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Stroke is the third leading cause of death and the most important cause of disability in the world
The treatment of acute ischemic stroke aims at early recanalization of blood vessels to restore blood flow
Compared with standard treatment strategies (including intravenous thrombolysis (IVT) with recombinant tissue-type plasma protein activator), stroke blood vessels can bring better short-term and long-term clinical results
Although endovascular treatment is an expensive treatment, compared with standard treatment, it can improve long-term survival and quality of life, reduce the need for rehabilitation and nursing homes after discharge, so it is likely to be cost-effective
But compared with standard treatment, it can improve long-term survival and quality of life, and reduce the need for rehabilitation and nursing homes after discharge, so it is likely to be cost-effective
They conducted a two-year economic evaluation from a social perspective
The calculation method of the incremental cost-benefit ratio is: the additional cost for each additional functionally independent patient (modified Rankin scale 0-2 points) and the additional cost for each additional quality-adjusted life year
They found that the average cost per patient in the intervention group was US$126,494, compared to US$143,331 in the control group (the average difference was US$-16,839 [95% CI, US$38,113 to US$5456])
Compared with patients in the control group, more patients in the intervention group achieved functional independence, 37.
Endovascular treatment dominates the standard treatment.
The important significance of this study lies in the discovery: for patients with acute ischemic stroke, adding endovascular treatment to conventional treatment is clinically effective, and it can save costs compared with simple conventional treatment
For patients with acute ischemic stroke, adding endovascular treatment on the basis of conventional treatment is clinically effective.
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