Should mRS be incorporated into determining eligibility for extended window thrombolysis?
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Do you incorporate mRS when considering extended window thrombolysis decision making?
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2 Answers
Mednet MemberInvited Expert
Neurology · University of Virginia, School of Medicine
Answered on
Key thrombolysis trials (WAKE UP, OPTION, EXTEND, TIMELESS, ECASS-4, HOPE, EXTEND IA) excluded patients with mRS of 2 or greater. The reason for this was the outcome of functional independence at 90 days. Hence, for trial purposes, to look at the outcome, it was necessary to exclude patients with di...
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Mednet MemberInvited Expert
Neurology · University of Calgary
Answered on
I would re-phrase the question and ask if the pre-morbid status of the patient should be considered prior to stroke thrombolysis in any time window, early or late?
First the mRS is an outcome scale and not designed to assess pre-treatment status. It is designed to assess post-stroke outcome. It is b...
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