Neurological deficit and degree of autonomy of patients with ischemic stroke treated with mechanical thrombectomy. A retrospective study

M.Lourdes Bermello López , Emilio Rubén Pego Pérez , Isidoro Rodríguez Pérez
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Abstract

Objective

To determine the degree of autonomy of patients treated with mechanical thrombectomy; to assess the degree of neurological deficit on admission and 24 h, and the degree of dependency at 3 months after performing the mechanical thrombectomy.

Method

Quantitative, observational, and descriptive study, with a sample of 57 patients treated with mechanical thrombectomy in the Autonomous City of Buenos Aires. Neurological deficit was measured with the National Institute of Health Stroke Score upon admission and 24 h after treatment with mechanical thrombectomy, and functional outcome with the modified Rankin scale at three months.

Results

The degree of dependency at three months was 2,4 points. The mean neurological deficit score on admission was 12,1 points, and 9,3 points after 24 h. Neurological deficit at 24 h has been found to be predictive of functionality at three months.

Conclusion

The mean of the neurological deficit at admission was situated in a moderate neurological deficit. The mean of the neurological deficit at 24 h has been placed in a moderate neurological deficit. The score for the degree of dependency at three months was placed in the mild disability category. A significant correlation has been obtained between the neurological deficit at 24 h and the functional result at three months.
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机械性血栓切除术治疗缺血性脑卒中患者的神经功能缺损和自理能力。回顾性研究
方法对布宜诺斯艾利斯自治市 57 名接受机械性血栓切除术治疗的患者进行抽样调查,采用定量、观察和描述性研究方法,评估入院时和 24 小时后的神经功能缺损程度,以及实施机械性血栓切除术 3 个月后的依赖程度。入院时和接受机械性血栓切除术治疗 24 小时后,采用美国国立卫生研究院卒中评分法测定神经功能缺损程度;三个月后,采用改良的兰金量表测量功能结果。入院时的平均神经功能缺损评分为 12.1 分,24 小时后为 9.3 分。结论入院时神经功能缺损的平均值为中度神经功能缺损。入院时神经功能缺损的平均值为中度神经功能缺损,24 小时时神经功能缺损的平均值为中度神经功能缺损。三个月后的依赖程度评分为轻度残疾。24 小时时的神经功能缺损与三个月时的功能结果之间存在明显的相关性。
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