AI Article Synopsis
- - This study evaluates the effectiveness of neurosurgeons versus neurologists in treating acute ischemic stroke (AIS) patients in an emergency room setting at a South Korean hospital between January 2020 and June 2021, involving 536 patients.
- - Among these patients, intravenous tissue plasminogen activator (tPA) was given to 15.3% of them, with similar administration times between the two groups; however, neurosurgeons had a significantly shorter time to perform mechanical thrombectomy (MT) compared to neurologists.
- - Overall, both groups showed comparable clinical outcomes after treatment, indicating that neurosurgeons are just as capable as neurologists in managing AIS in emergency situations.
Article Abstract
Objective: With the recent increase in mechanical thrombectomy (MT) for acute ischemic stroke (AIS), the role of neurosurgeons in AIS treatment has become increasingly important. This study aimed to assess the outcomes of patients with AIS treated by neurosurgeons and neurologists in the emergency room (ER) of a tertiary hospital in South Korea.
Methods: From January 2020 to June 2021, 536 patients with AIS within 24 hours of symptom onset were admitted to our hospital via the ER. Based on the type of doctors who provided initial care for AIS in the ER, patients were divided into two groups : (a) neurosurgeon group (n=119, 22.2%) and (b) neurologist group (n=417, 77.8%).
Results: Intravenous tissue plasminogen activator (tPA) was administered in 82 (15.3%) of 536 patients (n=17 [14.3%] in the neurosurgeon group and n=65 [15.6%] in the neurologist group). The door-to-tPA time was not significantly different between both groups (median, 53 minutes; interquartile range [IQR], 45-58 vs. median, 54 minutes; IQR, 46-74; p=0.372). MT was performed in 69 patients (12.9%) (n=25, 36.2% in the neurosurgeon group and n=44, 63.8% in the neurologist group). The neurosurgeon group achieved a shorter door-to-puncture time than the neurologist group (median, 115 minutes; IQR, 107-151 vs. median, 162 minutes; IQR, 117-189; p=0.049). Good clinical outcomes (3-month modified Rankin Scale 0-2) did not differ significantly between the two groups (96/119 [80.7%] vs. 322/417 [77.2%], p=0.454).
Conclusion: The neurosurgeon group showed similar door-to-treatment time and clinical outcomes to the neurologist group in patients with AIS in the ER. This study suggests that neurosurgeons have comparable abilities to care for patients with AIS in the ER.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9837491 | PMC |
| http://dx.doi.org/10.3340/jkns.2022.0085 | DOI Listing |
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