Navarro Jose C, Molina Mark C, Baroque Ii Alejandro C, Lokin Johnny K
Stroke Unit, Department of Neurology and Psychiatry, University of Santo Tomas Hospital, España Boulevard, San Vicente Ferrer Ward, 1008 Manila, Philippines.
Rehabil Res Pract. 2012;2012:506387. doi: 10.1155/2012/506387. Epub 2012 Dec 13.
Aim. We aimed to assess the efficacy of MLC601 on functional recovery in patients given MLC601 after an ischemic stroke. Methods. This is a retrospective cohort study comparing poststroke patients given open-label MLC601 (n = 30; 9 female) for three months and matching patients who did not receive MLC601 from our Stroke Data Bank. Outcome assessed was modified Rankin Scale (mRS) at three months and analyzed according to: (1) achieving a score of 0-2, (2) achieving a score of 0-1, and (3) mean change in scores from baseline. Results. At three months, 21 patients on MLC601 became independent as compared to 17 patients not on MLC601 (OR 1.79; 95% CI 0.62-5.2; P = 0.29). There were twice as many patients (n = 16) on MLC601 who attained mRS scores similar to their prestroke state than in the non-MLC601 group (n = 8) (OR 3.14; 95% CI 1.1-9.27; P = 0.038). Mean improvement in mRS from baseline was better in the MLC601 group than in the non-MLC601 group (-1.7 versus -0.9; mean difference -0.73; 95% CI -1.09 to -0.38; P < 0.001). Conclusion. MLC601 improves functional recovery at 3 months postischemic stroke. An ongoing large randomized control trial of MLC601 will help validate these results.
目的。我们旨在评估MLC601对缺血性中风后接受MLC601治疗患者功能恢复的疗效。方法。这是一项回顾性队列研究,比较了接受开放标签MLC601治疗三个月的中风后患者(n = 30;9名女性)与从我们的中风数据库中未接受MLC601治疗的匹配患者。评估的结局指标是三个月时的改良Rankin量表(mRS),并根据以下方面进行分析:(1)达到0 - 2分,(2)达到0 - 1分,以及(3)从基线开始的分数平均变化。结果。三个月时,接受MLC601治疗的21名患者实现了独立,而未接受MLC601治疗的患者为17名(比值比1.79;95%置信区间0.62 - 5.2;P = 0.29)。接受MLC601治疗且mRS评分恢复到中风前状态的患者数量(n = 16)是未接受MLC601治疗组(n = 8)的两倍(比值比3.14;95%置信区间1.1 - 9.27;P = 0.038)。MLC601组从基线开始的mRS平均改善情况优于未接受MLC601治疗组(-1.7对-0.9;平均差值-0.73;95%置信区间-1.09至-0.38;P < 0.001)。结论。MLC601可改善缺血性中风后3个月的功能恢复。正在进行的关于MLC601的大型随机对照试验将有助于验证这些结果。