Change of mortality of patients with acute ischemic stroke before and after 2015
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Park, Sang-Won | - |
dc.contributor.author | Lee, Ji Young | - |
dc.contributor.author | Heo, Nam Hun | - |
dc.contributor.author | Han, James Jisu | - |
dc.contributor.author | Lee, Eun Chae | - |
dc.contributor.author | Hong, Dong-Yong | - |
dc.contributor.author | Lee, Dong-Hun | - |
dc.contributor.author | Lee, Byung Cheol | - |
dc.contributor.author | Lim, Young Wha | - |
dc.contributor.author | Kim, Gui Ok | - |
dc.contributor.author | Lee, Man Ryul | - |
dc.contributor.author | Oh, Jae Sang | - |
dc.date.accessioned | 2022-09-14T07:40:19Z | - |
dc.date.available | 2022-09-14T07:40:19Z | - |
dc.date.issued | 2022-08 | - |
dc.identifier.issn | 1664-2295 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21428 | - |
dc.description.abstract | IntroductionAdvances in the diagnosis and management of acute ischemic stroke (AIS) and the increased use of mechanical thrombectomy (MT) have improved the quality of care and prognosis of patients with AIS since 2015. We investigated the changing trends in mortality of patients with AIS in Korea before and after 2015. Materials and methodsA retrospective cohort study was conducted using combined anonymized data from the Acute Stroke Assessment Registry of Korea and the Health Insurance Review & Assessment Service database. Patients with ischemic stroke with precise onset time and initial National Institute of Health Stroke Scale records were included. ResultsPatients receiving MT treatment increased from 256 (2.7%) pre-2015 to 1,037 (3.9%) post-2015 (p < 0.001). Overall mortality significantly decreased from pre-2015 to post-2015. In pre-2015, intravenous thrombolysis (IVT) administered within 2 h significantly reduced 3-month mortality when compared with non-IVT. While, in post-2015, IVT administered within 2 h significantly reduced the 3-month, 1-year, 2-year, and 4-year mortality (p < 0.05). MT only reduced 1-year mortality pre-2015; however, MT significantly reduced the 3-month, 1-year, and 2-year mortality post-2015 (p < 0.05). Post-stroke antiplatelet and anticoagulant drugs significantly reduced the 3-month, 1-year, 2-year, and 4-year mortality post-2015. DiscussionSince 2015, faster IVT has significantly reduced the short- and long-term mortality in patients with AIS; MT reduced the 3-month, 1-year, and 2-year mortality. Post-stroke antithrombotic medication has significantly lowered the 2- and 4-year mortality since 2015. ConclusionsChanging trends in AIS management since 2015 have improved the prognosis of patients with AIS. | - |
dc.format.extent | 13 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Frontiers Media S.A. | - |
dc.title | Change of mortality of patients with acute ischemic stroke before and after 2015 | - |
dc.type | Article | - |
dc.publisher.location | 스위스 | - |
dc.identifier.doi | 10.3389/fneur.2022.947992 | - |
dc.identifier.scopusid | 2-s2.0-85138051709 | - |
dc.identifier.wosid | 000851387200001 | - |
dc.identifier.bibliographicCitation | Frontiers in Neurology, v.13, no.0, pp 1 - 13 | - |
dc.citation.title | Frontiers in Neurology | - |
dc.citation.volume | 13 | - |
dc.citation.number | 0 | - |
dc.citation.startPage | 1 | - |
dc.citation.endPage | 13 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Neurosciences | - |
dc.subject.keywordPlus | LONG-TERM OUTCOMES | - |
dc.subject.keywordPlus | GLOBAL BURDEN | - |
dc.subject.keywordPlus | FOLLOW-UP | - |
dc.subject.keywordPlus | THROMBOLYSIS | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | ALTEPLASE | - |
dc.subject.keywordAuthor | stroke | - |
dc.subject.keywordAuthor | acute ischemic stroke | - |
dc.subject.keywordAuthor | mechanical thrombectomy (MT) | - |
dc.subject.keywordAuthor | intravenous thrombolysis (IVT) | - |
dc.subject.keywordAuthor | trend research | - |
dc.subject.keywordAuthor | stroke care | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(31538) 22, Soonchunhyang-ro, Asan-si, Chungcheongnam-do, Republic of Korea+82-41-530-1114
COPYRIGHT 2021 by SOONCHUNHYANG UNIVERSITY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.