机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.神经科系统神经内科首都医科大学宣武医院[2]Department of Neurology, University of California, Irvine, Irvine, California, USA.[3]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.首都医科大学附属天坛医院
To investigate the associations between the blood concentrations of low-density lipoprotein cholesterol (LDL-C) and the clinical features of haemorrhagic stroke.
This study analysed the data from patients with acute haemorrhagic stroke at a comprehensive stroke centre from 2013 to 2018. Patients were stratified into three groups according to their baseline LDL-C levels: < 70, 70 to < 100 and ≥ 100 mg/dL. We used multivariate logistic regression models to analyse the associations between LDL-C and the risks of having severe neurological deficits (National Institute Health Stroke Scale [NIHSS] scores ≥ 15) and unfavourable outcomes (modified Rankin Scale [mRS] scores>2) at discharge.
Six-hundred and six patients were analysed. Their median age was 58 years. Among the patients, 75 (12%) patients had LDL-C levels < 70 mg/dL, 194 (32%) patients had LDL-C levels between 70 to < 100 mg/dL and the other 337 (56%) patients had LDL-C levels ≥ 100 mg/dL. Patients with higher LDL-C levels were less likely to suffer severe neurological deficits (LDL-C: 70 to < 100 vs. < 70 mg/dL, adjusted odds ratio [OR]: 0.29, 95% CI: 0.15-0.57; LDL-C: ≥ 100 vs. < 70 mg/dL, adjusted OR = 0.27, 95% CI: 0.15-0.51) and to have unfavourable outcomes at discharge (LDL-C: 70 to < 100 vs. < 70 mg/dL, adjusted OR = 0.50, 95% CI: 0.29-0.87 and LDL-C: ≥ 100 vs. < 70 mg/dL, adjusted OR = 0.46, 95% CI: 0.28-0.78).
An LDL-C level < 70 mg/dL was independently associated with severe neurological deficits of haemorrhagic stroke and may increase the risks of unfavourable outcomes at discharge.
Copyright and License information: Journal of Geriatric Cardiology 2021.
基金:
Dr. Shi-Meng LIU would like to acknowledge the
supports from UC Irvine Cheng Xiaoqi and the Liao
Dongmei International Stroke Research Scholarship
and the funding from the National Natural Science
Foundation of China (No. 82001242).
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
Xie Yun-Yan,Liu Shi-Meng,Zhang Qian,et al.Associations between low-density lipoprotein cholesterol and haemorrhagic stroke.[J].JOURNAL OF GERIATRIC CARDIOLOGY.2021,18(3):204-209.doi:10.11909/j.issn.1671-5411.2021.03.011.
APA:
Xie Yun-Yan,Liu Shi-Meng,Zhang Qian,Jia Yu&Ding Jian-Ping.(2021).Associations between low-density lipoprotein cholesterol and haemorrhagic stroke..JOURNAL OF GERIATRIC CARDIOLOGY,18,(3)
MLA:
Xie Yun-Yan,et al."Associations between low-density lipoprotein cholesterol and haemorrhagic stroke.".JOURNAL OF GERIATRIC CARDIOLOGY 18..3(2021):204-209