Exploring the Impact of Age and Pre-Stroke Modified Rankin Scale in Elderly Thrombectomy: A 15-Year Single-Center Experience Article Swipe
Brian Enriquez
,
Heidi Kristine Halling
,
Christian Lund
,
Bjørn Tennøe
,
Cathrine Brunborg
,
Mona Skjelland
,
Anne Hege Aamodt
,
Karolina Skagen
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1159/000540992
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1159/000540992
Introduction: The selection of endovascular thrombectomy (EVT) for acute ischemic stroke in the elderly remains challenging due to the underrepresentation of these patients in landmark randomized trials. The aim of this study was to assess the association between age and the pre-stroke modified Rankin scale score with functional outcomes after EVT in elderly patients aged ≥80 years. Methods: We prospectively collected data from consecutive elderly patients who underwent EVT of the anterior or posterior circulation at our institution between 2007 and 2022. Clinical and radiological parameters were analyzed using a fair outcome (mRS ≤3 or retained pre-stroke mRS score of 4) as the primary outcome. Results: In total, 307 elderly patients were included in the analysis. Fair functional outcomes were achieved in 162 (53%) patients. Eighty-four (27.4%) patients were deceased at 3-month follow-up and the mortality rate increased to 37.1% (114 deceased) at 1-year follow-up. The likelihood of achieving a fair functional outcome decreased by 8% for every 1-year age increase (OR 0.81, 95% CI 0.73–0.90). Lower National Institutes of Health Stroke Scale (OR 0.89, 95% CI 0.85–0.93, p < 0.001) and pre-stroke mRS (OR 0.67, 95% CI 0.53–0.84, p < 0.001) were associated with fair outcomes. Conclusions: EVT in elderly patients with stroke is beneficial in selected cases. Increasing age was associated with an increased risk of an mRS change to 4 or worse and death within 1 year. The pre-stroke mRS may aid clinicians in the selection of elderly patients for EVT.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1159/000540992
- OA Status
- gold
- Cited By
- 1
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401900343
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4401900343Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1159/000540992Digital Object Identifier
- Title
-
Exploring the Impact of Age and Pre-Stroke Modified Rankin Scale in Elderly Thrombectomy: A 15-Year Single-Center ExperienceWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-08-27Full publication date if available
- Authors
-
Brian Enriquez, Heidi Kristine Halling, Christian Lund, Bjørn Tennøe, Cathrine Brunborg, Mona Skjelland, Anne Hege Aamodt, Karolina SkagenList of authors in order
- Landing page
-
https://doi.org/10.1159/000540992Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1159/000540992Direct OA link when available
- Concepts
-
Medicine, Modified Rankin Scale, Single Center, Stroke (engine), Scale (ratio), Center (category theory), Cardiology, Emergency medicine, Internal medicine, Physical therapy, Ischemic stroke, Cartography, Mechanical engineering, Chemistry, Crystallography, Geography, Ischemia, EngineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
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32Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.≥80 | 55 |
| abstract_inverted_index.0.001) | 180, 191 |
| abstract_inverted_index.1-year | 143, 158 |
| abstract_inverted_index.Health | 170 |
| abstract_inverted_index.Rankin | 43 |
| abstract_inverted_index.Stroke | 171 |
| abstract_inverted_index.assess | 34 |
| abstract_inverted_index.cases. | 208 |
| abstract_inverted_index.change | 220 |
| abstract_inverted_index.stroke | 10, 203 |
| abstract_inverted_index.total, | 107 |
| abstract_inverted_index.within | 227 |
| abstract_inverted_index.years. | 56 |
| abstract_inverted_index.(27.4%) | 126 |
| abstract_inverted_index.3-month | 131 |
| abstract_inverted_index.between | 37, 78 |
| abstract_inverted_index.elderly | 13, 52, 64, 109, 200, 240 |
| abstract_inverted_index.outcome | 91, 152 |
| abstract_inverted_index.primary | 103 |
| abstract_inverted_index.remains | 14 |
| abstract_inverted_index.trials. | 26 |
| abstract_inverted_index.&lt; | 179, 190 |
| abstract_inverted_index.Clinical | 82 |
| abstract_inverted_index.Methods: | 57 |
| abstract_inverted_index.National | 167 |
| abstract_inverted_index.Results: | 105 |
| abstract_inverted_index.achieved | 120 |
| abstract_inverted_index.analyzed | 87 |
| abstract_inverted_index.anterior | 71 |
| abstract_inverted_index.deceased | 129 |
| abstract_inverted_index.included | 112 |
| abstract_inverted_index.increase | 160 |
| abstract_inverted_index.ischemic | 9 |
| abstract_inverted_index.landmark | 24 |
| abstract_inverted_index.modified | 42 |
| abstract_inverted_index.outcome. | 104 |
| abstract_inverted_index.outcomes | 48, 118 |
| abstract_inverted_index.patients | 22, 53, 65, 110, 127, 201, 241 |
| abstract_inverted_index.retained | 95 |
| abstract_inverted_index.selected | 207 |
| abstract_inverted_index.achieving | 148 |
| abstract_inverted_index.analysis. | 115 |
| abstract_inverted_index.collected | 60 |
| abstract_inverted_index.deceased) | 141 |
| abstract_inverted_index.decreased | 153 |
| abstract_inverted_index.follow-up | 132 |
| abstract_inverted_index.increased | 137, 215 |
| abstract_inverted_index.mortality | 135 |
| abstract_inverted_index.outcomes. | 196 |
| abstract_inverted_index.patients. | 124 |
| abstract_inverted_index.posterior | 73 |
| abstract_inverted_index.selection | 2, 238 |
| abstract_inverted_index.underwent | 67 |
| abstract_inverted_index.Increasing | 209 |
| abstract_inverted_index.Institutes | 168 |
| abstract_inverted_index.associated | 193, 212 |
| abstract_inverted_index.beneficial | 205 |
| abstract_inverted_index.clinicians | 235 |
| abstract_inverted_index.follow-up. | 144 |
| abstract_inverted_index.functional | 47, 117, 151 |
| abstract_inverted_index.likelihood | 146 |
| abstract_inverted_index.parameters | 85 |
| abstract_inverted_index.pre-stroke | 41, 96, 182, 231 |
| abstract_inverted_index.randomized | 25 |
| abstract_inverted_index.Eighty-four | 125 |
| abstract_inverted_index.association | 36 |
| abstract_inverted_index.challenging | 15 |
| abstract_inverted_index.circulation | 74 |
| abstract_inverted_index.consecutive | 63 |
| abstract_inverted_index.institution | 77 |
| abstract_inverted_index.0.53–0.84, | 188 |
| abstract_inverted_index.0.85–0.93, | 177 |
| abstract_inverted_index.Conclusions: | 197 |
| abstract_inverted_index.endovascular | 4 |
| abstract_inverted_index.radiological | 84 |
| abstract_inverted_index.thrombectomy | 5 |
| abstract_inverted_index.0.73–0.90). | 165 |
| abstract_inverted_index.Introduction: | 0 |
| abstract_inverted_index.prospectively | 59 |
| abstract_inverted_index.underrepresentation | 19 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.6937918 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |