Evidence map›Paper›PMID 41908283›Full record

ArticleFrontiers in neurology

General anesthesia vs. non-general anesthesia for elderly stroke patients treated with mechanical thrombectomy.

Wanying Shan, Mengyi Xu, Xiuqun Gong, Yi Xie, Xiaohao Zhang, E Yan, Hongmei Zhu, Yishan Lei, Liang Xu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Wanying Shan *Department of Neurology, Suzhou Ninth People's Hospital, Soochow University, Suzhou, Jiangsu, China.
Mengyi Xu *Department of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Xiuqun Gong *Department of Neurology, The First Hospital of Anhui University of Science and Technology, Huainan, Anhui, China.
Yi XieDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Xiaohao ZhangDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
E YanDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Hongmei ZhuDepartment of Anesthesiology, Suzhou Xiangcheng People's Hospital, Suzhou, Jiangsu, China.
Yishan LeiDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Liang XuDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to compare the impact of general anesthesia (GA) versus non-GA on functional outcomes in elderly patients undergoing endovascular thrombectomy (EVT) for acute ischemic stroke. Methods: A total of 707 elderly stroke patients (mean age 74.7 ± 6.8 years; 57.0% male) who received EVT were retrospectively analyzed. Patients were stratified into GA (48.1%) and non-GA (51.9%) groups. The primary outcome was the rate of good functional outcome, defined as a modified Rankin Scale (mRS) score of 0-2 at 90 days. Secondary outcomes included successful reperfusion (mTICI 2b-3), symptomatic intracerebral hemorrhage (sICH), early neurological deterioration, post-stroke pneumonia, mortality, and median mRS score at 90 days. Results: Baseline characteristics were comparable between the GA and non-GA groups, except for a marginally longer onset to groin puncture time in the GA group ( Conclusion: In elderly stroke patients undergoing EVT, the type of anesthesia was not associated with significant differences in 90-day functional outcomes. However, GA was linked to a higher risk of post-stroke pneumonia.

Indexed as

anesthesia choiceelderly patientsfunction outcomestrokethrombectomy

Identifiers

PMID41908283
PMCPMC13017256

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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.