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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

Clinical Impact of Ventilation Duration in Patients with Stroke Undergoing Interventional Treatment under General Anesthesia: The Shorter the Better?

O. Nikoubashman, K. Schürmann, T. Probst, M. Müller, J.P. Alt, A.E. Othman, S. Tauber, M. Wiesmann and A. Reich
American Journal of Neuroradiology June 2016, 37 (6) 1074-1079; DOI: https://doi.org/10.3174/ajnr.A4680
O. Nikoubashman
aFrom the Departments of Neuroradiology (O.N., T.P., M.M., J.P.A., M.W.)
cInstitute of Neuroscience and Medicine 4 (O.N.), Forschungszentrum Jülich, Jülich, Germany
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  • ORCID record for O. Nikoubashman
K. Schürmann
bNeurology (K.S., S.T., A.R.), University Hospital Aachen, Aachen, Germany
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  • ORCID record for K. Schürmann
T. Probst
aFrom the Departments of Neuroradiology (O.N., T.P., M.M., J.P.A., M.W.)
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M. Müller
aFrom the Departments of Neuroradiology (O.N., T.P., M.M., J.P.A., M.W.)
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J.P. Alt
aFrom the Departments of Neuroradiology (O.N., T.P., M.M., J.P.A., M.W.)
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A.E. Othman
dDepartment of Radiology (A.E.O.), University Hospital Tübingen, Tübingen, Germany.
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S. Tauber
bNeurology (K.S., S.T., A.R.), University Hospital Aachen, Aachen, Germany
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  • ORCID record for S. Tauber
M. Wiesmann
aFrom the Departments of Neuroradiology (O.N., T.P., M.M., J.P.A., M.W.)
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A. Reich
bNeurology (K.S., S.T., A.R.), University Hospital Aachen, Aachen, Germany
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    Fig 1.

    Boxplots illustrating the association between outcome measures and ventilation times. Clinical measures (mRS and death) as assessed after 90 days.

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    Fig 2.

    Cox regression showing the cumulative hazard for pneumonia during hospitalization and unfavorable clinical outcome (mRS ≥3 and death assessed after 90 days), depending on ventilation duration.

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    Fig 3.

    Odds ratios for pneumonia during hospitalization and unfavorable clinical outcome (mRS ≥3 and death assessed after 90 days), depending on whether extubation was performed immediately after the procedure or within time windows of 6, 12, 18.5, 24, 48, 72, 96 hours, and 1 week.

Tables

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  • Univariate analysis (Pearson χ2 and Student t tests) of factors influencing pneumonia rates and clinical outcome

    CharacteristicsPneumonia (P Value)mRS >2 (P Value)Death (P Value)
    Hypertension.919.565.195
    Diabetes.364.001a.001a
    Fat metabolism disorder.061.834.542
    Adiposity.069.775.921
    Nicotine.645.001a.239
    Alcohol.145.354.283
    Cardiovascular disease.709.708.783
    Atrial fibrillation.404.215.667
    Prior stroke.727.078.070
    Age older than 70 yr.260<.001a.079
    Antiplatelet medication.170.599.761
    Anticoagulant medication.206.755.815
    Onset to recanalization.268.630.884
    TICI ≥2b.947.237.059
    >1/3 MCA territory.004a<.001a<.001a
    Pneumonia–.001a.274
    Intracerebral hemorrhage.450.170.092
    • ↵a Significant.

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American Journal of Neuroradiology: 37 (6)
American Journal of Neuroradiology
Vol. 37, Issue 6
1 Jun 2016
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O. Nikoubashman, K. Schürmann, T. Probst, M. Müller, J.P. Alt, A.E. Othman, S. Tauber, M. Wiesmann, A. Reich
Clinical Impact of Ventilation Duration in Patients with Stroke Undergoing Interventional Treatment under General Anesthesia: The Shorter the Better?
American Journal of Neuroradiology Jun 2016, 37 (6) 1074-1079; DOI: 10.3174/ajnr.A4680

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Clinical Impact of Ventilation Duration in Patients with Stroke Undergoing Interventional Treatment under General Anesthesia: The Shorter the Better?
O. Nikoubashman, K. Schürmann, T. Probst, M. Müller, J.P. Alt, A.E. Othman, S. Tauber, M. Wiesmann, A. Reich
American Journal of Neuroradiology Jun 2016, 37 (6) 1074-1079; DOI: 10.3174/ajnr.A4680
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  • Anaesthesia modality on endovascular therapy outcomes in patients with large infarcts: a post hoc analysis of the ANGEL-ASPECT trial
  • Causes of Death in Endovascularly Treated Patients with Acute Stroke
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