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image of Role of Circadian Rhythm Changes on Functional Dependence Despite Successful Repercussion in Patients with Endovascular Treatment

Abstract

Background

Increasing evidence of circadian biology may influence the physiopathologic mechanism, progression, and recovery of stroke. However, few data have shown about circadian rhythm on futile recanalization (FR) in patients treated with endovascular treatment (EVT).

Methods

From 2017 to 2021, an observational cohort of acute ischemic stroke (AIS) patients with large vessel occlusion (LVO) underwent EVT was conducted. FR was defined as the failure to achieve functional independence in patients at 90 days after EVT, although the occluded vessels reached a recanalization. The effect of circadian rhythm on FR was investigated using the logistic regression model.

Results

Of 783 patients, there were 149 patients who had stroke onset between 23:00-6:59, 318 patients between 7:00-14:59, and 316 patients between 15:00-22:59. Patients suffered from stroke during 15:00-22:59 had shorter OTP ( =0.001) time, shorter OTR (<0.001) time, higher rate of intravenous thrombolysis ( =0.001) than groups of other time intervals. The rate of FR post-EVT in patients who had a stroke between 15:00-22:59 was significantly higher than in those with stroke onset between 23:00-6:59 ( =0.017). After adjusting for confounding factors, the time of stroke occurring during 15:00-22:59 (adjusted OR [aOR], 1.652; 95%CI, 1.024-2.666, =0.04) was an independent predictor of FR.

Conclusion

Circadian rhythm can directly or indirectly affect the occurrence, development, and prognosis of AIS. More studies may be needed in the future to validate the results of our study and to explore the potential mechanisms behind the effects of circadian rhythms on FR.

© 2024 Bentham Science Publishers
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2024-09-12
2025-01-23

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/content/journals/cnr/10.2174/0115672026346635240816095721
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Role of Circadian Rhythm Changes on Functional Dependence Despite Successful Repercussion in Patients with Endovascular Treatment
Bentham Science Publishers ; https://doi.org/10.2174/0115672026346635240816095721
/content/journals/cnr/10.2174/0115672026346635240816095721
/content/journals/cnr/10.2174/0115672026346635240816095721
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  • Article Type:     Research Article
Keywords: AIS ; LVO ; outcome ; futile recanalization ; endovascular treatment ; circadian rhythm

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