دورية أكاديمية
أعرض في EDS

Association of Blood Pressure With Outcomes in Acute Stroke Thrombectomy.

التفاصيل البيبلوغرافية
العنوان: Association of Blood Pressure With Outcomes in Acute Stroke Thrombectomy.
المؤلفون: Malhotra K; From the Department of Neurology, Allegheny Health Network, Pittsburgh, PA (K.M.)., Goyal N; Department of Neurology, University of Tennessee, Memphis (N.G., A.V.A., G.T.)., Katsanos AH; Department of Neurology, McMaster University/Population Health Research Institute, Hamilton, Canada (A.H.K.)., Filippatou A; Second Department of Neurology, 'Attikon' University Hospital, National and Kapodistrian University of Athens, Greece (A.F., G.T.)., Mistry EA; Department of Neurology, Vanderbilt University, Nashville, TN (E.A.M.)., Khatri P; Department of Neurology, University of Cincinnati, OH (P.K.)., Anadani M; Department of Neurology, Washington University School of Medicine, St Louis, MO (M.A.).; Department of Neurosurgery, Medical University of South Carolina, Charleston (M.A., A.M.S.)., Spiotta AM; Department of Neurosurgery, Medical University of South Carolina, Charleston (M.A., A.M.S.)., Sandset EC; Department of Neurology, Stroke Unit, Oslo University Hospital, Norway (E.C.S.).; The Norwegian Air Ambulance Foundation, Oslo, Norway (E.C.S.)., Sarraj A; Department of Neurology, UT Houston, TX (A. Sarraj)., Magoufis G; Stroke Unit, Metropolitan Hospital, Piraeus, Greece (G.M., A. Safouris)., Krogias C; Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany (C.K., L.T.)., Tönges L; Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany (C.K., L.T.)., Safouris A; Stroke Unit, Metropolitan Hospital, Piraeus, Greece (G.M., A. Safouris)., Elijovich L; Department of Neurosurgery, University of Tennessee/Semmes-Murphey Clinic, Memphis (L.E., A.A.)., Goyal M; Departments of Radiology and Clinical Neurosciences, University of Calgary, AB, Canada (M.G.)., Arthur A; Department of Neurosurgery, University of Tennessee/Semmes-Murphey Clinic, Memphis (L.E., A.A.)., Alexandrov AV; Department of Neurology, University of Tennessee, Memphis (N.G., A.V.A., G.T.)., Tsivgoulis G; Department of Neurology, University of Tennessee, Memphis (N.G., A.V.A., G.T.).; Second Department of Neurology, 'Attikon' University Hospital, National and Kapodistrian University of Athens, Greece (A.F., G.T.).
المصدر: Hypertension (Dallas, Tex. : 1979) [Hypertension] 2020 Mar; Vol. 75 (3), pp. 730-739. Date of Electronic Publication: 2020 Jan 13.
نوع المنشور: Journal Article; Meta-Analysis; Research Support, N.I.H., Extramural; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Lippincott, Williams & Wilkins Country of Publication: United States NLM ID: 7906255 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1524-4563 (Electronic) Linking ISSN: 0194911X NLM ISO Abbreviation: Hypertension Subsets: MEDLINE
أسماء مطبوعة: Publication: : Hagerstown, MD : Lippincott, Williams & Wilkins
Original Publication: [Dallas, Tex.] : [American Heart Association], [©1979]-
مواضيع طبية MeSH: Thrombectomy*, Blood Pressure/*physiology , Ischemic Stroke/*surgery, Follow-Up Studies ; Hemodynamics ; Humans ; Observational Studies as Topic/statistics & numerical data ; Postoperative Complications ; Randomized Controlled Trials as Topic/statistics & numerical data ; Recovery of Function ; Survival Analysis ; Treatment Outcome
مستخلص: Limited data exist evaluating the effect of blood pressure (BP) on clinical outcomes among patients with acute ischemic stroke with large vessel occlusion treated with mechanical thrombectomy (MT). We sought to evaluate the association of BP levels on clinical outcomes among patients with acute ischemic stroke with large vessel occlusion treated with MT. Studies were identified that reported the association of systolic BP (SBP) or diastolic BP levels before, during, or after MT on the outcomes of patients with acute ischemic stroke treated with MT. Unadjusted and adjusted analyses of studies reporting odds ratios (OR adj ) per 10 mm Hg BP increment were performed. Our analysis included 25 studies comprising 6474 patients. Higher pre-MT mean SBP ( P =0.008) and post-MT maximum SBP ( P =0.009) levels were observed in patients who died within 3 months. Patients with 3-month functional independence were noted to have lower pre-MT ( P <0.001) and post-MT maximum SBP levels ( P <0.001). In adjusted analyses, increasing post-MT maximum SBP and diastolic BP levels were associated with 3-month mortality (OR adj , 1.19 [95% CI,1.00-1.43]; I 2 =78%, P value for Cochran Q test: 0.001) and symptomatic intracranial hemorrhage (OR adj , 1.65 [95% CI, 1.11-2.44]; I 2 =0%, P value for Cochran Q test: 0.80), respectively. Increasing pre- and post-MT mean SBP levels were associated with lower odds of 3-month functional independence (OR adj , 0.86 [95% CI, 0.77-0.96]; I 2 =18%, P value for Cochran Q test: 0.30) and (OR adj , 0.80 [95% CI, 0.72-0.89]; I 2 =0%, P value for Cochran Q test: 0.51), respectively. In conclusion, elevated BP levels before and after MT are associated with adverse outcomes among patients with acute ischemic stroke with large vessel occlusion.
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معلومات مُعتمدة: K23 NS113858 United States NS NINDS NIH HHS
فهرسة مساهمة: Keywords: blood pressure; consensus; intracranial hemorrhages; odds ratio; thrombectomy
تواريخ الأحداث: Date Created: 20200114 Date Completed: 20210224 Latest Revision: 20210302
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7233454
DOI: 10.1161/HYPERTENSIONAHA.119.14230
PMID: 31928111
قاعدة البيانات: MEDLINE
الوصف
تدمد:1524-4563
DOI:10.1161/HYPERTENSIONAHA.119.14230