Association of the time of day of EVT with clinical outcomes and benefit from successful recanalization after stroke

Burbano, Vanessa Granja; Wölfer, Teresa A.; Vlegels, Naomi; Quandt, Fanny; Zimmermann, Hanna; Wischmann, Johannes; Kellert, Lars; Liebig, Thomas; Dimitriadis, Konstantinos; Saver, Jeffrey L. and Tiedt, Steffen (2023): Association of the time of day of EVT with clinical outcomes and benefit from successful recanalization after stroke. In: Annals of Clinical and Translational Neurology, Vol. 10, No. 10: pp. 1917-1923

Abstract

Experimental and neuroimaging studies suggest an influence of the time of day on acute infarct growth, but whether this could inform patient selection for acute treatments is uncertain. In a multicenter cohort of 9357 stroke patients undergoing endovascular treatment, morning treatment (05:00–10:59) was associated with lowest 90-day mRS scores (adjusted odds ratio, 1.27 [95% CI, 1.08–1.47]; p = 0.004). The association between successful recanalization and outcome was stronger in morning compared to evening-treated patients (pia = 0.046) with treatment benefit persisting until 24 h for morning-treated compared to 11.5 h for evening-treated patients suggesting that the time of day might inform patient selection for EVT.

• Item Type: Journal article
• Faculties: Medicine > Institute for Stroke and Dementia Research (ISD)
• Subjects: 600 Technology > 610 Medicine and health
• ISSN: 2328-9503
• Language: English
• DFG: Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - 491502892