Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based Study
Basilar artery occlusion (BAO) is associated with high morbidity and mortality. Endovascular therapy (EVT) has been shown to be beneficial in acute BAO patients. This retrospective observational study used the National Inpatient Sample (NIS) database to identify BAO patients using the International...
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| Format: | Article |
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MDPI AG
2023-03-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/13/3/829 |
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| author | Mudassir Farooqui Asad Ikram Sajid Suriya Fares Qeadan Piotr Bzdyra Syed A. Quadri Atif Zafar |
| author_facet | Mudassir Farooqui Asad Ikram Sajid Suriya Fares Qeadan Piotr Bzdyra Syed A. Quadri Atif Zafar |
| author_sort | Mudassir Farooqui |
| collection | DOAJ |
| description | Basilar artery occlusion (BAO) is associated with high morbidity and mortality. Endovascular therapy (EVT) has been shown to be beneficial in acute BAO patients. This retrospective observational study used the National Inpatient Sample (NIS) database to identify BAO patients using the International Classification of Diseases (ICD). Multivariable models were used to evaluate the association of risk factors, comorbidities, length of stay (LOS) in hospital, total cost, disposition, and transfer status. A total of 1120 (447 females, 39.95%) patients were identified, with a higher proportion of White individuals (66.8% vs. 57.6%), atrial fibrillation (31.5% vs. 17.2%; <i>p <</i> 0.0001), and peripheral vascular disease (21.2% vs. 13.7%; <i>p</i> = 0.009). A lower proportion of individuals with diabetes mellitus (32.1% vs. 39.5%; <i>p</i> = 0.05) was found in the EVT group. Majority of the patients (924/1120, 82.5%) were treated at the urban teaching facility, which also performed most of the EVT procedures (164, 89.13%), followed by non-academic urban (166, 14.8%) and rural (30, 2.7%) hospitals. Most patients (19/30, 63%) admitted to rural hospitals were transferred to other facilities. Urban academic hospitals also had the highest median LOS (8.9 days), cost of hospitalization (USD 117,261), and disposition to home (32.6%). This study observed distinct patterns and geographical disparities in the acute treatment of BAO patients. There is a need for national- and state-level strategies to improve access to stroke care. |
| first_indexed | 2024-03-11T06:17:28Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-11T06:17:28Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-a420132240ac42f4ac2d6650025e289c2023-11-17T12:12:56ZengMDPI AGLife2075-17292023-03-0113382910.3390/life13030829Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based StudyMudassir Farooqui0Asad Ikram1Sajid Suriya2Fares Qeadan3Piotr Bzdyra4Syed A. Quadri5Atif Zafar6Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USADepartment of Neurology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USADepartment of Neurology, University of New Mexico Health Science Center, Albuquerque, NM 87106, USADepartment of Family and Preventive Medicine, University of Utah, Salt Lake City, UT 84112, USADepartment of Neurology, St. Bernardine Medical Center, San Bernadino, CA 92404, USADepartment of Neurology, University of Cincinnati, Cincinnati, OH 45221, USA Department of Neurology, St. Michael Hospital, University of Toronto, Toronto, ON M5B 1W8, CanadaBasilar artery occlusion (BAO) is associated with high morbidity and mortality. Endovascular therapy (EVT) has been shown to be beneficial in acute BAO patients. This retrospective observational study used the National Inpatient Sample (NIS) database to identify BAO patients using the International Classification of Diseases (ICD). Multivariable models were used to evaluate the association of risk factors, comorbidities, length of stay (LOS) in hospital, total cost, disposition, and transfer status. A total of 1120 (447 females, 39.95%) patients were identified, with a higher proportion of White individuals (66.8% vs. 57.6%), atrial fibrillation (31.5% vs. 17.2%; <i>p <</i> 0.0001), and peripheral vascular disease (21.2% vs. 13.7%; <i>p</i> = 0.009). A lower proportion of individuals with diabetes mellitus (32.1% vs. 39.5%; <i>p</i> = 0.05) was found in the EVT group. Majority of the patients (924/1120, 82.5%) were treated at the urban teaching facility, which also performed most of the EVT procedures (164, 89.13%), followed by non-academic urban (166, 14.8%) and rural (30, 2.7%) hospitals. Most patients (19/30, 63%) admitted to rural hospitals were transferred to other facilities. Urban academic hospitals also had the highest median LOS (8.9 days), cost of hospitalization (USD 117,261), and disposition to home (32.6%). This study observed distinct patterns and geographical disparities in the acute treatment of BAO patients. There is a need for national- and state-level strategies to improve access to stroke care.https://www.mdpi.com/2075-1729/13/3/829basilar artery occlusionstrokemechanical thrombectomyposterior circulation stroke |
| spellingShingle | Mudassir Farooqui Asad Ikram Sajid Suriya Fares Qeadan Piotr Bzdyra Syed A. Quadri Atif Zafar Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based Study Life basilar artery occlusion stroke mechanical thrombectomy posterior circulation stroke |
| title | Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based Study |
| title_full | Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based Study |
| title_fullStr | Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based Study |
| title_full_unstemmed | Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based Study |
| title_short | Patterns of Care in Patients with Basilar Artery Occlusion (BAO): A Population-Based Study |
| title_sort | patterns of care in patients with basilar artery occlusion bao a population based study |
| topic | basilar artery occlusion stroke mechanical thrombectomy posterior circulation stroke |
| url | https://www.mdpi.com/2075-1729/13/3/829 |
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