Safety of early antiplatelet therapy in non-cardioembolic mild stroke patients with thrombocytopenia
To investigate the safety of early antiplatelet therapy in non-cardioembolic mild stroke patients with thrombocytopenia. Data of acute ischemic stroke patients with baseline National Institutes of Health Stroke scale (NIHSS) score ≤3 and a platelet count 0.05), but increased the risk of gastrointest...
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Veröffentlicht in: | Zhejiang da xue xue bao. Journal of Zhejiang University. Medical sciences. Yi xue ban 2024-04, Vol.53 (2), p.1-183 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | To investigate the safety of early antiplatelet therapy in non-cardioembolic mild stroke patients with thrombocytopenia.
Data of acute ischemic stroke patients with baseline National Institutes of Health Stroke scale (NIHSS) score ≤3 and a platelet count 0.05), but increased the risk of gastrointestinal bleeding (
=2.837, 95%
: 1.311-6.136,
90×10
/L, antiplatelet therapy significantly improved neurological functional outcomes (
75-90)×10
/L, antiplatelet therapy resulted in a significant improvement of 1-year survival (
0.05) and improved neurological functional outcomes (all
0.05).
For non-cardioembolic mild stroke patients with thrombocytopenia, antiplatelet therapy is still reasonable. Mono-antiplatelet therapy has the same efficiency as dual-antiplatelet therapy in neurological outcome improvement with lower risk of gastrointestinal bleeding. |
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ISSN: | 1008-9292 |
DOI: | 10.3724/zdxbyxb-2023-0423 |