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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Specific Factors to Predict Large-Vessel Occlusion in Acute Stroke Patients
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Specific Factors to Predict Large-Vessel Occlusion in Acute Stroke Patients

机译：预测急性中风患者大容器闭塞的具体因素

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Background: The effectiveness of thrombectomy for acute ischemic stroke has been established, and earlier treatment produces better outcomes. If possible to identify large-vessel occlusion (LVO) at the prehospital phase, eligible patients can be shipped directly to a hospital that can perform thrombectomy. The purpose of this study was to determine factors that are specific to LVO and can be known before hospital arrival. Methods: The subjects were stroke patients during the period between July 2014 and June 2016, who had a National Institutes of Health Stroke Scale (NIHSS) score of 8 or higher and came to our hospital within 6 hours of onset. These patients were divided into an LVO group and a non-LVO group, and background factors, mode of onset, individual NIHSS item scores, and blood pressure at the time of the visit were retrospectively investigated. The selected factors were compared with LVO prediction scales reported in the past. Results: There were 196 stroke patients who had NIHSS scores of 8 or higher and arrived at the hospital within 6 hours. Of these 196 patients, 56 had LVO. This LVO group included a significantly higher number of patients with the 2 items of atrial fibrillation (odds ratio [OR], 11.5: 95% confidence interval [CI], 4.04-32.9; P .0001) and systolic blood pressure of 170 mm Hg or lower (OR, 2.99: 95% CI, 1.33-6.71, P = .008). These 2 items predicted LVO equally to existing LVO prediction scales. Conclusions: The 2 items of atrial fibrillation and systolic blood pressure of 170 mm Hg or lower were significantly correlated with LVO.
机译：背景：已建立急性缺血性脑卒中血栓切除术的有效性，并且早期的治疗产生了更好的结果。如果可以在预孢子阶段识别大容器闭塞（LVO），符合条件的患者可以直接发货到能够进行血栓切除术的医院。本研究的目的是确定特定于LVO的因素，并且可以在医院到达之前知道。方法：在2014年7月至2016年6月期间，该受试者是脑卒中患者，他们在2016年6月至2016年6月期间，他的国家卫生卒中规模（NIHSS）得分为8或更高，并在发病的6小时内来到我们的医院。将这些患者分为LVO组和非LVO组，以及回顾性调查访问时发病模式，单个NIHSS物品评分和血压。将所选择的因素与过去报道的LVO预测尺度进行了比较。结果：有196例中风患者，患有8个或更高的NIHSS得分，并在6小时内到达医​​院。在这196名患者中，56名患者有洛维。该LVO集团包括患有2项心房颤动（差距[或]，11.5：95％置信区间[CI]，4.04-32.9; P＆）和170的收缩压的患者mm hg或更低（或2.99：95％ci，1.33-6.71，p = .008）。这2项平均将LVO预测到现有的LVO预测尺度。结论：170 mm Hg或更低的270 mm Hg或更低的2件房颤和收缩压。

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