Mechanical Thrombectomy Quality Indicators Study in Czech
Stroke Centers: Results of the METRICS Study

J 2022

Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study

KOCHER, Martin, Daniel SANAK, Jana ZAPLETOLOVA, Filip CIHLAR, Daniel CZERNY et. al.

Basic information

Original name

Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study

Authors

KOCHER, Martin (203 Czech Republic), Daniel SANAK (203 Czech Republic), Jana ZAPLETOLOVA (203 Czech Republic), Filip CIHLAR (203 Czech Republic), Daniel CZERNY (203 Czech Republic, guarantor), David CERNIK (203 Czech Republic), Petr DURAS (203 Czech Republic), Jan FIKSA (203 Czech Republic), Jakub HUSTY (203 Czech Republic), Lubomir JURAK (203 Czech Republic), Martin KOVAR (203 Czech Republic), Jiri LACMAN (203 Czech Republic), Radek PADR (203 Czech Republic), Pavel PROCHAZKA (203 Czech Republic), Jan RAUPACH (203 Czech Republic), Martin REISER (203 Czech Republic), Vladimir ROHAN (203 Czech Republic), Martin ROUBEC (203 Czech Republic), Jindrich SOVA (203 Czech Republic), Miroslav SERCL (203 Czech Republic), Miroslav ŠKORŇA (203 Czech Republic, belonging to the institution), Libor SIMUNEK (203 Czech Republic), Alena SNAJDROVA (203 Czech Republic), Martin SRAMEK (203 Czech Republic) and Ales TOMEK (203 Czech Republic)

Edition

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, AMSTERDAM, ELSEVIER SCIENCE BV, 2022, 1052-3057

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.500

RIV identification code

RIV/00216224:14110/22:00128255

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106308

UT WoS

000783573900014

Keywords in English

Ischemic stroke; Mechanical thrombectomy; Quality indicators; Metrics

Abstract

V originále

Background and purpose: Rigorous and regular evaluation of defined quality indicators is crucial for further improvement of both technical and clinical results after mechanical thrombectomy (MT) for acute ischemic stroke (AIS). Following the recent international multi-society consensus quality indicators, we aimed to assess trend in these indicators on national level. Material and methods: The prospective multicenter study (METRICS) was conducted in Czech Republic (CR) in year 2019. All participating centers collected technical and clinical data including defined quality indicators and results were subsequently compared with those from year 2016. Results: In the 2019, 1375 MT were performed in the CR and 1178 (86%) patients (50.3% males, mean age 70.5 +/- 13.0 years) were analyzed. Recanalization (TICI 2b-3) was achieved in 83.7% of patients and 46.2% of patients had good 3-month clinical outcome. Following time intervals were shortened in comparison to 2016: "hospital arrival - GP" (77 vs. 53 min; p<0.0001), "hospital arrival - maximal achieved recanalization" (122 vs. 93 min; p<0.0001), and "stroke onset - maximal achieved recanalization" (240 vs. 229 min; p p<0.0001). More patients with tandem occlusion were treated in 2019 (7.8 vs. 16.5%; p<0.0001) and more secondary transports were in 2019 (31.3 vs. 37.8%; p=0.002). No difference was found in 3-month clinical outcome and in the rate of periprocedural complications. Results of the METRICS study met all criteria of multi-society consensus quality indicators. Conclusion: Nationwide comparison between 2016 and 2019 showed improvement in the key time intervals, but without better overall clinical outcomes after MT.

Citovat

KOCHER, Martin, Daniel SANAK, Jana ZAPLETOLOVA, Filip CIHLAR, Daniel CZERNY, David CERNIK, Petr DURAS, Jan FIKSA, Jakub HUSTY, Lubomir JURAK, Martin KOVAR, Jiri LACMAN, Radek PADR, Pavel PROCHAZKA, Jan RAUPACH, Martin REISER, Vladimir ROHAN, Martin ROUBEC, Jindrich SOVA, Miroslav SERCL, Miroslav ŠKORŇA, Libor SIMUNEK, Alena SNAJDROVA, Martin SRAMEK and Ales TOMEK. Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study. JOURNAL OF STROKE & CEREBROVASCULAR DISEASES. AMSTERDAM: ELSEVIER SCIENCE BV, 2022, vol. 31, No 4, p. 1-6. ISSN 1052-3057. Available from: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106308.

@article{2249565,
   author = {Kocher, Martin and Sanak, Daniel and Zapletolova, Jana and Cihlar, Filip and Czerny, Daniel and Cernik, David and Duras, Petr and Fiksa, Jan and Husty, Jakub and Jurak, Lubomir and Kovar, Martin and Lacman, Jiri and Padr, Radek and Prochazka, Pavel and Raupach, Jan and Reiser, Martin and Rohan, Vladimir and Roubec, Martin and Sova, Jindrich and Sercl, Miroslav and Škorňa, Miroslav and Simunek, Libor and Snajdrova, Alena and Sramek, Martin and Tomek, Ales},
   article_location = {AMSTERDAM},
   article_number = {4},
   doi = {http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106308},
   keywords = {Ischemic stroke; Mechanical thrombectomy; Quality indicators; Metrics},
   language = {eng},
   issn = {1052-3057},
   journal = {JOURNAL OF STROKE & CEREBROVASCULAR DISEASES},
   title = {Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study},
   url = {https://www.sciencedirect.com/science/article/pii/S1052305722000052?via%3Dihub},
   volume = {31},
   year = {2022}
}

TY  - JOUR
ID  - 2249565
AU  - Kocher, Martin - Sanak, Daniel - Zapletolova, Jana - Cihlar, Filip - Czerny, Daniel - Cernik, David - Duras, Petr - Fiksa, Jan - Husty, Jakub - Jurak, Lubomir - Kovar, Martin - Lacman, Jiri - Padr, Radek - Prochazka, Pavel - Raupach, Jan - Reiser, Martin - Rohan, Vladimir - Roubec, Martin - Sova, Jindrich - Sercl, Miroslav - Škorňa, Miroslav - Simunek, Libor - Snajdrova, Alena - Sramek, Martin - Tomek, Ales
PY  - 2022
TI  - Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study
JF  - JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
VL  - 31
IS  - 4
SP  - 1-6
EP  - 1-6
PB  - ELSEVIER SCIENCE BV
SN  - 10523057
KW  - Ischemic stroke
KW  - Mechanical thrombectomy
KW  - Quality indicators
KW  - Metrics
UR  - https://www.sciencedirect.com/science/article/pii/S1052305722000052?via%3Dihub
N2  - Background and purpose: Rigorous and regular evaluation of defined quality indicators is crucial for further improvement of both technical and clinical results after mechanical thrombectomy (MT) for acute ischemic stroke (AIS). Following the recent international multi-society consensus quality indicators, we aimed to assess trend in these indicators on national level. Material and methods: The prospective multicenter study (METRICS) was conducted in Czech Republic (CR) in year 2019. All participating centers collected technical and clinical data including defined quality indicators and results were subsequently compared with those from year 2016. Results: In the 2019, 1375 MT were performed in the CR and 1178 (86%) patients (50.3% males, mean age 70.5 +/- 13.0 years) were analyzed. Recanalization (TICI 2b-3) was achieved in 83.7% of patients and 46.2% of patients had good 3-month clinical outcome. Following time intervals were shortened in comparison to 2016: "hospital arrival - GP" (77 vs. 53 min; p<0.0001), "hospital arrival - maximal achieved recanalization" (122 vs. 93 min; p<0.0001), and "stroke onset - maximal achieved recanalization" (240 vs. 229 min; p p<0.0001). More patients with tandem occlusion were treated in 2019 (7.8 vs. 16.5%; p<0.0001) and more secondary transports were in 2019 (31.3 vs. 37.8%; p=0.002). No difference was found in 3-month clinical outcome and in the rate of periprocedural complications. Results of the METRICS study met all criteria of multi-society consensus quality indicators. Conclusion: Nationwide comparison between 2016 and 2019 showed improvement in the key time intervals, but without better overall clinical outcomes after MT.
ER  -

KOCHER, Martin, Daniel SANAK, Jana ZAPLETOLOVA, Filip CIHLAR, Daniel CZERNY, David CERNIK, Petr DURAS, Jan FIKSA, Jakub HUSTY, Lubomir JURAK, Martin KOVAR, Jiri LACMAN, Radek PADR, Pavel PROCHAZKA, Jan RAUPACH, Martin REISER, Vladimir ROHAN, Martin ROUBEC, Jindrich SOVA, Miroslav SERCL, Miroslav ŠKORŇA, Libor SIMUNEK, Alena SNAJDROVA, Martin SRAMEK and Ales TOMEK. Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers: Results of the METRICS Study. \textit{JOURNAL OF STROKE \&{} CEREBROVASCULAR DISEASES}. AMSTERDAM: ELSEVIER SCIENCE BV, 2022, vol.~31, No~4, p.~1-6. ISSN~1052-3057. Available from: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106308.

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