STAY-HOME: Endovascular Thrombectomy for Patients With Prestroke Disability.

Stroke

Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, and Department of Neurology, Monash Health, Clayton, VIC, Australia (J.V., T.G.P., H.M.).

Published: June 2025


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Thrombectomy significantly improves clinical outcomes in patients with large vessel occlusion. However, the foundational trials used restrictive criteria, excluding patients with prestroke disability and included a few elderly patients (>80 years old). In addition, results from registries demonstrated conflicting results. We propose that there is equipoise for the elderly and prestroke disability to undergo thrombectomy and that trials are urgently required to guide treatment.

Download full-text PDF

Source
http://dx.doi.org/10.1161/STROKEAHA.124.050299DOI Listing

Publication Analysis

Top Keywords

prestroke disability
12
patients prestroke
8
stay-home endovascular
4
endovascular thrombectomy
4
patients
4
thrombectomy patients
4
disability thrombectomy
4
thrombectomy improves
4
improves clinical
4
clinical outcomes
4

Similar Publications

Objectives: Internationally about 3% of people ≥65 years live in long-term care (LTC) settings. Older people living in nursing homes are more likely to be admitted to hospital. We examined the characteristics and outcomes of stroke patients admitted from LTC nationally and how this changed over the COVID-19 pandemic.

View Article and Find Full Text PDF

Letter to the Editor: Causal inference concerns in comparing prestroke frailty and disability for outcome prediction.

J Neurol Sci

August 2025

Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.; Nanjing Qixia District Hospital, Nanjing. No.28, RaoJia Road, Qixia District, Nanjing, Jiangsu 210046, China.

View Article and Find Full Text PDF

This letter addresses the manuscript titled "Comparison of Prestroke Frailty and Disability for Outcome Prediction in Older Stroke Patients" by Paola Forti et al. The study explores the predictive role of prestroke frailty in stroke outcomes for older patients, demonstrating its potential to guide clinical decision-making. While the large cohort enhances the study's validity, several methodological concerns are raised, including the retrospective use of frailty assessments and the lack of subgroup analyses by stroke type or severity.

View Article and Find Full Text PDF