Is Functional Outcome Different in Posterior and Anterior Circulation Stroke? Article Swipe
Peter Sommer
,
Alexandra Posekany
,
Wolfgang Serles
,
Martha Marko
,
Sebastian Scharer
,
Elisabeth Fertl
,
Julia Ferrari
,
Wilfried Lang
,
Milan R. Voško
,
Simon Szabo
,
Stefan Kiechl
,
Michael Knoflach
,
Stefan Greisenegger
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1161/strokeaha.118.021785
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1161/strokeaha.118.021785
Background and Purpose— Posterior circulation stroke (PCS) account for 20% of all ischemic strokes. There is limited evidence whether functional outcome of PCS is comparable to that of anterior circulation stroke (ACS). We aimed to analyze whether 3-month functional outcome is different in PCS and ACS. Methods— Patients with acute ischemic stroke prospectively enrolled within the Austrian Stroke Unit Registry were stratified by infarct localization according to the Oxfordshire Community Stroke Project Classification. Propensity score matching was used to control for covariate imbalances and to match patients with PCS and ACS. Patients were matched for stroke severity, recombinant tissue-type plasminogen activator treatment, and demographic and vascular risk factors. Main outcomes were the distribution of modified Rankin Scale after 3 months and multiple proportional odds models to estimate the influence of the infarct localization on the functional outcome. Results— From a total of 90 484 patients enrolled within the Austrian Stroke Unit Registry, 9208 (4604 PCS/4604 ACS) were matched, of those 954 (477 in each group) were treated with recombinant tissue-type plasminogen activator. We detected a significant shift towards better 3-month functional outcome in patients with ACS compared with PCS (odds ratio [OR], 1.19; 95% CI, 1.1–1.28; P <0.0001). In particular, functional outcome was worse in PCS with onset-to-door-time >270 minutes (OR, 1.34; 95% CI, 1.17–1.54; P <0.0001) and in PCS with unknown onset-to-door-time (OR, 1.26; 95% CI, 1.13–1.42; P <0.0001); however, we did not detect any difference in functional outcome between ACS and PCS in patients with an onset-to-door-time ≤270 minutes (1–180 minutes: OR, 0.92, 95% CI, 0.78–1.09, P =0.3554; 181–270 minutes: OR, 1.04, 95% CI, 0.79–1.37, P =0.7689). In patients treated with recombinant tissue-type plasminogen activator, functional outcome was not significantly different between PCS and ACS. Conclusions— PCS was associated with worse outcome compared with ACS in patients arriving later than 4.5 hours at hospital or in those with unknown onset of symptoms. Our results urge for implementation of symptoms found in the posterior circulation into preclinical patient-triage tools.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1161/strokeaha.118.021785
- https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.118.021785
- OA Status
- bronze
- Cited By
- 91
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2896040850
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2896040850Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1161/strokeaha.118.021785Digital Object Identifier
- Title
-
Is Functional Outcome Different in Posterior and Anterior Circulation Stroke?Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2018Year of publication
- Publication date
-
2018-10-15Full publication date if available
- Authors
-
Peter Sommer, Alexandra Posekany, Wolfgang Serles, Martha Marko, Sebastian Scharer, Elisabeth Fertl, Julia Ferrari, Wilfried Lang, Milan R. Voško, Simon Szabo, Stefan Kiechl, Michael Knoflach, Stefan GreiseneggerList of authors in order
- Landing page
-
https://doi.org/10.1161/strokeaha.118.021785Publisher landing page
- PDF URL
-
https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.118.021785Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.118.021785Direct OA link when available
- Concepts
-
Medicine, Stroke (engine), Circulation (fluid dynamics), Outcome (game theory), Cardiology, Physical medicine and rehabilitation, Surgery, Mechanical engineering, Engineering, Physics, Mathematical economics, Mathematics, ThermodynamicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
91Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 12, 2024: 19, 2023: 14, 2022: 17, 2021: 19Per-year citation counts (last 5 years)
- References (count)
-
41Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2157314537, https://openalex.org/W2119719863, https://openalex.org/W2065554551, https://openalex.org/W2104417683, https://openalex.org/W2005921760, https://openalex.org/W2018903238, https://openalex.org/W2077688164, https://openalex.org/W2127272421, https://openalex.org/W1861129654, https://openalex.org/W2549743835, https://openalex.org/W2133514192, https://openalex.org/W1997064745, https://openalex.org/W2553562112, https://openalex.org/W2001287456, https://openalex.org/W1972214068, https://openalex.org/W2078103827, https://openalex.org/W2138595885, https://openalex.org/W1909906747, https://openalex.org/W2197467115, https://openalex.org/W2068190131, https://openalex.org/W2142177372, https://openalex.org/W2086123509, https://openalex.org/W2432603040, https://openalex.org/W2157724112, https://openalex.org/W2054978145, https://openalex.org/W2160785670, https://openalex.org/W2054293342, https://openalex.org/W1909935856, https://openalex.org/W2803802119, https://openalex.org/W2800924554, https://openalex.org/W2033967446, https://openalex.org/W2113514989, https://openalex.org/W2304388513, https://openalex.org/W2053388598, https://openalex.org/W2111104939, https://openalex.org/W2078021281, https://openalex.org/W2527652416, https://openalex.org/W2052946597, https://openalex.org/W2153251261, https://openalex.org/W2176628039, https://openalex.org/W2013064866 |
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