Evidence map›Paper›PMID 38954035›Full record

Observational studyJournal of neurology2024

External validation of clinical risk prediction score for elderly treated with endovascular thrombectomy.

Brian Anthony B Enriquez, Thor Håkon Skattør, Nicolaj Grønbæk Laugesen, Thomas Truelsen, Christian Georg Lund, Terje Nome, Mona K Beyer, Mona Skjelland, Anne Hege Aamodt

Registry-linked trialAbstract readObservational StudyValidation Study
In one paragraph

Observational study in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06220981 (The Oslo Acute Reperfusion Stroke Study), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06220981 unknown statusnot on this map

The Oslo Acute Reperfusion Stroke Study (OSCAR)

Typeobservational_patient_registrySponsorOslo University HospitalRan2017 to 2025Enrolled1,500ConditionsAcute Ischemic StrokeArmsEndovascular treatment
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Brian Anthony B EnriquezDepartment of Neurology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.ORCID http://orcid.org/0000-0002-6535-0445
Thor Håkon SkattørDivision of Radiology and Nuclear Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.ORCID http://orcid.org/0000-0002-6746-1579
Nicolaj Grønbæk LaugesenDepartment of Neurology, Stroke Center Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-0556-2331
Thomas TruelsenDepartment of Neurology, Stroke Center Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-6648-7761
Christian Georg LundDepartment of Neurology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.ORCID http://orcid.org/0000-0003-1196-9709
Terje NomeDivision of Radiology and Nuclear Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.ORCID http://orcid.org/0000-0003-1779-3054
Mona K BeyerDivision of Radiology and Nuclear Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.ORCID http://orcid.org/0000-0001-9156-6357
Mona SkjellandDepartment of Neurology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.ORCID http://orcid.org/0000-0001-7950-4882
Anne Hege AamodtDepartment of Neurology, Oslo University Hospital, Rikshospitalet, Oslo, Norway. a.h.aamodt@medisin.uio.no.ORCID http://orcid.org/0000-0002-2824-2760

Funding

Nasjonalforeningen for Folkehelsen 22662
6 · The paper itself

Abstract

BACKGROUND AND

aimThe thrombectomy in the elderly prediction score (TERPS) for functional outcome after anterior circulation endovascular therapy (EVT) in patients ≥ 80 years was recently developed. The aim of this study was to assess predictors of functional outcome in the elderly and validate the prediction model.

methodsConsecutive patients treated with EVT from the Oslo Acute Reperfusion Stroke Study were evaluated for inclusion. Clinical and radiological parameters were used to calculate the TERPS, and functional outcome were assessed at 3-month follow-up.

resultsOut of 1028 patients who underwent EVT for acute ischemic stroke from January 2017 to July 2022, 218 (21.2%) patients ≥ 80 years with anterior ischemic stroke were included. Fair outcome, defined as modified Rankin scale ≤ 3 (mRS), was achieved in 117 (53.7%). In bivariate analyses, male sex (p 0.035), age (p 0.025), baseline National Institute of Health Stroke Scale (NIHSS, p < 0.001), pre-stroke mRS (p 0.002) and Alberta Stroke Program Early Computed Tomography score (ASPECTS, p 0.001) were associated with fair outcome. Significant predictors for fair outcome in regression analyses were lower pre-stroke mRS, adjusted odd ratio, (aOR) 0.67 (95% CI 0.50-0.91, p 0.01), NIHSS, aOR 0.92 (95% CI 0.87-0.97, p 0.002), and higher ASPECTS, aOR 1.22 (95% CI 1.03-1.44, p 0.023). The area under the curve (AUC) using TERPS was 0.74 (95% CI 0.67-0.80).

conclusionsThe risk prediction score TERPS showed moderate performance in this external validation. Other variables may still be included to improve the model and validation using other cohorts is recommended.

trial registrationNCT06220981.

Indexed as

Endovascular ProceduresIschemic StrokeThrombectomyAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleOutcome Assessment, Health CarePrognosisRisk AssessmentElderlyIschemic strokePredictionThrombectomy

Identifiers

PMID38954035
PMCPMC11377628

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.