Matched late window patients with EVT ≥6.5 hours vs early window patients with EVT <6.5 hours after onset or LSW* | ||||
Unadjusted OR (95% CI) | P value | Adjusted OR (95% CI)† | P value | |
Primary outcome | ||||
3-month mRS score reduction (shift analysis)‡ | 0.99 (0.59 to 1.67) | 0.98 | 1.04 (0.56 to 1.93) | 0.89 |
Secondary outcomes | ||||
Functional independence (3-month mRS 0–2) | 1.05 (0.63 to 1.75) | 0.87 | 1.17 (0.58 to 2.37) | 0.65 |
Successful reperfusion (eTICI ≥2B) | 0.75 (0.41 to 1.38) | 0.35 | 0.75 (0.41 to 1.39) | 0.35 |
Significant early clinical improvement (≥4 points decrease on NIHSS or NIHSS 0) | 0.78 (0.45 to 1.32) | 0.35 | 0.79 (0.44 to 1.43) | 0.43 |
Safety outcomes | ||||
Peri-interventional complications | 1.49 (0.52 to 4.24) | 0.45 | 1.52 (0.50 to 4.58) | 0.45 |
Symptomatic intracranial haemorrhage | 0.99 (0.28 to 3.52) | 0.98 | 1.03 (0.26 to 4.04) | 0.97 |
Mortality at 3 months | 0.84 (0.43 to 1.65) | 0.61 | 0.76 (0.32 to 1.79) | 0.52 |
*Matched on: age, prestroke mRS, NIHSS at presentation, ASPECTS at presentation, location of occlusion, collateral status and treatment with IVT. With a calliper of 0.2, 511 (96.4%) of the 530 late window patients treated beyond 6.5 hours (5 datasets with 106 late window patients per dataset) could be matched in a 1:2 ratio to 1022 early window patients treated within 6.5 hours. ORs were pooled from the five matched datasets using Rubin’s rules.
†Adjusted for: age, prestroke mRS, NIHSS at presentation, ASPECTS at presentation, location of occlusion, collateral status and treatment with IVT.
‡Common OR indicating the odds of improvement of 1 point on the mRS.
eTICI, extended Treatment In Cerebral Infarction; EVT, endovascular treatment; LSW, last seen well; mRS, modified Rankin Scale; NIHSS, National Institutes of Health Stroke Scale.