Public Health and Cost Benefits of Successful Reperfusion After Thrombectomy for Stroke
Wolfgang G Kunz, Mohammed A Almekhlafi, Bijoy K Menon, Jeffrey L Saver, Myriam G Hunink, Diederik WJ Dippel, Charles BLM Majoie, David S Liebeskind, Tudor G Jovin, Antoni Davalos, Serge Bracard, Francis Guillemin, Bruce CV Campbell, Peter J Mitchell, Philip White, Keith W Muir, Scott Brown, Andrew M Demchuk, Michael D Hill, Mayank Goyal
Stroke | LIPPINCOTT WILLIAMS & WILKINS | Published : 2020
Background and Purpose- The benefit that endovascular thrombectomy offers to patients with stroke with large vessel occlusions depends strongly on reperfusion grade as defined by the expanded Thrombolysis in Cerebral Infarction (eTICI) scale. Our aim was to determine the lifetime health and cost consequences of the quality of reperfusion for patients, healthcare systems, and society. Methods- A Markov model estimated lifetime quality-adjusted life years (QALY) and lifetime costs of endovascular thrombectomy-treated patients with stroke based on eTICI grades. The analysis was performed over a lifetime horizon in a United States setting, adopting healthcare and societal perspectives. The refer..View full abstract
The HERMES (Highly Effective Reperfusion evaluated in Multiple Endovascular Stroke) pooled analysis project is supported by an unrestricted grant from Medtronic to the University of Calgary.