1/18/2024 0 Comments Matilde hidalgo![]() ![]() Patients from nonurban areas had higher odds of receiving thrombolysis (odds ratio, 1.36 ), lower odds of receiving thrombectomy(odds ratio, 0.61 ), and longer time from stroke onset to thrombolysis (mean difference 38 minutes ) and thrombectomy(mean difference 66 minutes ). Mortality rate was similar between groups(odds ratio, 1.02 ). Patients with ischemic stroke from nonurban areas had higher degrees of disability at 90 days (median modified Rankin Scale score, 3 versus 3, common odds ratio, 1.25 ) the observed average effect was only significant in patients with large vessel stroke (common odds ratio, 1.36 ). We matched 920 patients with an ischemic stroke from urban areas and nonurban areas based on their propensity scores. ![]() The analysis included 1369 patients from nonurban areas and 2502 patients from urban areas. Propensity score matching was used to assemble a cohort of patients with similar characteristics. ![]() Secondary outcomes included mortality at 90 days, rate of thrombolysis and thrombectomy, time from onset to thrombolysis, and thrombectomy initiation. Primary outcome was disability at 90 days, as assessed by the shift analysis on the modified Rankin Scale score, in patients with an ischemic stroke. Patients with suspected large vessel occlusion stroke, as evaluated by a Rapid Arterial Occlusion Evaluation score of ≥5, from urban catchment areas of thrombectomy-capable centers during RACECAT trial enrollment period were included in the Stroke Code Registry of Catalonia. We aim to compare the outcome of patients from urban areas, where the referral center is able to perform thrombectomy, with patients from nonurban areas enrolled in the RACECAT trial (Direct Transfer to an Endovascular Center Compared to Transfer to the Closest Stroke Center in Acute Stroke Patients With Suspected Large Vessel Occlusion). ![]()
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