Your favorable functional outcome (a modified Rankin Scale score of 0–3) is still a COMPLETE FUCKING FAILURE! Survivors expect 100% recovery and you're not measuring that! GET THERE! YOU need to rid the stroke medical world of all these incompetent persons!
Well, since no one is measuring 100% recovery, you'll never get there.
The latest useless shit here:
One-Year Outcome After Endovascular Thrombectomy for Basilar Artery Occlusion With Mild Deficits
Abstract
BACKGROUND:
The
long-term benefits of endovascular thrombectomy (EVT) for basilar
artery occlusion (BAO) in patients with low National Institutes of
Health Stroke Scale scores upon admission remain unclear. This study
aimed to compare the 1-year clinical follow-up outcomes of best medical
management (BMM) alone versus BMM plus EVT.
METHODS:
Patients
with BAO and admission National Institutes of Health Stroke Scale score
of ≤10 at 65 stroke centers in China from December 2015 to June 2022
were retrospectively enrolled. The primary outcome was favorable
functional outcome (a modified Rankin Scale score of 0–3 at 1 year).
Early (door-to-puncture time ≤120 minutes) and late EVT
(door-to-puncture time >120 minutes) classifications were defined as
surrogates for comparing initial treatment with EVT versus late
(potentially rescue) EVT after initially being treated with BMM only.
Multivariable logistic regression and propensity score matching analyses
were used to assess the association between treatment and outcomes.
RESULTS:
Among
1232 patients who had 1-year follow-up data, 856 (69.5%) were male, and
the mean (SD) age was 65 (12) years. After adjustment for confounders,
there were no significant differences between EVT and BMM in favorable
functional outcome (odds ratio, 0.96 [95% CI, 0.71–1.29]; P=0.778).
The cumulative 1-year mortality rate was 16.4% in the EVT group versus
13.7% in the BMM group (odds ratio, 1.23 [95% CI, 0.86–1.77]; P=0.262). Predefined subgroup analyses revealed that late EVT was inferior to early EVT (odds ratio, 0.47 [95% CI, 0.28–0.79]; P=0.005),
while no significant difference was observed between BMM and early EVT
in 1-year outcomes (odds ratio, 0.87 [95% CI, 0.63–1.21]; P=0.421).
CONCLUSIONS:
In
this long-term follow-up study among patients with BAO admitted with a
National Institutes of Health Stroke Scale score of ≤10, there were no
significant differences in functional outcomes and mortality at 1 year
between BMM plus EVT and BMM alone.
Graphical Abstract
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