Comparison of pragmatic post-thrombectomy prognostic scores not based on advanced imaging in a large national stroke registry

Antonio Ciacciarelli; João Peres; Giovanni Pracucci; V Saia; Ettore Nicolini; Manuela De Michele; Ciro Fasolino; Enrico Fainardi; MR Tola; Simona Marcheselli; Antonio Laiso; Patrizia Nencini; Stefano Vallone; Guido Bigliardi; Valerio Da Ros; Ilaria Maestrini; Mauro Bergui; Giovanni Bosco; Maria Ruggiero; Marco Longoni; Sandra Bracco; Rossana Tassi; Luigi Simonetti; Andrea Zini; Bruno Del Sette; Tiziana Benzi Markushi; Orazio Buonomo; Ludovica Ferraù; Roberto Menozzi; Alessandro Pezzini; Andrea Saletti; Alessandro De Vito; Andrea Boghi; Andrea Naldi; Guido Andrea Lazzarotti; Nicola Giannini; Nicola Milazzo; Luca Valvassori; Mauro Plebani; Manuel Cappellari; Alessio Comai; Enrica Franchini; Nicola Burdi; Paolo Bonanni; Luca Allegretti; Tiziana Tassinari; Sergio Zimatore; Marco Petruzzellis; Nicola Cavasin; Adriana Critelli; Annalisa Sgoifo; Marcella Caggiula; Ivan Gallesio; Delfina Ferrandi; Edoardo Puglielli; Alfonsina Casalena; Marco Perri; Federica De Santis; Michele Besana; Alessia Giossi; Gianluca Galvano; Eleonora Saracco; Giuseppe Carità; Monia Russo; Roberto Arpesani; Stefano Caproni; Matteo Alberti; Paolo Invernizzi; Marco Filizzolo; Marina Mannino; Giuseppe Pelle; Michele Alessiani; Daniel Konda; Fabrizio Sallustio; Salvatore Mangiafico; Anne Falcou

doi:10.1177/17474930261421043

January 28, 2026International Journal of Stroke

Comparison of pragmatic post-thrombectomy prognostic scores not based on advanced imaging in a large national stroke registry

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Key Points

The HERMES-24 score showed the highest prognostic performance among pragmatic post-thrombectomy scores.
This score utilizes only age and the 24-hour National Institutes of Health Stroke Scale (NIHSS) for its predictions.
The analysis was conducted on a large, multicenter national cohort of stroke patients undergoing thrombectomy.
The findings highlight the potential benefits of using simpler scoring systems in clinical settings.

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Implication

Observational analysis reveals the HERMES-24 score shows superior prognostic performance in a national cohort, suggesting its adoption in clinical practice.

Abstract

In this large, multicenter, national cohort, the post-EVT HERMES-24 score-which accounts only for age and 24-h NIHSS-demonstrated the highest prognostic performance among existing, pragmatic post-EVT scores. Its simplicity and robust performance support its routine adoption in clinical practice.

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Ciacciarelli et al. (2026) studied this question.

synapsesocial.com/papers/69a75bf4c6e9836116a24370 https://doi.org/10.1177/17474930261421043

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Comparison of pragmatic post-thrombectomy prognostic scores not based on advanced imaging in a large national stroke registry

Key Points

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Implication

Abstract

Discussion

Cite This Study

Comparison of pragmatic post-thrombectomy prognostic scores not based on advanced imaging in a large national stroke registry

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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