Journal article

Comparing mismatch strategies for patients being considered for ischemic stroke tenecteplase trials

Andrew Bivard, Xuya Huang, Christopher R Levi, Bruce CV Campbell, Bharath K Cheripelli, Chushuang Chen, Dheeraj Kalladka, Fiona C Moreton, Ian Ford, Stephen M Davis, Geoffrey A Donnan, Keith W Muir, Mark W Parsons

International Journal of Stroke | SAGE PUBLICATIONS LTD | Published : 2019

Abstract

BACKGROUND: Currently there are multiple variations of imaging-based patient selection mismatch methods in ischemic stroke. In the present study, we sought to compare the two most common mismatch methods and identify if there were different effects on the outcome of a randomized clinical trial depending on the mismatch method used. AIMS: Investigate the effect of clinical and imaging-based mismatch criteria on patient outcomes of a pooled cohort from randomized trials of intravenous tenecteplase versus alteplase. METHODS: Baseline clinical and imaging scores were used to categorize patients as meeting either the DAWN mismatch (baseline NIHSS ≥ 10, and age cut-offs for ischemic core volume) o..

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