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May 15, 2019

ESOC-2019

PREDICTION OF FUNCTIONAL OUTCOME USING DRAGON SCORE IN PATIENTS WITH ACUTE ISCHEMIC STROKE IN ANTERIOR CIRCULATION TREATED WITH ENDOVASCULAR PROCEDURE

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endovascular treatment

ishemic stroke

outcome

dragon score

mechanical thrombecotmy

Abstract

Abstract

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Keywords

endovascular treatment

ishemic stroke

outcome

dragon score

mechanical thrombecotmy

Abstract

Background and Aims: The DRAGON score has been used as a prediction tool of good functional outcome in patients treated with intravenous thrombolysis in acute ischemic stroke (AIS). Recent smaller studies have shown that DRAGON score can be used in the assessment of a good functional outcome in patients who are treated for AIS with endovascular procedures, also. Our aim was to asses the utility of DRAGON score in predicting favorable neurological outcome (FNO) after 90 days. Methods: We included patients treated for AIS with endovascular treatment, regardless of prior application of intravenous thrombolysis as “bridge” therapy, in the period from December 2016 to November 2018. All patients underwent computed tomography angiography (CTA) with proven large vessel occlusion (LVO) in the anterior circulation. Baseline DRAGON score, modified Rankin Score (mRS) on the hospital discharge and after 90 days were noted, next to other clinical and radiological characteristics. FNO was defined as mRS ≤ 2 after 90 days. Results: Thirty-one patient was included with LVO. Median baseline DRAGON score was 5 (IQR 1). FNO was achieved by 39%. Patients with a lower DRAGON score had lower mRS after 90 days (r=0.49, p < 0.01). FNO was most frequent in patients with low DRAGON score (score 0-4), following those with intermediate (score 5-6) and high (score of 7 or higher) scores (58%, 33%, 8% respectively), which was significant (p = 0.016). Conclusions: The DRAGON score can be a helpful tool for predicting functional neurological outcome following endovascular procedures for AIS.

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© Copyright 2019 Morressier GmbH.
All rights reserved.