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Intravenous thrombolysis in acute ischemic stroke patients with pre-stroke disability: A systematic review and meta-analysis.


ABSTRACT:

Background

Intravenous thrombolysis (IVT), which is safe and effective, is the first-line therapy for acute ischemic stroke (AIS). However, its benefit for AIS patients with pre-stroke disability (PSD) is controversial.

Objective

We determined the association of PSD with the safety and efficacy of IVT among patients with AIS.

Methods

We searched PubMed, Embase, and the Cochrane Library from inception to May 23, 2022. The articles focusing on outcomes of AIS patients with PSD receiving IVT were retrieved. We used the random-effects model to pool outcomes including mortality, 24 h NIHSS improvement, symptomatic intracerebral hemorrhage (sICH), favorable functional outcome (FFO), the favorable outcome, and mortality prevalence.

Results

Ten studies (including 245,7

SUBMITTER: Bao Q 

PROVIDER: S-EPMC10869883 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature

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