of Health Stroke Scale (NIHSS) score measured at 24 h after EVT may be a better outcome predictor than other methods that focus on changes in NIHSS. Nevertheless, clinical fluctuations in ischemic stroke patients during the immediate phase after symptoms onset are well recognized. Therefore, a delayed NIHSS evaluation may improve prognostic accuracy. We evaluate the 7-day NIHSS in predicting long-term patient outcomes after EVT.This was a multi-center retrospective cohort study of 300 consecutive ischemic stroke patients with large vessel occlusion who underwent EVT at three-stroke centers in China from August 2018 to March 2022. NIHSS was recorded on admission, pre-EVT, 24 h, and 7 days after EVT.A total of 236 eligible patients were subdivided into two groups: 7-day NIHSS ≤6 and NIHSS >6 post-EVT. 88.29% achieved a favorable outcome (modified Rankin Scale 0-2) in the NIHSS ≤6 group compared to 15.20% in the NIHSS >6 group at 90 days, and an improved favorable outcome in the former group was observed after adjusting for potential confounding factors (adjusted odds ratio 39.7, 95% confidence interval, 17.5-89.7, p < 0.001).The 7-day NIHSS score may be a reliable predictor of 90-day stroke patient outcome after EVT.© 2023 the author(s), published by De Gruyter.

基金：
This study was supported by Foshan 14th Five-Year-Plan High Level Medical Discipline Priority Construction Project; Foshan Nanhai District 14th 5-Year- Plan High Level Medical Discipline Priority Construction Project; and Foshan 14th 5-Year Plan Key Discipline Foundation, Guangdong provincial TCM Bureau Key Discipline Foundation, Foshan Brain Heart co-therapy Foundation.
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2025]版：
大类 | 4 区 医学
小类 | 4 区 神经科学
第一作者：
第一作者机构： [1]Department of Neurology, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Foshan, Guangdong, China [2]Nanhai District Hospital of Traditional Chinese Medicine of Foshan City, Foshan, 528000, Guangdong, China
通讯作者：
通讯机构： [12]Department of Neurology and Advanced National Stroke Center, Foshan Sanshui District People’s Hospital, Foshan, 528100, Guangdong, China [13]Department of Neurology, Neuro International Collaboration (NIC), Foshan, China
推荐引用方式(GB/T 7714)：
Lai Yuzheng,Jou Eric,Mofatteh Mohammad,et al.7-Day National Institutes of Health Stroke Scale as a surrogate marker predicting ischemic stroke patients' outcome following endovascular therapy[J].Translational neuroscience.2023,14(1):20220307.doi:10.1515/tnsci-2022-0307.
APA：
Lai Yuzheng,Jou Eric,Mofatteh Mohammad,Nguyen Thanh N,Ho Jamie Sin Ying...&Zhou Sijie.(2023).7-Day National Institutes of Health Stroke Scale as a surrogate marker predicting ischemic stroke patients' outcome following endovascular therapy.Translational neuroscience,14,(1)
MLA：
Lai Yuzheng,et al."7-Day National Institutes of Health Stroke Scale as a surrogate marker predicting ischemic stroke patients' outcome following endovascular therapy".Translational neuroscience 14..1(2023):20220307

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