Atsuhito Taishaku
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Atsuhito Taishaku has a total of 18 co-authors. Here are the top co-authors by number of shared publications:
- Hiroyasu Inoue
Department of Neurology Nagoya City University Graduate School of Medical Sciences and Medical School Nagoya Aichi Japan
1 shared publication - Masahiro Oomura
Department of Neurology and Neuroscience Nagoya City University Graduate School of Medical Sciences Nagoya Japan
1 shared publication - Masayuki Mizuno
Department of Neurology Nagoya City University Graduate School of Medical Sciences and Medical School Nagoya Aichi Japan
1 shared publication Mitsuhito Mase
Department of Neurosurgery Nagoya City University Graduate School of Medical Sciences and Medical School Nagoya Aichi Japan
1 shared publication- Noriyuki Matsukawa
Department of Neurology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
1 shared publication Shoji Kawashima
Department of Neurology Nagoya City University Graduate School of Medical Sciences and Medical School Nagoya Aichi Japan
1 shared publication
Latest Publications
- Open Access
- 16 October 2026
- Published by Wiley in Geriatrics & Gerontology International
- Vol. 26 (10) , e70874
Beyond the Rankin Scale: A Patient‐Centered Score for Meaningful Recovery After Mechanical Thrombectomy in Older Adults With Pre‐Stroke Disability
Aim: The benefit of mechanical thrombectomy (MT) for acute ischemic stroke in patients with pre‐stroke moderate‐to‐severe disability is difficult to evaluate using the modified Rankin Scale (mRS) alone. We developed and evaluated the SMILE‐Stroke score as a patient‐centered outcome measure. Methods: We conducted a retrospective cohort study of 31 patients with pre‐stroke mRS scores of 3–5 who underwent MT. The 10‐point SMILE‐Stroke score, comprising Speech, Mobility, Ingestion, Lavatory, and Engagement domains, was assessed at discharge; a score ≥ 4 was prespecified as favorable. Interrater reliability, convergent validity with the Barthel Index, associations with discharge disposition and mRS, and pre‐stroke SMILE‐Stroke scores were evaluated. Results: Twelve patients (38.7%) achieved a favorable SMILE‐Stroke outcome. Interrater reliability was excellent for the total score (single‐rater intraclass correlation coefficient = 0.957) and dichotomized outcome (Fleiss' κ = 0.863). The score correlated strongly with the discharge Barthel Index (Spearman's ρ = 0.86, p < 0.001) and showed a graded association with discharge disposition (Kruskal–Wallis p = 0.0012). For distinguishing discharge to home/original residence or rehabilitation hospital from long‐term care hospital or death, the SMILE‐Stroke score yielded an AUC of 0.82. Notably, 6 of 19 patients (31.6%) with 90‐day mRS scores of 4–5 achieved a favorable SMILE‐Stroke outcome. Conclusions: The SMILE‐Stroke score was feasible, reproducible, and associated with established functional and discharge outcomes in selected MT‐treated patients with pre‐stroke disability. It may complement the mRS by identifying preserved or regained patient‐centered functional domains within poor mRS categories.
- 16 October 2026
- Published by Wiley in Geriatrics & Gerontology International
- Vol. 26 (10) , e70874
Open AccessBeyond the Rankin Scale: A Patient‐Centered Score for Meaningful Recovery After Mechanical Thrombectomy in Older Adults With Pre‐Stroke Disability
Aim: The benefit of mechanical thrombectomy (MT) for acute ischemic stroke in patients with pre‐stroke moderate‐to‐severe disability is difficult to evaluate using the modified Rankin Scale (mRS) alone. We developed and evaluated the SMILE‐Stroke score as a patient‐centered outcome measure. Methods: We conducted a retrospective cohort study of 31 patients with pre‐stroke mRS scores of 3–5 who underwent MT. The 10‐point SMILE‐Stroke score, comprising Speech, Mobility, Ingestion, Lavatory, and Engagement domains, was assessed at discharge; a score ≥ 4 was prespecified as favorable. Interrater reliability, convergent validity with the Barthel Index, associations with discharge disposition and mRS, and pre‐stroke SMILE‐Stroke scores were evaluated. Results: Twelve patients (38.7%) achieved a favorable SMILE‐Stroke outcome. Interrater reliability was excellent for the total score (single‐rater intraclass correlation coefficient = 0.957) and dichotomized outcome (Fleiss' κ = 0.863). The score correlated strongly with the discharge Barthel Index (Spearman's ρ = 0.86, p < 0.001) and showed a graded association with discharge disposition (Kruskal–Wallis p = 0.0012). For distinguishing discharge to home/original residence or rehabilitation hospital from long‐term care hospital or death, the SMILE‐Stroke score yielded an AUC of 0.82. Notably, 6 of 19 patients (31.6%) with 90‐day mRS scores of 4–5 achieved a favorable SMILE‐Stroke outcome. Conclusions: The SMILE‐Stroke score was feasible, reproducible, and associated with established functional and discharge outcomes in selected MT‐treated patients with pre‐stroke disability. It may complement the mRS by identifying preserved or regained patient‐centered functional domains within poor mRS categories.