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Associations between low-density lipoprotein cholesterol and haemorrhagic stroke

摘要OBJECTIVE To investigate the associations between the blood concentrations of low-density lipoprotein cholesterol(LDL-C)and the clinical features of haemorrhagic stroke.METHODS 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.RESULTS 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:2 100 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:2100 vs.<70 mg/dL,adjusted OR = 0.46,95%CI:0.28-0.78).CONCLUSIONS 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.

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作者 Yun-Yan XIE [1] Shi-Meng LIU [2] Qian ZHANG [1] Yu JIA [1] Jian-Ping DING [1] 学术成果认领
作者单位 Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing,China [1] Department of Neurology,University of California,Irvine,Irvine,California,USA;Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing,China [2]
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发布时间 2021-05-27(万方平台首次上网日期,不代表论文的发表时间)
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