Prognostic Role of Chronic Rhinosinusitis in Acute Ischemic Stroke Patients Undergoing Mechanical Thrombectomy.
chronic rhinosinusitis
mechanical thrombectomy
prognosis
stroke
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
27 Sep 2021
27 Sep 2021
Historique:
received:
30
07
2021
revised:
07
09
2021
accepted:
24
09
2021
entrez:
13
10
2021
pubmed:
14
10
2021
medline:
14
10
2021
Statut:
epublish
Résumé
The aim of the study was to assess the relevance of chronic rhinosinusitis (CRS) CT features to the efficacy of mechanical thrombectomy (MT) in patients with acute ischemic stroke. This study included 311 patients qualified for MT in whom the CRS features were assessed based on a CT scan, according to the Lund-Mackay (L-M) score. Clinical, inflammatory parameters, patients neurological (NIHSS) and functional status (mRS), and recanalisation efficacy (TICI) were compared between patients with mild lesions (L-M score 0-3 points)-group 1, and patients with more severe lesions (L-M score 4-24)-group 2. There was a significant difference in the NIHSS on day seven after stroke onset-10 points in group 1 and 14 points in group 2, The CT features of CRS may be used as a prognostic tool for early prognosis assessment in stroke patients.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of the study was to assess the relevance of chronic rhinosinusitis (CRS) CT features to the efficacy of mechanical thrombectomy (MT) in patients with acute ischemic stroke.
METHODS
METHODS
This study included 311 patients qualified for MT in whom the CRS features were assessed based on a CT scan, according to the Lund-Mackay (L-M) score. Clinical, inflammatory parameters, patients neurological (NIHSS) and functional status (mRS), and recanalisation efficacy (TICI) were compared between patients with mild lesions (L-M score 0-3 points)-group 1, and patients with more severe lesions (L-M score 4-24)-group 2.
RESULTS
RESULTS
There was a significant difference in the NIHSS on day seven after stroke onset-10 points in group 1 and 14 points in group 2,
CONCLUSIONS
CONCLUSIONS
The CT features of CRS may be used as a prognostic tool for early prognosis assessment in stroke patients.
Identifiants
pubmed: 34640464
pii: jcm10194446
doi: 10.3390/jcm10194446
pmc: PMC8509423
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
N Engl J Med. 2015 Jun 11;372(24):2285-95
pubmed: 25882376
Lancet Infect Dis. 2014 Sep;14(9):869-80
pubmed: 24881525
Acta Neurol Scand. 2021 Nov;144(5):486-499
pubmed: 34190348
Ann Clin Transl Neurol. 2020 Apr;7(4):420-428
pubmed: 32154677
Eur J Neurosci. 2021 Aug;54(4):5531-5559
pubmed: 34233379
J Neurointerv Surg. 2018 Feb;10(2):112-117
pubmed: 28289148
Stroke. 2018 Mar;49(3):e46-e110
pubmed: 29367334
Laryngoscope. 2013 Apr;123(4):835-40
pubmed: 23377773
Allergy. 2011 Sep;66(9):1216-23
pubmed: 21605125
Stroke. 2005 Oct;36(10):2187-92
pubmed: 16179579
Chang Gung Med J. 2004 Jun;27(6):459-63
pubmed: 15455548
Pol Arch Intern Med. 2021 Apr 29;131(4):326-331
pubmed: 33629827
Rhinology. 2020 Feb 20;58(Suppl S29):1-464
pubmed: 32077450
Neurol India. 2017 Nov-Dec;65(6):1252-1259
pubmed: 29133696
Stroke. 2018 Nov;49(11):2706-2714
pubmed: 30355207
Ear Nose Throat J. 2009 Nov;88(11):E23-8
pubmed: 19924653
Acta Clin Croat. 2009 Sep;48(3):325-8
pubmed: 20055257
Rhinology. 2012 Mar;50(1):1-12
pubmed: 22469599
PLoS One. 2018 Mar 1;13(3):e0193886
pubmed: 29494700
World Neurosurg. 2021 May;149:e128-e134
pubmed: 33621671
N Engl J Med. 2015 Jan 1;372(1):11-20
pubmed: 25517348
Allergy. 2012 Jan;67(1):91-8
pubmed: 22050239
N Engl J Med. 2015 Mar 12;372(11):1019-30
pubmed: 25671798
Cerebrovasc Dis. 2021;50(2):185-199
pubmed: 33378751
J Neurol. 2008 Jun;255(6):867-74
pubmed: 18338195
J Ultrasound Med. 2005 Apr;24(4):469-74
pubmed: 15784765
J Neurol. 2021 Nov;268(11):4108-4116
pubmed: 32860084
Stroke. 2019 Sep;50(9):2379-2388
pubmed: 31409267
Am J Rhinol Allergy. 2012 Jul-Aug;26(4):278-82
pubmed: 22801014
N Engl J Med. 2015 Jun 11;372(24):2296-306
pubmed: 25882510
Lancet. 2016 Apr 23;387(10029):1723-31
pubmed: 26898852
J Allergy Clin Immunol. 2011 Oct;128(4):693-707; quiz 708-9
pubmed: 21890184
Atherosclerosis. 2013 Jan;226(1):263-8
pubmed: 23159230
Front Pharmacol. 2020 Mar 04;11:166
pubmed: 32194407
AJNR Am J Neuroradiol. 2013 Sep;34(9):1792-7
pubmed: 23578670