How well does ASPECTS predict the outcome of acute stroke treated with IV tPA?

Abstract:

:The authors measured the association of early ischemic change on CT scan, measured using the Alberta Stroke Programme Early CT score (ASPECTS), and functional outcome in 825 patients with anterior circulation stroke treated with IV thrombolysis within 3 hours of onset. ASPECTS predicted outcome in a graded fashion (linearly for ASPECTS 6 through 10; pattern ill-defined for ASPECTS 0 through 5) but discriminated individual outcomes weakly. Except perhaps when early ischemic change is extensive, clinicians should not estimate prognosis using ASPECTS alone.

journal_name

Neurology

journal_title

Neurology

authors

Weir NU,Pexman JH,Hill MD,Buchan AM,CASES investigators.

doi

10.1212/01.wnl.0000228221.44334.73

subject

Has Abstract

pub_date

2006-08-08 00:00:00

pages

516-8

issue

3

eissn

0028-3878

issn

1526-632X

pii

67/3/516

journal_volume

67

pub_type

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