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      Endovascular treatment for basilar artery occlusion: whether the “weekend effect” affects time metrics and clinical outcomes at a comprehensive stroke center

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          Abstract

          Objectives

          This study aimed to evaluate whether the “weekend effect” would affect the time metrics and the prognosis of acute ischemic stroke (AIS) patients who underwent endovascular treatment (EVT) due to basilar artery occlusion (BAO).

          Methods

          Clinical data of AIS patients who underwent EVT due to BAO between December 2019 and July 2023 were retrospectively analyzed. At the time when the patients were admitted, the study population was divided into the weekdays daytime group and weekends nighttime group. In the subgroup analysis, the study cohort was divided into four groups: the weekdays daytime group, weekdays nighttime group, weekend daytime group, and weekend nighttime group. A good outcome was defined as a modified Rankin Scale score of ≤3 at 90 days after EVT. Time metrics [e.g. onset-to-door time (ODT) and door-to-puncture time (DPT)] and clinical outcomes were compared using appropriate statistical methods.

          Results

          A total of 111 patients (88 male patients, mean age, 67.7 ± 11.7 years) were included. Of these, 37 patients were treated during weekdays daytime, while 74 patients were treated during nights or weekends. There were no statistically significant differences in ODT ( P = 0.136), DPT ( P = 0.931), and also clinical outcomes ( P = 0.826) between the two groups. Similarly, we found no significant differences in the time metrics and clinical outcomes among the four sub-groups (all P > 0.05).

          Conclusion

          This study did not reveal any influence of the “weekend effect” on the time metrics and clinical outcomes in AIS patients who underwent EVT due to BAO at a comprehensive stroke center.

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          Most cited references17

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          2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

          William J. Powers, Alejandro A Rabinstein, Teri Ackerson … (2018)
          The purpose of these guidelines is to provide an up-to-date comprehensive set of recommendations for clinicians caring for adult patients with acute arterial ischemic stroke in a single document. The intended audiences are prehospital care providers, physicians, allied health professionals, and hospital administrators. These guidelines supersede the 2013 guidelines and subsequent updates.
          Article 0 comments Cited 1203 times – based on 0 reviews     Review now
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            Endovascular treatment versus standard medical treatment for vertebrobasilar artery occlusion (BEST): an open-label, randomised controlled trial

            Xinfeng Liu, Qiliang Dai, Ruidong Ye … (2019)
            Previous randomised trials have shown an overwhelming benefit of mechanical thrombectomy for treating patients with stroke caused by large vessel occlusion of the anterior circulation. Whether endovascular treatment is beneficial for vertebrobasilar artery occlusion remains unknown. In this study, we aimed to investigate the safety and efficacy of endovascular treatment of acute strokes due to vertebrobasilar artery occlusion.
            Article 0 comments Cited 228 times – based on 0 reviews     Review now
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              Endovascular Therapy for Stroke Due to Basilar-Artery Occlusion

              Lucianne Langezaal, Erik J.R.J. van der Hoeven, Francisco Mont’Alverne … (2021)
              Article 0 comments Cited 172 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jianying Bao: Role:
                Guangchen Shen: Role: Role:
                Haibin Shi: URI : http://loop.frontiersin.org/people/702202/overviewRole: Role: Role:
                Zheng Lin: URI : http://loop.frontiersin.org/people/2709623/overviewRole:
                Sheng Liu: URI : http://loop.frontiersin.org/people/1649690/overviewRole: Role: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Neurol
                Journal ID (iso-abbrev): Front Neurol
                Journal ID (publisher-id): Front. Neurol.
                Title: Frontiers in Neurology
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 1664-2295
                Publication date (Electronic): 27 June 2024
                Publication date Collection: 2024
                Volume: 15
                Electronic Location Identifier: 1413557
                Affiliations
                [1] 1Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University , Nanjing, China
                [2] 2Department of Radiology, The First Affiliated Hospital of Nanjing Medical University , Nanjing, China
                [3] 3Department of Nursing, The First Affiliated Hospital of Nanjing Medical University , Nanjing, China
                Author notes

                Edited by: Matteo Foschi, Azienda Unità Sanitaria Locale (AUSL) della Romagna, Italy

                Reviewed by: Tianxiao Li, Henan Provincial People's Hospital, China

                Xianli Lv, Beijing Tsinghua University, China

                *Correspondence: Sheng Liu liusheng@ 123456njmu.edu.cn

                †These authors have contributed equally to this work

                Article
                DOI: 10.3389/fneur.2024.1413557
                PMC ID: 11236743
                PubMed ID: 38994491
                SO-VID: 99ba10bb-28bc-48e8-b4ce-7a21ef978966
                Copyright © Copyright © 2024 Bao, Shen, Shi, Lin and Liu.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 07 April 2024
                Date accepted : 10 June 2024
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 17, Pages: 6, Words: 4316
                Funding
                The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by Jiangsu Province Capability Improvement Project through Science, Technology and Education (JSDW202243 to HS).
                Categories
                Subject: Neurology
                Subject: Original Research
                Custom metadata
                section-at-acceptance Endovascular and Interventional Neurology

                ScienceOpen disciplines: Neurology
                Keywords: acute ischemic stroke,basilar artery occlusion,endovascular treatment,weekend effect,comprehensive stroke center
                Data availability:
                ScienceOpen disciplines: Neurology
                Keywords: acute ischemic stroke, basilar artery occlusion, endovascular treatment, weekend effect, comprehensive stroke center

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