학술논문

Association of the time of day of EVT with clinical outcomes and benefit from successful recanalization after stroke
Document Type
article
Source
Annals of Clinical and Translational Neurology, Vol 10, Iss 10, Pp 1917-1923 (2023)
Subject
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Language
English
ISSN
2328-9503
Abstract
Abstract Experimental and neuroimaging studies suggest an influence of the time of day on acute infarct growth, but whether this could inform patient selection for acute treatments is uncertain. In a multicenter cohort of 9357 stroke patients undergoing endovascular treatment, morning treatment (05:00–10:59) was associated with lowest 90‐day mRS scores (adjusted odds ratio, 1.27 [95% CI, 1.08–1.47]; p = 0.004). The association between successful recanalization and outcome was stronger in morning compared to evening‐treated patients (pia = 0.046) with treatment benefit persisting until 24 h for morning‐treated compared to 11.5 h for evening‐treated patients suggesting that the time of day might inform patient selection for EVT.