缺血性卒中患者住院MRI使用与结局表1

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• 源站标题：Table_1_Exploring the role of in-patient magnetic resonance imaging use among admitted ischemic stroke patients in improving patient outcomes and reducing healthcare resource utilization.docx
• DOI：10.3389/fneur.2024.1305514.s001
• 发布日期：2024-03-18
• 文件数：1 个
• 文件总体积：16.06 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Table_1_Exploring_the_role_of_in-patient_magnetic_resonance_imaging_use_among_admitted_ischemic_stroke_patients_in_improving_patient_outcomes_and_reducing_healthcare_resource_utilization_docx/25428715

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• Table_1_Exploring the role of in-patient magnetic resonance imaging use among admitted ischemic stroke patients in improving patient outcomes and redu.docx（16.06 KB）

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PurposeDespite the diagnostic and etiological significance of in-patient MRI in ischemic stroke (IS), its utilization is considered resource-intensive, expensive, and thus limiting feasibility and relevance. This study investigated the utilization of in-patient MRI for IS patients and its impact on patient and healthcare resource utilization outcomes.
MethodsThis retrospective registry-based study analyzed 1,956 IS patients admitted to Halifax’s QEII Health Centre between 2015 and 2019. Firstly, temporal trends of MRI and other neuroimaging utilization were evaluated. Secondly, we categorized the cohort into two groups (MRI vs. No MRI; in addition to a non-contrast CT) and investigated adjusted differences in patient outcomes at admission, discharge, and post-discharge using logistic regression. Additionally, we analyzed healthcare resource utilization using Poisson log-linear regression. Furthermore, patient outcomes significantly associated with MRI use underwent subgroup analysis for stroke severity (mild stroke including transient ischemic attack vs. moderate and severe stroke) and any acute stage treatment (thrombolytic or thrombectomy or both vs. no treatment) subgroups, while using an age and sex-adjusted logistic regression model.
ResultsMRI was used in 40.5% patients; non-contrast CT in 99.3%, CT angiogram in 61.8%, and CT perfusion in 50.3%. Higher MRI utilization was associated with male sex, younger age, mild stroke, wake-up stroke, and no thrombolytic or thrombectomy treatment. MRI use was independently associated with lower in-hospital mortality (adjusted OR, 0.23; 95% CI, 0.15–0.36), lower symptomatic neurological status changes (0.64; 0.43–0.94), higher home discharge (1.32; 1.07–1.63), good functional outcomes at discharge (mRS score 0–2) (1.38; 1.11–1.72), lower 30-day stroke re-admission rates (0.48; 0.26–0.89), shorter hospital stays (regression coefficient, 0.92; 95% CI, 0.90–0.94), and reduced direct costs of hospitalization (0.90; 0.89–0.91). Subgroup analysis revealed significantly positive association of MRI use with most patient outcomes in moderate and severe strokes subgroup and non-acutely treated subgroup. Conversely, outcomes in mi

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学术使用请引用 DOI 10.3389/fneur.2024.1305514.s001（source: https://frontiersin.figshare.com/articles/dataset/Table_1_Exploring_the_role_of_in-patient_magnetic_resonance_imaging_use_among_admitted_ischemic_stroke_patients_in_improving_patient_outcomes_and_reducing_healthcare_resource_utilization_docx/25428715）。