High plasma BNP concentration associates with clinical outcome after mechanical thrombectomy: Post hoc analysis of SKIP.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Aoki Junya, Suzuki Kentaro, Sakamoto Yuki, Matsumaru Yuji, Takeuchi Masataka, Morimoto Masafumi, Kanazawa Ryuzaburo, Takayama Yohei, Kamiya Yuki, Shigeta Keigo, Okubo Seiji, Hayakawa Mikito, Ishii Norihiro, Koguchi Yorio, Takigawa Tomoji, Inoue Masato, Naito Hiromichi, Ota Takahiro, Hirano Teruyuki, Kato Noriyuki, Ueda Toshihiro, Iguchi Yasuyuki, Akaji Kazunori, Tsuruta Wataro, Miki Kazunori, Fujimoto Shigeru, Higashida Tetsuhiro, Iwasaki Mitsuhiro, Kanamaru Takuya, Saito Tomonari, Katano Takehiro, Kutsuna Akihito, Nishiyama Yasuhiro, Otsuka Toshiaki, Kimura Kazumi, SKIP study Investigators
Аннотация
MATERIALS AND METHODS: Data were analyzed from stroke patients with internal carotid or middle cerebral artery occlusion enrolled in the SKIP trial for whom plasma level of BNP was evaluated on admission. Favorable outcome was defined as a modified Rankin scale score of 0-2 at 3 months.
RESULTS: Among 169 patients (median age, 74 years; 62% men, median National Institutes of Health Stroke Scale score, 18), 104 (62%) achieved favorable outcomes. Median plasma BNP level was lower in the favorable outcome group (124.1 pg/mL; interquartile range [IQR], 62.1-215.5 pg/mL) than in the unfavorable outcome group (198.0 pg/mL; IQR, 74.8-334.0 pg/mL; p=0.005). In multivariate regression analysis, the adjusted odds ratio for BNP for favorable outcomes was 0.971 (95% confidence interval, 0.993-0.999; p=0.048). At 3 months after onset, the favorable outcome rate was lower in the ≥186 pg/mL group (45%) than in the <186 pg/mL group (72%; p=0.001). This significant difference remained regardless of the presence of atrial fibrillation (AF), with rates of 47% and 76%, respectively, in AF patients (p=0.003) and 33% and 68%, respectively, in patients without AF (p=0.046).
CONCLUSION: High plasma BNP concentration appears associated with unfavorable outcomes after MT.