Abstract P239: Trends in Ischemic Stroke Treatments and Mortality in the United States From 2012-2018
| العنوان: | Abstract P239: Trends in Ischemic Stroke Treatments and Mortality in the United States From 2012-2018 |
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| المؤلفون: | Jiwon V Park, D. Andrew Wilkinson, Sharath Kumar Anand, Aditya S. Pandey, Arjun R. Adapa, Badih J Daou, William J Benjamin |
| المصدر: | Stroke. 52 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Advanced and Specialized Nursing, medicine.medical_specialty, business.industry, medicine.disease, Endovascular therapy, Mechanical thrombectomy, First line treatment, Internal medicine, Ischemic stroke, medicine, Cardiology, Neurology (clinical), Cardiology and Cardiovascular Medicine, business, Stroke |
| الوصف: | Introduction: The establishment of mechanical thrombectomy (MT) as a first line treatment for select patients with ischemic stroke (IS) and the resulting expansion of stroke systems of care have been major advancements in the care of IS patients. Our study aims to identify temporal trends in the usage of tPA and MT, as well as mortality for IS patients from 2012-2018. Hypothesis: We hypothesize that not only MT but also tPA utilization increased after 2015 compared to years previous, while mortality likely improved, given enhanced public education and optimization of stroke systems of care. Methods: Using a nation-wide, private health insurance database, we identified 141,959 patients who presented with a primary IS between 2012 and 2018. We evaluated trends in tPA and MT usage, and mortality stratified by treatment group using chi square and Cochran-Armitage testing. Results: Among patients presenting with IS in this population, the average age was 69.00 ± 12.23, and 47.43% were male. Between 2012-2018, the proportional use of tPA and MT increased significantly (tPA: 6.30%% to 11.79%, p Conclusion: From 2012-18, we found the use of tPA and MT increased significantly while 30-day mortality decreased in the entire IS population. The most dramatic decrease in mortality was seen in the MT population, followed by tPA and no treatment groups. |
| تدمد: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.52.suppl_1.p239 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::d18db9c0d3c02599d8cc6c9d8848f3f1 https://doi.org/10.1161/str.52.suppl_1.p239 |
| رقم الانضمام: | edsair.doi...........d18db9c0d3c02599d8cc6c9d8848f3f1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244628 00392499 |
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| DOI: | 10.1161/str.52.suppl_1.p239 |