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Impact of Body Temperature in Patients With Acute Basilar Artery Occlusion: Analysis of the BASILAR Database.

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作者：
Zhang Wenbin[1] * ; Li Fengli[2] * ; Zhang Cai[3] * ; Lei Bo[4] ; Deng Wei[5] ; Zeng Hongliang[6] ; Yu Yang[7] ; Wu Junxiong[8] ; Peng Daizhou[9] ; Tian Zhenxuan[10] ; Zhu Xiurong[11] ; Hu Zhizhou[12] ; Hong Yifan[13] ; Li Wenbo[14] ; Ge Hanming[15] ; Xu Xinwei[16] ; Ju Dongsheng[17] ; Yang Shunyu[18] ; Pan Chengde[19] ; Zi Wenjie[2] ; Wang Shouchun[1] ;
机构： [1]Department of Neurology, The First Hospital of Jilin University, Changchun, China. [2]Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [3]Department of Neurology, Daqing Oilfield General Hospital, Daqing, China. [4]Department of Cerebrovascular Diseases, Leshan People's Hospital, Leshan, China. [5]Department of Neurology, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China. [6]Department of Neurology, Ganzhou People's Hospital, Ganzhou, China. [7]Department of Neurology, Nanyang Central Hospital, Nanyang, China. [8]Department of Emergency, Xiangtan Central Hospital, Xiangtan, China. [9]Department of Neurology, Qianxinan People's Hospital, Xingyi, China. [10]Department of Neurology, The 404th Hospital of Mianyang, Mianyang, China. [11]Department of Neurology, Chongzhou People's Hospital, Chongzhou, China. [12]Department of Neurology, Longyan No. 1 Hospital, Longyan, China. [13]Department of Neurology, Shantou Central Hospital, Shantou, China. [14]Department of Neurointervention, Luoyang Central Hospital, Luoyang, China. [15]Department of Neurology, Xi'an Third Hospital, Xi'an, China. [16]Department of Neurology, Jieyang People's Hospital, Jieyang, China. [17]Department of Neurology, Songyuan Jilin Oilfield Hospital, Songyuan, China. [18]Department of Neurology, The First People's Hospital of Yunnan Province, Kunming, China. [19]Department of Neurology, Banan District People's Hospital, Chongqing, China.
出处：
DOI： 10.3389/fneur.2022.907410
ISSN：

关键词： basilar artery occlusion body temperature endovascular treatment admission body temperature peak body temperature

摘要：
A link between body temperature and stroke outcomes has been established but not for acute basilar artery occlusion. We aimed to determine the association between body temperature and clinical outcomes in patients with acute basilar artery occlusion and temperature management range.We included patients from the Endovascular Treatment for Acute Basilar Artery Occlusion Study (BASILAR) database with records of both admission body temperature (ABT) and peak body temperature (PBT). ABT was defined as the body temperature first measured at the hospital visit, PBT was defined as the highest temperature within 24 h of treatment, and minus body temperature (MBT) was defined as PBT-ABT. The primary clinical outcome was favorable functional outcome, defined as the proportion of patients with a modified Rankin Scale score of 0-3 at 3 months. Secondary outcomes included 3-month mortality, in-hospital mortality, and symptomatic cerebral hemorrhage.A total of 664 patients were enrolled in the study; 74.7% were men, with a median age of 65 (interquartile range, 57.25-74) years. In all patients, multivariate analysis indicated that PBT and MBT were independent predictors of favorable functional outcome [odds ratio (OR), 0.57 (95% CI, 0.43-0.77); OR, 0.68 (95% CI, 0.52-0.88), respectively], and higher ABT, PBT, and MBT were associated with an increased 3-month mortality [OR, 1.47 (95% CI, 1.03-2.10), OR, 1.58 (95% CI, 1.28-1.96), OR, 1.35 (95% CI, 1.11-1.65), respectively]. Proportional odds models demonstrated that when ABT, PBT, MBT were in the range of <37.5, <38.9, and -0.6-2.7°C, respectively, the benefit of the endovascular treatment is clearly greater than that of standard medical treatment in terms of favorable functional outcome.Body temperature is an independent predictor of clinical outcome in patients with acute basilar artery occlusion. It is necessary to control the patient body temperature within the appropriate range in clinical settings.Chinese Clinical Trial Registry ChiCTR1800014759. Registered 03 February 2018. Retrospectively registered.Copyright © 2022 Zhang, Li, Zhang, Lei, Deng, Zeng, Yu, Wu, Peng, Tian, Zhu, Hu, Hong, Li, Ge, Xu, Ju, Yang, Pan, Zi and Wang.

基金：
The authors disclose receipt of the following financial support for the research, authorship, and/or publication of this article: this work was supported by the National Natural Science Foundation of China (No. 82071323), Chongqing Natural Science Foundation (cstc2020jcyj-msxmX0926), Chongqing Science and Health Joint Project (No. 2019ZDXM002), the Army Medical University Clinical Medical Research Talent Training Program (Nos. 2018XLC3039, 2019XLC2008, and 2019XLC3016), and Jilin Province Health Talent Special Project (JLSCZD2019-013).
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外文
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出版当年[2022]版：
大类 | 3 区 医学
小类 | 3 区 神经科学 3 区 临床神经病学
最新[2023]版：
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
JCR分区：
出版当年[2021]版：
Q2 CLINICAL NEUROLOGY Q2 NEUROSCIENCES
最新[2023]版：
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]Department of Neurology, The First Hospital of Jilin University, Changchun, China.
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Zhang Wenbin,Li Fengli,Zhang Cai,et al.Impact of Body Temperature in Patients With Acute Basilar Artery Occlusion: Analysis of the BASILAR Database.[J].FRONTIERS IN NEUROLOGY.2022,13:doi:10.3389/fneur.2022.907410.
APA：
Zhang Wenbin,Li Fengli,Zhang Cai,Lei Bo,Deng Wei...&Wang Shouchun.(2022).Impact of Body Temperature in Patients With Acute Basilar Artery Occlusion: Analysis of the BASILAR Database..FRONTIERS IN NEUROLOGY,13,
MLA：
Zhang Wenbin,et al."Impact of Body Temperature in Patients With Acute Basilar Artery Occlusion: Analysis of the BASILAR Database.".FRONTIERS IN NEUROLOGY 13.(2022)

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