With the results showing a long-term benefit with extraction, “this up-front expense is going to be justified because, in the long term, we’ll see a reduction in medical care, nursing care, home care and rehabilitation care,” Dr. Jahan predicted. “We’re saving money in the long run. Patients who would have been stuck in a skilled nursing facility for two years, hopefully, are now being sent home.”
Quality of life scores at two years were higher in the clot-removal treatment group, with the big differences reported in the categories of mobility, self-care and the ability to do usual activities. The cumulative rates of death from any cause were comparable in the two groups during the two years after a stroke, at 26 percent among clot removal patients and 31 percent among those who didn’t get that treatment. But, Roos and his colleagues note that the difference in mortality rates has grown as time passed.
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