Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F44555601%3A13450%2F22%3A43896876" target="_blank" >RIV/44555601:13450/22:43896876 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00669806:_____/22:10438382 RIV/00843989:_____/22:E0109440 RIV/65269705:_____/22:00076088 RIV/00098892:_____/22:10157739 a 12 dalších

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S1052305722000052?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S1052305722000052?via%3Dihub</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106308." target="_blank" >10.1016/j.jstrokecerebrovasdis.2022.106308.</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study

Popis výsledku v původním jazyce

Background and purpose: Rigorous and regular evaluation of defined quality indicators is crucial for further improvement of both technical and clinical results after mechanical thrombectomy (MT) for acute ischemic stroke (AIS). Following the recent international multi-society consensus quality indicators, we aimed to assess trend in these indicators on national level. Material and methods: The prospective multicenter study (METRICS) was conducted in Czech Republic (CR) in year 2019. All participating centers collected technical and clinical data including defined quality indicators and results were subsequently compared with those from year 2016. Results: In the 2019, 1375 MT were performed in the CR and 1178 (86%) patients (50.3% males, mean age 70.5 ? 13.0 years) were analyzed. Recanalization (TICI 2b-3) was achieved in 83.7% of patients and 46.2% of patients had good 3-month clinical outcome. Following time intervals were shortened in comparison to 2016: &quot;hospital arrival - GP&quot; (77 vs. 53 min; p&lt;0.0001), &quot;hospital arrival - maximal achieved recanalization&quot; (122 vs. 93 min; p&lt;0.0001), and &quot;stroke onset - maximal achieved recanalization&quot; (240 vs. 229 min; p p&lt;0.0001). More patients with tandem occlusion were treated in 2019 (7.8 vs. 16.5%; p&lt;0.0001) and more secondary transports were in 2019 (31.3 vs. 37.8%; p=0.002). No difference was found in 3-month clinical outcome and in the rate of periprocedural complications. Results of the METRICS study met all criteria of multi-society consensus quality indicators. Conclusion: Nationwide comparison between 2016 and 2019 showed improvement in the key time intervals, but without better overall clinical outcomes after MT.

Název v anglickém jazyce

Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study

Popis výsledku anglicky

Background and purpose: Rigorous and regular evaluation of defined quality indicators is crucial for further improvement of both technical and clinical results after mechanical thrombectomy (MT) for acute ischemic stroke (AIS). Following the recent international multi-society consensus quality indicators, we aimed to assess trend in these indicators on national level. Material and methods: The prospective multicenter study (METRICS) was conducted in Czech Republic (CR) in year 2019. All participating centers collected technical and clinical data including defined quality indicators and results were subsequently compared with those from year 2016. Results: In the 2019, 1375 MT were performed in the CR and 1178 (86%) patients (50.3% males, mean age 70.5 ? 13.0 years) were analyzed. Recanalization (TICI 2b-3) was achieved in 83.7% of patients and 46.2% of patients had good 3-month clinical outcome. Following time intervals were shortened in comparison to 2016: &quot;hospital arrival - GP&quot; (77 vs. 53 min; p&lt;0.0001), &quot;hospital arrival - maximal achieved recanalization&quot; (122 vs. 93 min; p&lt;0.0001), and &quot;stroke onset - maximal achieved recanalization&quot; (240 vs. 229 min; p p&lt;0.0001). More patients with tandem occlusion were treated in 2019 (7.8 vs. 16.5%; p&lt;0.0001) and more secondary transports were in 2019 (31.3 vs. 37.8%; p=0.002). No difference was found in 3-month clinical outcome and in the rate of periprocedural complications. Results of the METRICS study met all criteria of multi-society consensus quality indicators. Conclusion: Nationwide comparison between 2016 and 2019 showed improvement in the key time intervals, but without better overall clinical outcomes after MT.

Druh

J_ost - Ostatní články v recenzovaných periodicích

CEP obor

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OECD FORD obor

30210 - Clinical neurology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Stroke &amp; Cerebrovascular Diseases

ISSN

1052-3057

e-ISSN

—

Svazek periodika

31

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

6

Strana od-do

1-6

Kód UT WoS článku

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EID výsledku v databázi Scopus

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