...
首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Prediction Factors of Recurrent Stroke among Chinese Adults Using Retinal Vasculature Characteristics
【24h】

Prediction Factors of Recurrent Stroke among Chinese Adults Using Retinal Vasculature Characteristics

机译:视网膜血管系统特征的中国成人复发中风预测因素

获取原文
获取原文并翻译 | 示例
           

摘要

Objective: To identify the characteristics of retinal vessels that are associated with recurrent cerebral infarction and to establish predictive model for recurrent cerebral infarction in further study.Methods: Up to 196 patients with cerebral infarction were included in our study, including 137 patients with new onset cerebral infarction and 59 patients with recurrent cerebral infarction. Retinal vessel characteristics of all patients were analyzed and reported by an automated retinal image analysis system. Retinal and clinical characteristics were compared between recurrent and new onset subjects. Multivariate logistic regression was used to identify risk factors associated with recurrent ischemic stroke within the year after an initial stroke onset.Results: Every unit increase in the vessel caliber measures of central retinal artery and vein equivalent was found to give coronary heart diseases an additional 4.28 times (95% confidence interval 1.204-15.215) the risk of stroke recurrent whereas every increased unit of arterial and venous angles would be associated with 3.9 and 13.7 times increase in such risk among atrial fibrillation subjects. Measures such as bifurcation coefficient of arterioles showed opposite effects when interacted with different clinical factors. Negative integrations were found between venous asymmetry index and various factors such as atrial fibrillation (odds ratio.73, 95% confidence interval.61-.88), coronary heart diseases (odds ratio.79, 95% confidence interval.70-.89), and bifurcation coefficient of arterioles (odds ratio.38, 95% confidence interval.21-.72), indicating a decreased recurrent risk among these subjects when venous asymmetry level increases.Conclusions: Retinal vessel characteristics interacted with each other as well as traditional clinical risk factors in affecting the risk of stroke recurrence. (C) 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.
机译:目的:鉴定与复发性脑梗死相关的视网膜血管的特点,并在进一步研究中建立复发性脑梗死的预测模型。我们的研究中包含高达196例脑梗死患者,其中包括137名新发起患者脑梗死和59例复发性脑梗死患者。通过自动视网膜图像分析系统分析和报道所有患者的视网膜血管特征。在复发和新的发病受试者之间比较了视网膜和临床特征。多变量逻辑回归用于识别与初始中风发作后一年内与复发性缺血性卒中相关的风险因素。结果:发现中央视网膜动脉和静脉等同物的每个单位增加,额外的4.28时间(95%置信区间1.204-15.215)中风复发的风险,而动脉和静脉角度的每一单位将与心房颤动受试者的这种风险增加3.9%和13.7倍。当与不同的临床因素相互作用时,动脉瘤的分叉系数等措施表现出相反的效果。在静脉间不对称指数和各种因素(如心房颤动(差距为73,95%置信区间),冠心病(冠心病率)之间,冠心病(差距为79,95%置信区间70-.89 )和动脉瘤的分叉系数(差异比例为38,95%置信区间.21-.72),当静脉的不对称水平增加时,这些受试者之间的经常性风险降低。结论:视网膜血管特性彼此相互作用,以及影响卒中复发风险的传统临床风险因素。 (c)2017国家冲程协会。由elsevier Inc.保留所有权利发布。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号