Your doctor can explain this and why no discussion of the failure to get patients fully recovered and what they are doing to correct that miserable failure.
Association between time to treatment with endovascular reperfusion therapy and outcomes in patients with acute ischemic stroke treated in clinical practice
JAMA — Jahan R, et al. | July 18, 2019
Via a retrospective cohort study of
6,756 subjects with acute ischemic stroke (AIS) from January 2015 to
December 2016 in a US nationwide clinical registry, researchers
described the correlation of speed of treatment with results among
patients with AIS who underwent endovascular-reperfusion therapy.
Adverse events were symptomatic intracranial hemorrhage (sICH) and
in-hospital mortality/hospice discharge in 6.7% and in 19.6% of
patients, respectively. At discharge, 36.9% and 23.0% were ambulated
independently and had functional independence, respectively.(So, pretty much a complete failure.) Between 30
to 270 minutes vs 271 to 480 minutes, time-outcome relations were
nonlinear with steeper slopes in the onset-to-puncture adjusted
analysis. Faster onset to puncture in 15-minute increments in the 30- to
270-minute time frame correlated with a greater likelihood of obtaining
independent ambulation at discharge, lower in-hospital
mortality/hospice discharge, and lower risk of sICH. Including in the
30- to the 120-minute window, a higher likelihood of discharge to home
and lower in-hospital mortality/hospice discharge was seen with faster
door-to-puncture times for each 15-minute increment. Shorter time to
endovascular-reperfusion therapy was significantly correlated with
better outcomes(NOT 100% RECOVERY) in cases with AIS due to large vessel occlusion treated
in routine clinical practice.
Read the full article on JAMA
