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The Initial Acute Phase Response Predicts Long-Term Stroke Recovery

机译:初始急性期反应可预测长期卒中恢复

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Indicators of an acute phase response (APR) in acute ischemic stroke have been shown to correlate with infarct size and predict stroke recurrence. In this study, we examined how well the APR indicators predicted long-term stroke recovery compared with standard clinical predictors of recovery. Plasma levels of interleukin-6 (IL-6), fibrinogen, white blood cells (WBCs), and serum albumin were measured within 4 ± 2 days of onset in 131 stroke patients who were free of apparent infections. Standard clinical predictors included initial National Institutes of Health Stroke Scale (NIHSS), infarct size on computed tomography (CT), and Glasgow scale. The individual correlations with 6-month Glasgow outcome were IL-6, 0.42; fibrinogen, 0.24; WBC, 0.35; albumin, 0.47; NIHSS, 0.53; infarct size, 0.19; and initial Glasgow, 0.57. (all P < .005). Multiple regression analysis yielded an adjusted R2 of .31 for the APR indicators, compared with .38 for the clinical variables. These results indicate that the initial APR is highly correlated with 6-month stroke recovery and that this correlation approaches that observed with standard clinical predictors.
机译:急性缺血性卒中的急性期反应(APR)指标已显示与梗死面积相关,并预测卒中复发。在这项研究中,我们检查了APR指标与标准的临床恢复指标相比对长期卒中恢复的预测效果如何。在131名无明显感染的卒中患者中,在发病后4±2天内测量了白细胞介素6(IL-6),纤维蛋白原,白细胞(WBC)和血清白蛋白的血浆水平。标准的临床预测指标包括最初的美国国立卫生研究院卒中量表(NIHSS),计算机断层扫描(CT)的梗塞面积和格拉斯哥量表。与格拉斯哥6个月结局的个体相关性为IL-6,0.42;纤维蛋白原0.24;白细胞,0.35;白蛋白0.47; NIHSS,0.53;梗死面积0.19;最初的格拉斯哥为0.57。 (所有P <.005)。多元回归分析得出APR指标的调整后R2为0.31,而临床变量为0.38。这些结果表明,初始APR与6个月的卒中恢复高度相关,并且这种相关性接近标准临床预测指标所观察到的。

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