医学
优势比
置信区间
冲程(发动机)
溶栓
神经组阅片室
内科学
神经学
人口
外科
心肌梗塞
机械工程
环境卫生
精神科
工程类
作者
Zhengzhao Lu,Yunyun Xiong,Kaixuan Yang,Hongqiu Gu,Chunmiao Duan,Xingquan Zhao,Xia Meng,Yongjun Wang
出处
期刊:BMC Neurology
[Springer Nature]
日期:2023-01-19
卷期号:23 (1)
被引量:1
标识
DOI:10.1186/s12883-022-03020-6
摘要
Mild acute ischemic stroke (AIS) patients with large vessel occlusion (LVO) may benefit from thrombolysis or thrombectomy therapy. However, the predictors for LVO in mild AIS patients have not been extensively explored. We aimed to investigate the predictors for LVO in mild AIS patients.We collected the data of consecutive AIS patients with a National Institutes of Health Stroke Scale (NIHSS) score ≤ 5 from The Third China National Stroke Registry - a prospective nationwide registry of AIS or transient ischemic attack (TIA) patients in China from August 2015 to March 2018. Patients were divided into LVO and non-LVO group based on the vascular imaging during the hospitalization. Multivariable regression analyses involving clinical characteristics and NIHSS subitems was performed to detect the predictors for LVO.A total of 7653 mild AIS patients from The Third China National Stroke Registry were included in this study. Among them, 620 patients (8.1%) had LVO. The level of consciousness (adjusted odds ratio, 1.87; 95% confidence interval, 1.08 to 3.23), visual field (adjusted odds ratio, 2.10; 95% confidence interval, 1.43 to 3.06) and sensory (adjusted odds ratio, 0.75; 95% confidence interval, 0.60 to 0.94) were predictors for mild AIS patients with LVO.Impaired LOC, visual field and sensory were independently predictors for LVO in mild stroke patients. Further studies are warranted to test these predictors in prehospital setting and in other population.
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