Correlation between collateral circulation and cognitive impairment in patients with acute ischemic stroke
Notice bibliographique
Résumé
Objective To investigate the risk factors for cognitive impairment and their correlation with collateral circulation in patients with acute ischemic stroke. Methods From January 2016 to December 2017, patients with acute ischemic stroke admitted to the Department of Neurology, Jiangmen People's Hospital were enrolled. According to their status of collateral circulation, they were divided into either good collateral circulation group or poor collateral circulation group. According to the Montreal cognitive score, they were divided into cognitive impairment group and non-cognitive impairment group. Multivariate logistic regression analysis identified the independent risk factors for cognitive impairment in patients with acute ischemic stroke. Results A total of 225 patients were enrolled, including 106 females (47.1%) and 119 males (52.9%), aged 47-87 years, average 66.96±9.65 years. The average baseline score of the National Institutes of Health Stroke Scale was 4.5±2.1. Ninety-seven patients (43.1%) had cognitive impairment; 79 had obvious stenosis or occlusion at the intracranial and extracranial segments of cerebral arteries; 148 (65.8%) had good collateral circulation, and 77 (34.2%) had poor collateral circulation. The proportions of patients with atherosclerotic stroke (P=0.033) and cognitive impairment (P=0.041) in the good collateral circulation group were significantly higher than those in the poor collateral circulation group. There were significant differences in the proportions of patients with large-artery atherosclerotic stroke (P=0.007), anterior circulation stroke (P=0.018), collateral dysfunction (P=0.041), as well as baseline systolic blood pressure (P=0.006), baseline diastolic blood pressure (P=0.013), low-density lipoprotein cholesterol (P=0.021), and homocysteine (P=0.024) between the cognitive impairment group and the non-cognitive impairment group. Multivariate logistic regression analysis showed that baseline systolic blood pressure (odds ratio[OR] 1.007, 95% confidence interval[CI] 1.001-1.012; P=0.036), and large-artery atherosclerotic stroke (OR 2.650, 95% CI 1.490-4.714; P=0.001) were independently positively correlated with cognitive impairment, while the status of collateral circulation was not an independent risk factor for cognitive impairment (P=0.073). Conclusions The status of collateral circulation was associated with cognitive impairment in patients with acute ischemic stroke, but it was not an independent risk factor. Key words: Stroke; Brain Ischemia; Cognition Disorders; Collateral Circulation; Cerebrovascular Circulation; Risk Factors
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».