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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Alberta Stroke Program Early CT Score-Time Score Predicts Outcome after Endovascular Therapy in Patients with Acute Ischemic Stroke: A Retrospective Single-Center Study
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Alberta Stroke Program Early CT Score-Time Score Predicts Outcome after Endovascular Therapy in Patients with Acute Ischemic Stroke: A Retrospective Single-Center Study

机译：Alberta Stroke计划早期CT渐变时间分数预测急性缺血性卒中患者血管内治疗后的结果：回顾性单中心研究

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Background: Clinical outcomes after successful endovascular therapy in patients with acute ischemic stroke are associated with several factors including onset-to-reperfusion time (ORT), the National Institute of Health Stroke Scale (NIHSS) score, and the Alberta Stroke Program Early CT Score (ASPECTS). The NIHSS-time score, calculated as follows: [NIHSS score] x [onset-to-treatment time (h)] or [NIHSS score] x [ORT (h)], has been reported to predict clinical outcomes after intravenous recombinant tissue plasminogen activator therapy and endovascular therapy for acute stroke. The objective of the current study was to assess whether the combination of the ASPECTS and the ORT can predict the outcomes after endovascular therapy.Methods: The charts of 117 consecutive ischemic stroke patients with successful reperfusion after endovascular therapy were retrospectively reviewed. We analyzed the association of ORT, ASPECTS, and ASPECTS-time score with clinical outcome. ASPECTS-time score was calculated as follows: [11 - ASPECTS] x [ORT (h)]. Results: Rates of good outcome for patients with ASPECTS-time scores of tertile values, scores 5.67 or less, scores greater than 5.67 to 10.40 or less, and scores greater than 10.40, were 66.7%, 56.4%, and 33.3%, respectively (P .05). Ordinal logistic regression analysis showed that the ASPECTS-time score (per category increase) was an independent predictor for better outcome (common odds ratio:.374; 95% confidence interval:.150-0.930; P .05). Conclusions: A lower ASPECTS-time score may predict better clinical outcomes after endovascular treatment.
机译：背景：急性缺血性卒中患者成功血管内治疗后的临床结果与包括发病 - 重新灌注时间（ORT），国家卫生冲程量表（NIHSS）得分，以及艾伯塔省中风计划早期CT得分的因素有关（方面）。 NIHSS-Time得分，如下计算：[NIHSS得分] X [开始治疗时间（H）]或[NIHSS得分] X [ORT（H）]，据报道，预测静脉注射重组组织后的临床结果急性中风纤溶酶原激活剂治疗和血管内疗法。目前的研究目的是评估方面和ORT的组合是否可以预测血管内疗法后的结果。方法：回顾性地审查了血管内治疗后成功再灌注的117例连续缺血性卒中患者的图表。我们分析了临床结果的ORT，方面和方面时分的协会。方面 - 时间分数如下计算：[11 - 方面] X [ORT（H）]。结果：患者的患者的患者的特性时间评分的良好结果，分数5.67以下，分数大于5.67至10.40或更低，分别为10.60分，分别为6.7％，56.4％和33.3％（ P＆ 05）。序数逻辑回归分析表明，方面 - 时间分数（每类别增加）是一个独立的预测因子，用于更好的结果（常见的赔率比：.374; 95％置信区间：.150-0.930; p <.05）。结论：较低的方面 - 时间分数可以预测血管内治疗后更好的临床结果。

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