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Table 2 In-hospital outcomes

From: Switch to tenecteplase for intravenous thrombolysis in stroke patients: experience from a German high-volume stroke center

 

TNK

(n = 138)

rt-PA

(n = 138)

P Value

Procedure times, min; median (IQR)

   

 Door-to-needle

27 (19–39)

34 (25–62)

0.011

 Door-to-imaging

15 (9–21)

17 (13–22)

0.12

 Imaging-to-needle

11 (9–16)

17 (10–31)

0.037

 Door-to-groin

65 (57–80)

72 (64–106)

0.17

 Door-to-recanalization

97 (80–127)

111 (88–152)

0.25

 Door-to needle within 30 min; n (%)

73 (53%)

55 (40%)

0.030

Procedure times for evident strokes (NIHSS > 4, time window ≤ 4.5h), min; median (IQR)

   

 Door-to-needle

25 (17–46)

31 (23–50)

0.018

 Door-to-imaging

14 (9–17)

15 (11–20)

0.21

 Imaging-to-needle

11 (7–23)

14 (8–24)

0.041

 Door-to-groin

60 (55–77)

71 (64–105)

0.05

 Door-to-recanalization

90 (78–104)

106 (97–148)

0.15

 Door-to needle within 30 min; n (%)

36 (67%)

31 (48%)

0.046

Clinical in-hospital outcomes during the first 72h

   

 Early major NIHSS improvement (≥ 4 within 72h); n (%)

49 (36%)

54 (39%)

0.53

 Early major NIHSS deterioration (≥ 4 by day 1 or 3)*; n (%)

16 (12%)

21 (15%)

0.38

 Early recanalization pre-EVT; n (%)

3 (10%)

1 (3%)

0.27

 Cancellation of IVT; n (%)

0 (0%)

2 (1%)

0.16

Radiological outcomes

   

mTICI after EVT**; n (%)

  

0.87

 mTICI 3

20 (65%)

21 (64%)

 

 mTICI 2c

2 (7%)

3 (9%)

 mTICI 2b

5 (16%)

6 (18%)

 mTICI 2a

1 (3%)

0 (0%)

 mTICI 0

3 (10%)

3 (9%)

 Successful reperfusion (mTICI 2b-3); n (%)

27 (87%)

30 (91%)

0.63

  1. *except intubated patients
  2. **in patients with large vessel occlusion
  3. Abbreviations: IQR, interquartile range; NIHSS, National Institutes of Health Stroke Scale; EVT, endovascular treatment; IVT, intravenous thrombolysis; mTICI, modified thrombolysis in cerebral infarction