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Statistics show that a significant proportion of acute ischemic stroke occurs during hospitalization, and researchers recently assessed the time-change trend of intravenous and intravascular refill therapy for hospital stroke.
this retrospective queue study analyzed data collected from January 2008 to September 2018 in the GetWithGuidelines-Stroke National Database on patients receiving stroke treatment, who became ill in or outside the hospital.
endpoints of the study were the correlation between time-varying trends, quality, functional results and key patient characteristics, co-disease and treatment in infusion therapy.
Of the 67,493 hospitalized stroke patients, patients receiving intravascular therapy (average age 69 years, 49.8 percent of women) had a higher rate of vascular risk factors (standardized average difference of 10 percent), but no significant difference in age or sex compared to patients who received only venous thrombosis (average age 72 years, 53.2 percent of women).
10481 (15.5%) received intravenous thrombosis and 2494 (3.7%) received intravascular treatment.
compared to 2008, the proportion of hospitalized stroke patients increased in 2018 (3.5% vs. 2.7%), while the proportion of inpatient stroke patients using venous thrombosis (19.1% vs 9.1%) and intravascular therapy (6.4% vs 2.5%) increased significantly, with a significant increase in 2015.
compared to out-of-hospital stroke patients treated with venous thrombosis, inpatients took longer to go from stroke recognition to a mid-level (IQR) of 33 vs 16 minutes) and thrombosis (81 vs 60 minutes).
After adjustment, compared with patients with out-of-hospital morbidity and receiving venous thrombosis treatment, patients with inpatient stroke who received venous thrombosis treatment had an increased risk of not being able to walk independently, die or receive hospice care (adjusted ratio of 1.39), and patients with intravascular treatment had a poor prognosis.
study found that the incidence of stroke in hospital showed an upward trend, compared with out-of-hospital stroke attacks, patients with in-hospital re-perfusion delay is longer, the functional prognostication is poor.
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