Association between CHADS2, CHA2DS2-VASc, ATRIA, and Essen Stroke Risk Scores and Functional Outcomes in Acute Ischemic Stroke Patients Who Received Endovascular Thrombectomy
Background: CHADS2, CHA2DS2-VASc, ATRIA, and Essen stroke risk scores are used to estimate thromboembolism risk. We aimed to investigate the association between unfavorable outcomes and stroke risk scores in patients who received endovascular thrombectomy (EVT). Methods: This study was performed usi...
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| Veröffentlicht in: | Journal of clinical medicine 2022-09, Vol.11 (19), p.5599 |
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| creator | Kim, Hyung Jun Park, Moo-Seok Yoo, Joonsang Kim, Young Dae Park, Hyungjong Kim, Byung Moon Bang, Oh Young Kim, Hyeon Chang Han, Euna Kim, Dong Joon Heo, JoonNyung Choi, Jin Kyo Lee, Kyung-Yul Lee, Hye Sun Shin, Dong Hoon Choi, Hye-Yeon Sohn, Sung-Il Hong, Jeong-Ho Lee, Jong Yun Baek, Jang-Hyun Kim, Gyu Sik Seo, Woo-Keun Chung, Jong-Won Kim, Seo Hyun Han, Sang Won Park, Joong Hyun Kim, Jinkwon Jung, Yo Han Cho, Han-Jin Ahn, Seong Hwan Lee, Sung Ik Seo, Kwon-Duk Chang, Yoonkyung Nam, Hyo Suk Song, Tae-Jin |
| description | Background: CHADS2, CHA2DS2-VASc, ATRIA, and Essen stroke risk scores are used to estimate thromboembolism risk. We aimed to investigate the association between unfavorable outcomes and stroke risk scores in patients who received endovascular thrombectomy (EVT). Methods: This study was performed using data from a nationwide, multicenter registry to explore the selection criteria for patients who would benefit from reperfusion therapies. We calculated pre-admission CHADS2, CHA2DS2-VASc, ATRIA, and Essen scores for each patient who received EVT and compared the relationship between these scores and 3-month modified Rankin Scale (mRS) records. Results: Among the 404 patients who received EVT, 213 (52.7%) patients had unfavorable outcomes (mRS 3–6). All scores were significantly higher in patients with unfavorable outcomes than in those with favorable outcomes. Multivariable logistic regression analysis indicated that CHADS2 and the ATRIA score were positively correlated with unfavorable outcomes after adjusting for body mass index and variables with p < 0.1 in the univariable analysis (CHADS2 score: odds ratio [OR], 1.484; 95% confidence interval [CI], 1.290–1.950; p = 0.005, ATRIA score, OR, 1.128; 95% CI, 1.041–1.223; p = 0.004). Conclusions: The CHADS2 and ATRIA scores were positively correlated with unfavorable outcomes and could be used to predict unfavorable outcomes in patients who receive EVT. |
| doi_str_mv | 10.3390/jcm11195599 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9570925</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2725198899</sourcerecordid><originalsourceid>FETCH-LOGICAL-c386t-d343ea8f7690ac1536b4007a0ce6c95de18a00b18df045a6cc29d1c7bc86ca2d3</originalsourceid><addsrcrecordid>eNpdks1u1DAQgCMEolXpiRewxAWJDfgncewLUrS0dKVKRbsLHC1nMst6m8StnSzqS_GMeNuCCr7MyPP5m5E1Wfaa0fdCaPphBz1jTJel1s-yY06rKqdCiedP8qPsNMYdTUepgrPqZXYkJBeikMVx9quO0YOzo_MDaXD8iTiQ-UX9acVnh8hTkn-rVzAj9Xq5qGfEDi05izFhqzH4ayRLF6_JCnzAeF88nwY46GxHrqYRfJ_u3UBqmEYkiwhb7B38efwldcZhjOT71pMlAro9Jv_Q-r2NMHU2kPU2-L5BGH1_9yp7sbFdxNPHeJJ9PT9bzy_yy6vPi3l9mYNQcsxbUQi0alNJTS2wUsimoLSyFFCCLltkylLaMNVuaFFaCcB1y6BqQEmwvBUn2ccH783U9NhCGjHYztwE19twZ7x15t_K4Lbmh98bXVZU8zIJ3j4Kgr-dMI6mdxGw6-yAfoqGV7xkWimtE_rmP3Tnp5C-754quBRcHqh3DxQEH2PAzd9hGDWHVTBPVkH8BqADpfQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2724263269</pqid></control><display><type>article</type><title>Association between CHADS2, CHA2DS2-VASc, ATRIA, and Essen Stroke Risk Scores and Functional Outcomes in Acute Ischemic Stroke Patients Who Received Endovascular Thrombectomy</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Kim, Hyung Jun ; Park, Moo-Seok ; Yoo, Joonsang ; Kim, Young Dae ; Park, Hyungjong ; Kim, Byung Moon ; Bang, Oh Young ; Kim, Hyeon Chang ; Han, Euna ; Kim, Dong Joon ; Heo, JoonNyung ; Choi, Jin Kyo ; Lee, Kyung-Yul ; Lee, Hye Sun ; Shin, Dong Hoon ; Choi, Hye-Yeon ; Sohn, Sung-Il ; Hong, Jeong-Ho ; Lee, Jong Yun ; Baek, Jang-Hyun ; Kim, Gyu Sik ; Seo, Woo-Keun ; Chung, Jong-Won ; Kim, Seo Hyun ; Han, Sang Won ; Park, Joong Hyun ; Kim, Jinkwon ; Jung, Yo Han ; Cho, Han-Jin ; Ahn, Seong Hwan ; Lee, Sung Ik ; Seo, Kwon-Duk ; Chang, Yoonkyung ; Nam, Hyo Suk ; Song, Tae-Jin</creator><creatorcontrib>Kim, Hyung Jun ; Park, Moo-Seok ; Yoo, Joonsang ; Kim, Young Dae ; Park, Hyungjong ; Kim, Byung Moon ; Bang, Oh Young ; Kim, Hyeon Chang ; Han, Euna ; Kim, Dong Joon ; Heo, JoonNyung ; Choi, Jin Kyo ; Lee, Kyung-Yul ; Lee, Hye Sun ; Shin, Dong Hoon ; Choi, Hye-Yeon ; Sohn, Sung-Il ; Hong, Jeong-Ho ; Lee, Jong Yun ; Baek, Jang-Hyun ; Kim, Gyu Sik ; Seo, Woo-Keun ; Chung, Jong-Won ; Kim, Seo Hyun ; Han, Sang Won ; Park, Joong Hyun ; Kim, Jinkwon ; Jung, Yo Han ; Cho, Han-Jin ; Ahn, Seong Hwan ; Lee, Sung Ik ; Seo, Kwon-Duk ; Chang, Yoonkyung ; Nam, Hyo Suk ; Song, Tae-Jin</creatorcontrib><description>Background: CHADS2, CHA2DS2-VASc, ATRIA, and Essen stroke risk scores are used to estimate thromboembolism risk. We aimed to investigate the association between unfavorable outcomes and stroke risk scores in patients who received endovascular thrombectomy (EVT). Methods: This study was performed using data from a nationwide, multicenter registry to explore the selection criteria for patients who would benefit from reperfusion therapies. We calculated pre-admission CHADS2, CHA2DS2-VASc, ATRIA, and Essen scores for each patient who received EVT and compared the relationship between these scores and 3-month modified Rankin Scale (mRS) records. Results: Among the 404 patients who received EVT, 213 (52.7%) patients had unfavorable outcomes (mRS 3–6). All scores were significantly higher in patients with unfavorable outcomes than in those with favorable outcomes. Multivariable logistic regression analysis indicated that CHADS2 and the ATRIA score were positively correlated with unfavorable outcomes after adjusting for body mass index and variables with p < 0.1 in the univariable analysis (CHADS2 score: odds ratio [OR], 1.484; 95% confidence interval [CI], 1.290–1.950; p = 0.005, ATRIA score, OR, 1.128; 95% CI, 1.041–1.223; p = 0.004). Conclusions: The CHADS2 and ATRIA scores were positively correlated with unfavorable outcomes and could be used to predict unfavorable outcomes in patients who receive EVT.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11195599</identifier><identifier>PMID: 36233464</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Age ; Clinical medicine ; Emergency medical care ; Hypertension ; Laboratories ; Medical imaging ; Patients ; Regression analysis ; Stroke ; Success ; Transient ischemic attack</subject><ispartof>Journal of clinical medicine, 2022-09, Vol.11 (19), p.5599</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-d343ea8f7690ac1536b4007a0ce6c95de18a00b18df045a6cc29d1c7bc86ca2d3</citedby><cites>FETCH-LOGICAL-c386t-d343ea8f7690ac1536b4007a0ce6c95de18a00b18df045a6cc29d1c7bc86ca2d3</cites><orcidid>0000-0001-5857-5518 ; 0000-0003-1169-6798 ; 0000-0002-9937-762X ; 0000-0002-8235-9855 ; 0000-0002-3048-4718 ; 0000-0002-7035-087X ; 0000-0002-1103-1983 ; 0000-0002-0345-2278 ; 0000-0002-6900-1242 ; 0000-0001-6328-6948 ; 0000-0003-0156-9736 ; 0000-0002-4004-8434 ; 0000-0001-5750-2616 ; 0000-0001-7867-1240 ; 0000-0002-7518-9739 ; 0000-0001-5937-5729 ; 0000-0002-9528-4629 ; 0000-0003-3154-8864 ; 0000-0002-4778-491X ; 0000-0001-6291-3153 ; 0000-0001-6287-6348 ; 0000-0003-2656-7059 ; 0000-0002-6733-0683 ; 0000-0002-4415-3995</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9570925/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9570925/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Kim, Hyung Jun</creatorcontrib><creatorcontrib>Park, Moo-Seok</creatorcontrib><creatorcontrib>Yoo, Joonsang</creatorcontrib><creatorcontrib>Kim, Young Dae</creatorcontrib><creatorcontrib>Park, Hyungjong</creatorcontrib><creatorcontrib>Kim, Byung Moon</creatorcontrib><creatorcontrib>Bang, Oh Young</creatorcontrib><creatorcontrib>Kim, Hyeon Chang</creatorcontrib><creatorcontrib>Han, Euna</creatorcontrib><creatorcontrib>Kim, Dong Joon</creatorcontrib><creatorcontrib>Heo, JoonNyung</creatorcontrib><creatorcontrib>Choi, Jin Kyo</creatorcontrib><creatorcontrib>Lee, Kyung-Yul</creatorcontrib><creatorcontrib>Lee, Hye Sun</creatorcontrib><creatorcontrib>Shin, Dong Hoon</creatorcontrib><creatorcontrib>Choi, Hye-Yeon</creatorcontrib><creatorcontrib>Sohn, Sung-Il</creatorcontrib><creatorcontrib>Hong, Jeong-Ho</creatorcontrib><creatorcontrib>Lee, Jong Yun</creatorcontrib><creatorcontrib>Baek, Jang-Hyun</creatorcontrib><creatorcontrib>Kim, Gyu Sik</creatorcontrib><creatorcontrib>Seo, Woo-Keun</creatorcontrib><creatorcontrib>Chung, Jong-Won</creatorcontrib><creatorcontrib>Kim, Seo Hyun</creatorcontrib><creatorcontrib>Han, Sang Won</creatorcontrib><creatorcontrib>Park, Joong Hyun</creatorcontrib><creatorcontrib>Kim, Jinkwon</creatorcontrib><creatorcontrib>Jung, Yo Han</creatorcontrib><creatorcontrib>Cho, Han-Jin</creatorcontrib><creatorcontrib>Ahn, Seong Hwan</creatorcontrib><creatorcontrib>Lee, Sung Ik</creatorcontrib><creatorcontrib>Seo, Kwon-Duk</creatorcontrib><creatorcontrib>Chang, Yoonkyung</creatorcontrib><creatorcontrib>Nam, Hyo Suk</creatorcontrib><creatorcontrib>Song, Tae-Jin</creatorcontrib><title>Association between CHADS2, CHA2DS2-VASc, ATRIA, and Essen Stroke Risk Scores and Functional Outcomes in Acute Ischemic Stroke Patients Who Received Endovascular Thrombectomy</title><title>Journal of clinical medicine</title><description>Background: CHADS2, CHA2DS2-VASc, ATRIA, and Essen stroke risk scores are used to estimate thromboembolism risk. We aimed to investigate the association between unfavorable outcomes and stroke risk scores in patients who received endovascular thrombectomy (EVT). Methods: This study was performed using data from a nationwide, multicenter registry to explore the selection criteria for patients who would benefit from reperfusion therapies. We calculated pre-admission CHADS2, CHA2DS2-VASc, ATRIA, and Essen scores for each patient who received EVT and compared the relationship between these scores and 3-month modified Rankin Scale (mRS) records. Results: Among the 404 patients who received EVT, 213 (52.7%) patients had unfavorable outcomes (mRS 3–6). All scores were significantly higher in patients with unfavorable outcomes than in those with favorable outcomes. Multivariable logistic regression analysis indicated that CHADS2 and the ATRIA score were positively correlated with unfavorable outcomes after adjusting for body mass index and variables with p < 0.1 in the univariable analysis (CHADS2 score: odds ratio [OR], 1.484; 95% confidence interval [CI], 1.290–1.950; p = 0.005, ATRIA score, OR, 1.128; 95% CI, 1.041–1.223; p = 0.004). Conclusions: The CHADS2 and ATRIA scores were positively correlated with unfavorable outcomes and could be used to predict unfavorable outcomes in patients who receive EVT.</description><subject>Age</subject><subject>Clinical medicine</subject><subject>Emergency medical care</subject><subject>Hypertension</subject><subject>Laboratories</subject><subject>Medical imaging</subject><subject>Patients</subject><subject>Regression analysis</subject><subject>Stroke</subject><subject>Success</subject><subject>Transient ischemic 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between CHADS2, CHA2DS2-VASc, ATRIA, and Essen Stroke Risk Scores and Functional Outcomes in Acute Ischemic Stroke Patients Who Received Endovascular Thrombectomy</title><author>Kim, Hyung Jun ; Park, Moo-Seok ; Yoo, Joonsang ; Kim, Young Dae ; Park, Hyungjong ; Kim, Byung Moon ; Bang, Oh Young ; Kim, Hyeon Chang ; Han, Euna ; Kim, Dong Joon ; Heo, JoonNyung ; Choi, Jin Kyo ; Lee, Kyung-Yul ; Lee, Hye Sun ; Shin, Dong Hoon ; Choi, Hye-Yeon ; Sohn, Sung-Il ; Hong, Jeong-Ho ; Lee, Jong Yun ; Baek, Jang-Hyun ; Kim, Gyu Sik ; Seo, Woo-Keun ; Chung, Jong-Won ; Kim, Seo Hyun ; Han, Sang Won ; Park, Joong Hyun ; Kim, Jinkwon ; Jung, Yo Han ; Cho, Han-Jin ; Ahn, Seong Hwan ; Lee, Sung Ik ; Seo, Kwon-Duk ; Chang, Yoonkyung ; Nam, Hyo Suk ; Song, 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Hyungjong</au><au>Kim, Byung Moon</au><au>Bang, Oh Young</au><au>Kim, Hyeon Chang</au><au>Han, Euna</au><au>Kim, Dong Joon</au><au>Heo, JoonNyung</au><au>Choi, Jin Kyo</au><au>Lee, Kyung-Yul</au><au>Lee, Hye Sun</au><au>Shin, Dong Hoon</au><au>Choi, Hye-Yeon</au><au>Sohn, Sung-Il</au><au>Hong, Jeong-Ho</au><au>Lee, Jong Yun</au><au>Baek, Jang-Hyun</au><au>Kim, Gyu Sik</au><au>Seo, Woo-Keun</au><au>Chung, Jong-Won</au><au>Kim, Seo Hyun</au><au>Han, Sang Won</au><au>Park, Joong Hyun</au><au>Kim, Jinkwon</au><au>Jung, Yo Han</au><au>Cho, Han-Jin</au><au>Ahn, Seong Hwan</au><au>Lee, Sung Ik</au><au>Seo, Kwon-Duk</au><au>Chang, Yoonkyung</au><au>Nam, Hyo Suk</au><au>Song, Tae-Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between CHADS2, CHA2DS2-VASc, ATRIA, and Essen Stroke Risk Scores and Functional Outcomes in Acute Ischemic Stroke Patients Who Received Endovascular Thrombectomy</atitle><jtitle>Journal of clinical medicine</jtitle><date>2022-09-23</date><risdate>2022</risdate><volume>11</volume><issue>19</issue><spage>5599</spage><pages>5599-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Background: CHADS2, CHA2DS2-VASc, ATRIA, and Essen stroke risk scores are used to estimate thromboembolism risk. We aimed to investigate the association between unfavorable outcomes and stroke risk scores in patients who received endovascular thrombectomy (EVT). Methods: This study was performed using data from a nationwide, multicenter registry to explore the selection criteria for patients who would benefit from reperfusion therapies. We calculated pre-admission CHADS2, CHA2DS2-VASc, ATRIA, and Essen scores for each patient who received EVT and compared the relationship between these scores and 3-month modified Rankin Scale (mRS) records. Results: Among the 404 patients who received EVT, 213 (52.7%) patients had unfavorable outcomes (mRS 3–6). All scores were significantly higher in patients with unfavorable outcomes than in those with favorable outcomes. Multivariable logistic regression analysis indicated that CHADS2 and the ATRIA score were positively correlated with unfavorable outcomes after adjusting for body mass index and variables with p < 0.1 in the univariable analysis (CHADS2 score: odds ratio [OR], 1.484; 95% confidence interval [CI], 1.290–1.950; p = 0.005, ATRIA score, OR, 1.128; 95% CI, 1.041–1.223; p = 0.004). Conclusions: The CHADS2 and ATRIA scores were positively correlated with unfavorable outcomes and could be used to predict unfavorable outcomes in patients who receive EVT.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>36233464</pmid><doi>10.3390/jcm11195599</doi><orcidid>https://orcid.org/0000-0001-5857-5518</orcidid><orcidid>https://orcid.org/0000-0003-1169-6798</orcidid><orcidid>https://orcid.org/0000-0002-9937-762X</orcidid><orcidid>https://orcid.org/0000-0002-8235-9855</orcidid><orcidid>https://orcid.org/0000-0002-3048-4718</orcidid><orcidid>https://orcid.org/0000-0002-7035-087X</orcidid><orcidid>https://orcid.org/0000-0002-1103-1983</orcidid><orcidid>https://orcid.org/0000-0002-0345-2278</orcidid><orcidid>https://orcid.org/0000-0002-6900-1242</orcidid><orcidid>https://orcid.org/0000-0001-6328-6948</orcidid><orcidid>https://orcid.org/0000-0003-0156-9736</orcidid><orcidid>https://orcid.org/0000-0002-4004-8434</orcidid><orcidid>https://orcid.org/0000-0001-5750-2616</orcidid><orcidid>https://orcid.org/0000-0001-7867-1240</orcidid><orcidid>https://orcid.org/0000-0002-7518-9739</orcidid><orcidid>https://orcid.org/0000-0001-5937-5729</orcidid><orcidid>https://orcid.org/0000-0002-9528-4629</orcidid><orcidid>https://orcid.org/0000-0003-3154-8864</orcidid><orcidid>https://orcid.org/0000-0002-4778-491X</orcidid><orcidid>https://orcid.org/0000-0001-6291-3153</orcidid><orcidid>https://orcid.org/0000-0001-6287-6348</orcidid><orcidid>https://orcid.org/0000-0003-2656-7059</orcidid><orcidid>https://orcid.org/0000-0002-6733-0683</orcidid><orcidid>https://orcid.org/0000-0002-4415-3995</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2077-0383 |
| ispartof | Journal of clinical medicine, 2022-09, Vol.11 (19), p.5599 |
| issn | 2077-0383 2077-0383 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9570925 |
| source | MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Age Clinical medicine Emergency medical care Hypertension Laboratories Medical imaging Patients Regression analysis Stroke Success Transient ischemic attack |
| title | Association between CHADS2, CHA2DS2-VASc, ATRIA, and Essen Stroke Risk Scores and Functional Outcomes in Acute Ischemic Stroke Patients Who Received Endovascular Thrombectomy |
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