年龄对后循环与前循环卒中血管内治疗结果的影响:一项全国性登记的比较分析。

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY Cerebrovascular Diseases Pub Date : 2024-08-03 DOI:10.1159/000540687
Raoul Pop, Stephanos Finitsis, Bertrand Lapergue, Arturo Consoli, Benjamin Gory
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引用次数: 0

摘要

背景:后循环卒中(PCS)与前循环卒中(ACS)相比,年龄对血管内治疗(EVT)后临床结果的影响是否相似尚不清楚:数据来自法国全国范围内的前瞻性、多中心、观察性脑卒中EVT治疗登记处ETIS。我们纳入了2015年1月至2023年8月期间接受EVT治疗的PCS或ACS患者。通过回归分析研究了患者年龄与临床结局变量之间的关系。良好的临床结果定义为90天时改良Rankin量表评分≤2分:研究包括935名PCS患者和11427名ACS患者。在年龄对良好临床预后可能性的影响方面,PCS 和 ACS 之间没有明显差异。但年龄对死亡率的影响却有显著差异。30-85 岁的 PCS 患者死亡率较高,而年轻或年长患者的死亡率无明显差异。与同年龄组的 ACS 患者相比,PCS 老年患者(≥80 岁)的临床预后良好率和死亡率相似:在这项评估年龄对后循环与前循环卒中 EVT 治疗效果影响的对比分析中,观察到中年患者的治疗效果存在差异,而年轻和老年患者的治疗效果趋于一致。老年 PCS 患者的疗效与同年龄组的 ACS 患者相似。
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Influence of Age on Outcomes of Endovascular Treatment in Posterior versus Anterior Circulation Stroke: A Comparative Analysis in a Nationwide Registry.

Introduction: It is unknown whether the influence of age on clinical outcomes post endovascular treatment (EVT) is similar in posterior circulation stroke (PCS) compared to anterior circulation stroke (ACS).

Methods: Data were extracted from the ETIS registry, a nationwide prospective, multicenter, observational registry for stroke EVT procedures in France. We included patients treated with EVT for PCS or ACS between January 2015 and August 2023. The relationship between patient age and clinical outcome variables was studied using regression analysis. Good clinical outcome was defined as modified Rankin scale score ≤2 at 90 days.

Results: The study included 935 patients with PCS and 11,427 patients with ACS. There were no significant differences between PCS and ACS in the influence of age on the likelihood of good clinical outcome. The influence of age on the likelihood of mortality was significantly different. Mortality was higher for PCS between 30 and 85 years, without significant differences in younger or older patients. Elderly patients (≥80 years) with PCS had similar rates of good clinical outcome and mortality compared to patients with ACS from the same age group.

Conclusion: In this comparative analysis assessing the impact of age on EVT outcomes in posterior versus anterior circulation stroke, differences were observed in middle-aged patients, whereas outcomes tended to converge in young and elderly age groups. Elderly PCS patients had similar outcomes as ACS patients from the same age group.

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来源期刊
Cerebrovascular Diseases
Cerebrovascular Diseases 医学-临床神经学
CiteScore
4.50
自引率
0.00%
发文量
90
审稿时长
1 months
期刊介绍: A rapidly-growing field, stroke and cerebrovascular research is unique in that it involves a variety of specialties such as neurology, internal medicine, surgery, radiology, epidemiology, cardiology, hematology, psychology and rehabilitation. ''Cerebrovascular Diseases'' is an international forum which meets the growing need for sophisticated, up-to-date scientific information on clinical data, diagnostic testing, and therapeutic issues, dealing with all aspects of stroke and cerebrovascular diseases. It contains original contributions, reviews of selected topics and clinical investigative studies, recent meeting reports and work-in-progress as well as discussions on controversial issues. All aspects related to clinical advances are considered, while purely experimental work appears if directly relevant to clinical issues.
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