Whole study population (N = 694) | Sample of telephone survey (N = 138) | Test statistics | |
---|---|---|---|
Age | 74.0 ± 13.4 | 70.8 ± 14.7 | U = 41803.000, Z = 2.360, p = 0.018c |
Sex—Female | 361/694 (52.0%) | 71/138 (51.4%) | 0.015/0.903a |
Hypertension | 609/694 (87.8%) | 120/138 (87.0%) | 0.067/0.795a |
Diabetes mellitus | 130/694 (18.7%) | 23/138 (16.7%) | 0.327/0.567a |
Atrial fibrillation | 330/694 (47.6%) | 65/138 (47.1%) | 0.009/0.923a |
Former stroke | 188/694 (27.1%) | 35/138 (25.4%) | 0.175/0.676a |
Antiaggregant therapy on admission | 187/694 (26.9%) | 42/138 (30.4%) | 0.665/0.415a |
Oral anticoagulation on admission (INR > = 1.7) or (AntiXa > = 0.4 IU/ml) or (thrombin time > = 42 s) | 41/694 (5.9%) | 10/138 (7.2%) | 0.358/0.549a |
Statin therapy on admission | 162/694 (23.3%) | 34/138 (24.6%) | 0.125/0.724a |
Aetiology of stroke | |||
LAAS | 107 (15.4%) | 18 (13.0%) | 4.344/0.227a |
CES | 302 (43.5%) | 66 (47.8%) | |
Other | 29 (4.2%) | 11 (8.0%) | |
Cryptogenic stroke | 177 (25.5%) | 32 (23.2%) | |
Missing | 79 (11.4%) | 11 (8.0%) | |
Event to door time | |||
< 1 h | 75/694 (10.8%) | 17/138 (12.3%) | |
1–2 h | 134/694 (19.3%) | 31/138 (22.5%) | |
2–3 h | 109/694 (15.7%) | 20/138 (14.5%) | |
3–4 h | 72/694 (10.4%) | 14/138 (10.1%) | |
4–5 h | 44/694 (6.3%) | 10/138 (7.2%) | |
5–6 h | 41/694 (5.9%) | 3/138 (2.2%) | |
6–24 h | 80/694 (11.5%) | 18/138 (13.0%) | |
In house-stroke | 33/694 (4.7%) | 8/138 (5.8%) | |
Unknown | 95/694 (13.7%) | 17/138 (12.3%) | 5.903/0.750a |
Intravenous thrombolysis | 235/694 (33.9%) | 55/138 (39.9%) | 1.821/0.177a |
Door to needle time | 40.8 ± 20.3 min | 41.8 ± 20.8 min | U = 6736.500, Z = 0.490, p = 0.624c |
(Median 36) | (Median 38) | ||
Door to groin time | 98.4 ± 78.2 min | 97.3 ± 62.1 min | U = 37307.500, Z = 0.084, p = 0.933c |
Median: 84 | Median: 85 | ||
Local intra-arterial thrombolysis | 8/694 (1.2%) | 3/138 (2.2%) | –d |
Severity indices on admission | |||
Modified Rankin Scale on admission | 4.4 ± 0.9 | 4.2 ± 1.0 | U = 39685.000, Z = 1.706, p = 0.088c |
Median: 5 | Median: 5 | ||
Modified Rankin Scale on admission | Score 0: 2 (0.3%) | Score 0: 1 (0.7%) | 8.857/0.115a |
Score 1: 3 (0.4%) | Score 1: 0 (0%) | ||
Score 2: 22 (3.2%) | Score 2: 4 (2.9%) | ||
Score 3: 84 (12.1%) | Score 3: 28 (20.3%) | ||
Score 4: 149 (21.5%) | Score 4: 25 (18.1%) | ||
Score 5: 411 (59.2%) | Score 5: 71 (51.4%) | ||
Missing: 23 (3.3%) | Missing: 9 (6.5%) | ||
Modified Rankin Scale at discharge | Score 0: 20 (2.9%) | Score 0: 5 (3.7%) | 13.971/0.030a |
Score 1: 57 (8.4%) | Score 1: 19 (14.2%) | ||
Score 2: 126 (18.6%) | Score 2: 28 (20.9%) | ||
Score 3: 121 (17.8%) | Score 3: 29 (21.6%) | ||
Score 4: 102 (15.0%) | Score 4: 18 (13.4%) | ||
Score 5: 118 (17.4%) | Score 5: 24 (17.9%) | ||
Score 6: 134 (19.8%) | Score 6: 11 (8.2%) | ||
Modified Rankin Scale at discharge | 3.7 ± 1.7 | 3.1 ± 1.6 | U = 37644.000, Z = 3.182, p = 0.001c |
Median: 4 | Median: 3 | ||
NIHSS on admission | 15.6 ± 8.3 | 14.7 ± 7.3 | U = 41300.500, Z = 1.212, p = 0.225c |
Median: 15 | Median: 15 | ||
NIHSS after 24 h | 11.1 ± 8.2 | 9.9 ± 8.6 | U = 24634.500, Z = 1.726, p = 0.084c |
Median: 9 | Median: 7 | ||
NIHSS at discharge | 6.1 ± 10.8 | 13.3 ± 19.4 | U = 33000.000, Z = 0.539, p = 0.645c |
Median: 3.5 | Median: 5.5 | ||
Thrombectomy parameters | |||
Occluded target vessel | |||
M1 | 445/694 (64.1%) | 89/138 (64.5%) | 0.007/0.934a |
M2 | 242/694 (34.9%) | 48/138 (34.8%) | 0.000/0.984a |
M3 | 28/694 (4.0%) | 6/138 (4.3%) | 0.029/0.865a |
M4 | 1/694 (0.1%) | 1/138 (0.7%) | –d |
ICA | 176/694 (25.4%) | 41/138 (29.7%) | 1.130/0.288a |
Basilar artery | 61/694 (8.8%) | 9/138 (6.5%) | 0.768/0.381a |
VA | 12/694 (1.7%) | 1/138 (0.7%) | –d |
ACA | 104/694 (15.0%) | 19/138 (13.8%) | 0.135/0.713a |
PCA | 38/694 (5.5%) | 7/138 (5.1%) | 0.037/0.848a |
ACC | 8/694 (1.2%) | 1/138 (0.7%) | –d |
SUCA | 6/694 (0.9%) | 2/138 (1.4%) | –d |
Thrombectomy technique | |||
Single (vs. multiple) aspirations | 308/694 (44.4%) | 59/138 (42.8%) | 0.352/0.553a |
Stent retriever | 435/694 (62.7%) | 80/138 (58.0%) | 1419/0.234a |
Angioplasty | 10/694 (1.4%) | 3/138 (2.2%) | –d |
Stentimplantation | 116/694 (16.7%) | 21/138 (15.2%) | 0.199/0.655a |
Result of thrombectomy | |||
TICI3 | 423/694 (61.0%) | 91/138 (65.9%) | 1.173/0.279a |
TICI2b or TICI3 | 618/694 (89.0%) | 128/138 (92.8%) | 1.705/0.192a |
Complications | |||
Intracerebral bleeding | 300/694 (43.2%) | 56/138 (40.6%) | 0.286/0.593a |
Symptomatic bleeding | 18/694 (2.6%) | 1/138 (0.7%) | –d |
Seizure | 34/694 (4.9%) | 4/138 (2.9%) | –d |
Recurrent stroke/TIA within 72 h | 6/694 (0.9%) | 0/138 (0%) | –d |
Infection within 72 h | 355/694 (51.2%) | 71/138 (51.4%) | 0.004/0.949a |
Delirium | 35/694 (5.0%) | 8/138 (5.8%) | 0.133/0.715a |
MRI parameters | |||
MRI performed | 107/694 (15.4%) | 30/138 (21.7%) | 3.344/0.067a |
Volume of infarction | 49.2 ± 56.7 ml | 48.5 ± 48.7 ml | U = 1169.500, Z = 0.277, p = 0.781c |
Degree of cerebral microangiopathy (Fazekas’ Score) | 0: 20/102 (19.6%) | 0: 11/29 (37.9%) | U = 1119.500, Z = 2.100, p = 0.036c |
1: 43/102 (42.2%) | 1: 12/29 (41.4%) | ||
2: 25/102 (24.5%) | 2: 3/29 (10.3%) | ||
3: 14/102 (14.7%) | 3: 3/29 (10.3%) | ||
Fragmented infarction | 91/103 (88.3%) | 25/28 (89.3%) | 0.019/0.890a |
Fragmented infarction | Singular: 13/99 (13.1%) | Singular: 3/25 (12.0%) | U = 1225.500, Z = 0.078, p = 0.938c |
≥ 1 and < 5: 28/99 (28.3%) | ≥ 1 and < 5: 9/25 (36.0%) | ||
5—< 10: 26/99 (26.3%) | 5—< 10: 4/25 (16.0%) | ||
≥ 10: 32/99 (32.3%) | ≥ 10: 9/25 (36.0%) | ||
Multi territorial infarction | 59/103 (57.3%) | 12/29 (41.4%) | 2.302/0.129a |
Brainstem or cerebellum involvement | 45/103 (43.7%) | 8/28 (28.6%) | 2.089/0.148a |
Involvement posterior circulation area | 56/104 (53.8%) | 11/29 (37.9%) | 2.298/0.130a |
Involvement anterior circulation area | 67/104 (64.4%) | 22/29 (75.9%) | 1.340/0.247a |
Telephone survey | |||
Interval after stroke | 2.2 ± 1.2 years | ||
(Median: 2.1 years) | |||
Modified Rankin Scale on admission | Score 0: 15 (10.9%) | ||
Score 1: 23 (16.7%) | |||
Score 2: 22 (15.9%) | |||
Score 3: 19 (13.8%) | |||
Score 4: 17 (12.3%) | |||
Score 5: 7 (5.1%) | |||
Missing: 35 (25.4%) | |||
Mobility | 2.6 ± 1.3 (Median: 3) | ||
Self-care | 2.3 ± 1.5 (Median: 2) | ||
Usual activities | 2.7 ± 1.5 (Median: 3) | ||
Pain/discomfort | 2.0 ± 1.1 (Median: 2) | ||
Anxiety/depression | 2.4 ± 1.1 (Median: 2) | ||
EuroQol-visual analogue scales (EQ-VAS) | 55.1 ± 25.2 | ||
German EQ-5D-5L index | 0.635 ± 0.318 | ||
German level of care | 0: 49/102 (48.0%) | ||
1: 5/102 (4.9%) | |||
2: 15/102 (14.7%) | |||
3: 14 (13.7%) | |||
4: 11 (10.8%) | |||
5: 8 (7.8%) | |||
Missing: 36 | |||
Ongoing antiaggregant therapy | 47/101 (46.5%) | ||
Ongoing oral anticoagulation | 50/102 (49.0%) | ||
Ongoing statin therapy | 75/101 (74.3%) | ||
Ongoing antihypertensive therapy | 83/101 (82.2%) | ||
Ongoing antidepressive therapy | 19/101 (18.8%) |