血浆溶血磷脂酸和CD62P对缺血性脑卒中预后的预测价值。

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY
Sabeeha Naaz, Swarna Anupama, Thrilok Chander Bingi
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引用次数: 0

摘要

背景和目的:中风是全球第二大死亡原因,只有10%的患者能够正常生活。根据2016年全球疾病负担研究,印度的中风发病率为每10万人年1,175,778例(1,076 048至1,274,427例)。一种新的生化标志物,可以预测中风的结果,可以降低发病率,特别是当溶栓不能做。因此,本研究旨在研究血浆溶血磷脂酸(LPA)和CD62P作为急性缺血性脑卒中预后标志物的作用。方法:前瞻性观察性研究。96例符合纳入标准的患者入组。血浆LPA和CD62P水平使用酶联免疫吸附法进行评估,并与阿尔伯塔中风项目早期CT脑断层扫描评分(ASPECTS)和改良Rankin量表(mRS)在90天进行相关性分析。结果:缺血性脑卒中患者的年龄、性别等危险因素对LPA和CD62P水平无影响。90 d后LPA (P = 0.000)和CD62P (P = 0.005)与mRS呈正相关。mRS 5的平均LPA最高,mRS 1的平均LPA最低,而平均CD62P水平与mRS升高无关。ASPECTS仅与LPA呈显著负相关。结论:卒中发作后高LPS和CD62P水平往往与90天较差的mRS评分相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prognostic Value of Plasma Lysophosphatidic Acid and CD62P in the Outcome of Ischemic Stroke.

Background and objectives: Stroke is the second leading cause of death worldwide, and only 10% of the patients can live their normal lives. As per the Global Burden of Disease Study 2016, the incidence of stroke in India is reported to be 1,175,778 (1 076 048 to 1,274,427) per 100000 person-years. A novel biochemical marker that can predict the stroke outcome can reduce morbidity, especially when thrombolysis cannot be done. Hence, the current study aims to study the role of plasma lysophosphatidic acid (LPA) and CD62P as prognostic markers for acute ischemic stroke.

Methods: This is a prospective observational study. Ninety-six patients who met the inclusion criteria were enrolled. The plasma LPA and CD62P levels were estimated using the enzyme-linked immunosorbent assay and correlated with the Alberta stroke program early computed tomography score (ASPECTS) on CT brain and modified Rankin scale (mRS) at 90 days.

Results: Age, sex, and other risk factors in the ischemic stroke patients did not have any impact on the levels of LPA and CD62P. Both LPA (P = 0.000) and CD62P (P = 0.005) showed a positive correlation with mRS after 90 days. The mean LPA was highest for mRS 5 and least for mRS 1, whereas the mean CD62P levels did not correlate with increasing mRS. The ASPECTS showed a significant negative correlation only with LPA.

Conclusions: High LPS and CD62P levels after stroke onset tend to be associated with poor mRS scores at 90 days.

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来源期刊
Annals of Indian Academy of Neurology
Annals of Indian Academy of Neurology Nervous System Diseases-
CiteScore
2.20
自引率
11.80%
发文量
293
审稿时长
29 weeks
期刊介绍: The journal has a clinical foundation and has been utilized most by clinical neurologists for improving the practice of neurology. While the focus is on neurology in India, the journal publishes manuscripts of high value from all parts of the world. Journal publishes reviews of various types, original articles, short communications, interesting images and case reports. The journal respects the scientific submission of its authors and believes in following an expeditious double-blind peer review process and endeavors to complete the review process within scheduled time frame. A significant effort from the author and the journal perhaps enables to strike an equilibrium to meet the professional expectations of the peers in the world of scientific publication. AIAN believes in safeguarding the privacy rights of human subjects. In order to comply with it, the journal instructs all authors when uploading the manuscript to also add the ethical clearance (human/animals)/ informed consent of subject in the manuscript. This applies to the study/case report that involves animal/human subjects/human specimens e.g. extracted tooth part/soft tissue for biopsy/in vitro analysis.
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