Incidence of Acute Ischemic Stroke With Visible Arterial Occlusion A Population-Based Study (Dijon Stroke Registry)

被引：68

作者：

Duloquin, Gauthier ^{[1
]}

Graber, Mathilde ^{[1
]}

Garnier, Lucie ^{[1
]}

Crespy, Valentin ^{[1
]}

Comby, Pierre-Olivier ^{[1
]}

Baptiste, Laura ^{[1
]}

Mohr, Sophie ^{[1
]}

Delpont, Benoit ^{[1
]}

Gueniat, Julien ^{[1
]}

Blanc-Labarre, Christelle ^{[1
]}

Hervieu-Begue, Marie ^{[1
]}

Osseby, Guy-Victor ^{[1
]}

Giroud, Maurice ^{[1
]}

Bejot, Yannick ^{[1
]}

机构：

[1] Univ Burgundy, Univ Hosp Dijon, Dijon Stroke Registry,Dept Neurol, EA7460,Pathophysiol & Epidemiol Cerebrocardiovasc, Dijon, France

来源：

STROKE | 2020年 / 51卷 / 07期

关键词：

epidemiology; population; prevalence; registries; thrombectomy; LARGE VESSEL OCCLUSION; ENDOVASCULAR THERAPY; NIH STROKE; THROMBECTOMY; SCALE; CLASSIFICATION; VALIDATION; SEVERITY; ANGIOGRAPHY; NUMBER;

D O I：

10.1161/STROKEAHA.120.029949

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose: Because of several methodological limitations, previous studies focusing on the prevalence of large vessel occlusion in ischemic stroke (IS) patients provided conflicting results. We evaluated the incidence of IS with a visible arterial occlusion using a comprehensive population-based registry. Methods: Patients with acute IS were prospectively identified among residents of Dijon, France, using a population-based registry (2013-2017). All arterial imaging exams were reviewed to assess arterial occlusion. Annual incidence rates of IS (first-ever and recurrent events) and IS with a visible occlusion were calculated. Results: One thousand sixty cases of IS were recorded (mean age: 76.0 +/- 15.8 years, 53.9% women). Information about arterial imaging was available in 971 (91.6%) of them, and only preexisting dementia was independently associated with having missing information (odds ratio=0.34 [95% CI, 0.18-0.65],P=0.001). Among these patients, 284 (29.2%) had a visible arterial occlusion. Occlusion site was the anterior circulation in 226 patients (23.3% of overall patients with available data) and the posterior circulation in 58 patients (6.0%). A proximal occlusion of the anterior circulation was observed in 167 patients (17.2%). The crude annual incidence rate of total IS per 100 000 was 138 (95% CI, 129-146). Corresponding standardized rates were 66 (95% CI, 50-82) to the World Health Organization and 141 (95% CI, 118-164) to the 2013 European populations. The crude annual incidence rate of IS with a visible arterial occlusion per 100 000 was 37 (95% CI, 33-41) and that of IS with a proximal occlusion of the anterior circulation was 22 (95% CI, 18-25). Corresponding standardized rates were 18 (95% CI, 10-26) and 10 (95% CI, 8-13) to the World Health Organization population, and 38 (95% CI, 26-50) and 23 (95% CI, 19-26) to the 2013 European population, respectively. Conclusions: These results will be helpful to plan the need for thrombectomy-capable stroke center resources.

引用

页码：2122 / 2130

页数：9

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