作者
James E Siegler, Karan Patel, Kamil Taneja, Matthew B Obusan, Manisha Koneru, Shadi Yaghi, Fawaz Al‐Mufti, Tareq Kass‐Hout, Thanh N Nguyen
发表日期
2024/1
期刊
Stroke: Vascular and Interventional Neurology
卷号
4
期号
1
页码范围
e000945
简介
Background
In 2019 and 2020, 2 randomized trials of basilar artery occlusion (BAO) thrombectomy reported no improvement in functional outcomes with thrombectomy, despite observational evidence. The objective of this study was to assess whether neutral clinical trials may have influenced BAO thrombectomy practice.
Methods
The National Inpatient Sample (2018–2020) was queried for US patients with BAO, and comparisons were made between patients admitted in 2020 versus 2018 to 2019 for the primary outcome of thrombectomy. Unadjusted and adjusted multivariable regression was used, accounting for demographic and clinical covariates, with propensity‐score matching to balance clinical and hospital‐level characteristics between years.
Results
Of the 14 945 patients with BAO, 3,605 (24.1%) underwent thrombectomy,with an increase in the unadjusted rate of thrombectomy between 2020 and …
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JE Siegler, K Patel, K Taneja, MB Obusan, M Koneru… - Stroke: Vascular and Interventional Neurology, 2024