{"id":"https://openalex.org/W4394600552","doi":"https://doi.org/10.1212/wnl.0000000000208294","title":"Endovascular Thrombectomy for Stroke in Patients with Low NIHSS Scores and Outside the Thrombolysis Window: A Nationwide Inpatient Sample Analysis 2016\u20132019 (P1-5.016)","display_name":"Endovascular Thrombectomy for Stroke in Patients with Low NIHSS Scores and Outside the Thrombolysis Window: A Nationwide Inpatient Sample Analysis 2016\u20132019 (P1-5.016)","publication_year":2024,"publication_date":"2024-04-09","ids":{"openalex":"https://openalex.org/W4394600552","doi":"https://doi.org/10.1212/wnl.0000000000208294"},"language":"en","primary_location":{"id":"doi:10.1212/wnl.0000000000208294","doi":"https://doi.org/10.1212/wnl.0000000000208294","is_oa":false,"landing_page_url":"https://doi.org/10.1212/wnl.0000000000208294","pdf_url":null,"source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054916424","display_name":"Prabandh Reddy Buchhanolla","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Prabandh Buchhanolla","raw_affiliation_strings":["LSUHS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSUHS","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058329685","display_name":"Mohammad Abdurrehman Sheikh","orcid":"https://orcid.org/0000-0002-3796-1636","observed_orcids":["https://orcid.org/0000-0002-3796-1636"]},"institutions":[{"id":"https://openalex.org/I81020160","display_name":"Louisiana State University Health Sciences Center Shreveport","ror":"https://ror.org/03151rh82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121820613","https://openalex.org/I81020160"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohammad Sheikh","raw_affiliation_strings":["LSU Health Shreveport"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSU Health Shreveport","institution_ids":["https://openalex.org/I81020160"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023770362","display_name":"Muhammad Abubakar Ayub","orcid":"https://orcid.org/0000-0003-3336-0574","observed_orcids":["https://orcid.org/0000-0003-3336-0574"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Muhammad Ayub","raw_affiliation_strings":["LSUHS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSUHS","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067507123","display_name":"Omar Elsekaily","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121820613","display_name":"Louisiana State University","ror":"https://ror.org/05ect4e57","country_code":"US","type":"education","lineage":["https://openalex.org/I121820613"]},{"id":"https://openalex.org/I26489229","display_name":"Louisiana State University in Shreveport","ror":"https://ror.org/02c4cbt39","country_code":"US","type":"education","lineage":["https://openalex.org/I26489229"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Omar Elsekaily","raw_affiliation_strings":["LSU shreveport"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSU shreveport","institution_ids":["https://openalex.org/I121820613","https://openalex.org/I26489229"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089909356","display_name":"Monika Thapa","orcid":"https://orcid.org/0009-0003-2144-636X","observed_orcids":["https://orcid.org/0009-0003-2144-636X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Monika Thapa","raw_affiliation_strings":["Department of Neurology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009801282","display_name":"Jordyn T. Courville","orcid":"https://orcid.org/0009-0003-7054-8426","observed_orcids":["https://orcid.org/0009-0003-7054-8426"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jordyn Courville","raw_affiliation_strings":["LSUHS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSUHS","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093712853","display_name":"Lakshmi Chandaluri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lakshmi Chandaluri","raw_affiliation_strings":["LSUHS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSUHS","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045936704","display_name":"Saurabh Kataria","orcid":"https://orcid.org/0000-0001-8104-3085","observed_orcids":["https://orcid.org/0000-0001-8104-3085"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Saurabh Kataria","raw_affiliation_strings":["LSUHS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSUHS","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102256274","display_name":"Rahul Shah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26489229","display_name":"Louisiana State University in Shreveport","ror":"https://ror.org/02c4cbt39","country_code":"US","type":"education","lineage":["https://openalex.org/I26489229"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rahul Shah","raw_affiliation_strings":["LSU Shreveport"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSU Shreveport","institution_ids":["https://openalex.org/I26489229"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013488882","display_name":"Himanshu Chokhawala","orcid":"https://orcid.org/0009-0008-3019-7111","observed_orcids":["https://orcid.org/0009-0008-3019-7111"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Himanshu Chokhawala","raw_affiliation_strings":["LSUHSC - SHreveport"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LSUHSC - SHreveport","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2505,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.48423674,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"102","issue":"7_supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mechanical-thrombectomy","display_name":"mechanical thrombectomy","score":0.9980000257492065},{"id":"https://openalex.org/keywords/acute-ischemic-stroke","display_name":"acute ischemic stroke","score":0.9509999752044678},{"id":"https://openalex.org/keywords/minor-stroke","display_name":"minor stroke","score":0.8989999890327454},{"id":"https://openalex.org/keywords/nihss-score","display_name":"NIHSS score","score":0.8560000061988831},{"id":"https://openalex.org/keywords/thrombolysis","display_name":"thrombolysis","score":0.6890000104904175},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.8529999852180481},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8849999904632568},{"id":"https://openalex.org/keywords/discharge-disposition","display_name":"discharge disposition","score":0.9020000100135803},{"id":"https://openalex.org/keywords/rehabilitation-facility-discharge","display_name":"rehabilitation facility discharge","score":0.8550000190734863},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.5360000133514404},{"id":"https://openalex.org/keywords/treatment-safety","display_name":"treatment safety","score":0.6499999761581421},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.699999988079071},{"id":"https://openalex.org/keywords/in-hospital-outcomes","display_name":"hospitalization outcomes","score":0.5320000052452087},{"id":"https://openalex.org/keywords/nationwide-inpatient-sample","display_name":"National Inpatient Sample","score":0.777999997138977}],"concepts":[{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.90385901927948},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8094063401222229},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.6143933534622192},{"id":"https://openalex.org/C3020166492","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Acute stroke","level":3,"score":0.5808808207511902},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.4967864155769348},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.49528375267982483},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3371666669845581},{"id":"https://openalex.org/C2776572282","wikidata":"https://www.wikidata.org/wiki/Q416351","display_name":"Tissue plasminogen activator","level":2,"score":0.12914347648620605},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1212/wnl.0000000000208294","doi":"https://doi.org/10.1212/wnl.0000000000208294","is_oa":false,"landing_page_url":"https://doi.org/10.1212/wnl.0000000000208294","pdf_url":null,"source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4409237383","https://openalex.org/W7168324169","https://openalex.org/W4406395531","https://openalex.org/W4416921644","https://openalex.org/W4286701693","https://openalex.org/W4391402298","https://openalex.org/W4389441941","https://openalex.org/W4316035747","https://openalex.org/W2892184016","https://openalex.org/W4400892415"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"assess":[2],"safety":[3],"and":[4,132,149,160,174,229,275],"short-term":[5],"functional":[6],"outcomes":[7,114],"of":[8,32,38,52,74,115,130,179,190,219,232,251],"Endovascular":[9],"Thrombectomy":[10],"(EVT)":[11,259],"in":[12,36,54,59,69,76,154,163,195,208,234],"patients":[13,39,95,102,116,181,248],"with":[14,18,40,96,103,184,206,249],"minor":[15,41],"acute":[16,42],"strokes":[17,44,58],"NIHSS":[19,78,104,252],"\u2264":[20,105,253],"6":[21,254],"without":[22,34,260],"thrombolysis":[23],"(tTA)":[24],"Background:":[25],"Uncertainty":[26],"persists":[27],"surrounding":[28],"the":[29,72,83,235],"therapeutic":[30],"benefit":[31,51],"EVT":[33,53,75,196,199,202],"thrombolytics,":[35],"treatment":[37],"ischemic":[43],"(NIHSS":[45],"<6).":[46],"There":[47],"is":[48,66,204],"a":[49],"proven":[50],"moderate":[55],"to":[56,91,93,121,166,221,272,284,290,296,302,308,314,320,326,332,338],"severe":[57],"large":[60],"randomized":[61],"clinical":[62],"trials,":[63],"but":[64],"there":[65],"limited":[67],"evidence":[68],"literature":[70],"on":[71],"effect":[73],"low":[77,250],"group":[79,203],"Design/Methods:":[80],"We":[81,100,112,142,157],"used":[82,143,158],"Nationwide":[84],"Inpatient":[85],"Sample":[86],"(NIS)":[87],"database":[88],"from":[89],"2016":[90],"2019":[92],"identify":[94],"Acute":[97],"Ischemic":[98],"Stroke.":[99],"selected":[101],"6,":[106],"who":[107,117,123,255],"did":[108,124],"not":[109],"receive":[110],"thrombolysis.":[111],"compared":[113],"received":[118,256],"endovascular":[119,257],"thrombectomy":[120,258],"those":[122],"not,":[125],"including":[126,265],"inpatient":[127],"mortality,":[128,268],"length":[129,231],"stay,":[131],"discharge":[133,271],"disposition":[134],"(home":[135],"vs.":[136],"rehabilitation":[137,273],"facility)":[138],"as":[139],"dependent":[140],"variables.":[141],"chi-squared":[144],"tests":[145],"for":[146,151,168],"categorical":[147],"variables":[148,153],"t-tests":[150],"continuous":[152],"univariate":[155],"analysis.":[156],"logistic":[159],"linear":[161],"regression":[162],"multivariate":[164],"analysis":[165],"adjust":[167],"comorbidities":[169],"(hypertension,":[170],"diabetes":[171],"mellitus,":[172],"obesity,":[173],"smoking)":[175],"Results:":[176],"A":[177],"total":[178],"426,145":[180],"were":[182],"extracted":[183],"given":[185],"selection":[186],"criteria.":[187],"Mean":[188],"age":[189],"66":[191],"vs":[192,197,238],"68":[193],"(p<0.001)":[194],"no":[198],"group.":[200],"Overall,":[201],"associated":[205],"increased":[207,217,230],"hospital":[209,236,277],"mortality":[210],"(OR":[211],"8.693,":[212],"CI":[213,226],"7.63\u20139.90,":[214],"p":[215,241],"<0.001),":[216],"risk":[218],"discharging":[220],"Rehab":[222],"facility":[223],"(RR":[224],"1.42":[225],"1.33\u20131.51,":[227],"p<0.001)":[228],"stay":[233],"5.73":[237],"3.76":[239],"(\u03b2=1.9,":[240],"<0.001)":[242],"Conclusions:":[243],"Our":[244],"study":[245],"found":[246],"that":[247],"thrombolytics":[261],"had":[262],"worse":[263],"outcomes,":[264],"higher":[266],"in-hospital":[267],"more":[269],"frequent":[270],"facilities,":[274],"longer":[276],"stays":[278],"Disclosure:":[279],"Dr.":[280,286,292,298,304,316,322,328,334],"Buchhanolla":[281],"has":[282,288,294,300,306,312,318,324,330,336],"nothing":[283,289,295,301,307,313,319,325,331,337],"disclose.":[285,291,297,303,309,315,321,327,333,339],"Sheikh":[287],"Ayub":[293],"Elsekaily":[299],"Thapa":[305],"Ms.":[310],"Courville":[311],"Chandaluri":[317],"Kataria":[323],"Shah":[329],"Chokhawala":[335]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2024-04-10T00:00:00"}
