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Anemia in young patients with ischaemic stroke

Kellert, L. ; Kloss, M. ; Pezzini, A. ; Metso, T. M. ; Metso, A. J. ; Debette, S. ; Leys, D. ; Caso, V. ; Thijs, V. ; Bersano, A. ; Touzé, E. ; Tatlisumak, T. ; Gensicke, H. ; Lyrer, P. A. ; Bösel, J. ; Engelter, S. T. ; Grond-Ginsbach, C.

European journal of neurology, 2015-06, Vol.22 (6), p.948-953 [Periódico revisado por pares]

England: Blackwell Publishing Ltd

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  • Título:
    Anemia in young patients with ischaemic stroke
  • Autor: Kellert, L. ; Kloss, M. ; Pezzini, A. ; Metso, T. M. ; Metso, A. J. ; Debette, S. ; Leys, D. ; Caso, V. ; Thijs, V. ; Bersano, A. ; Touzé, E. ; Tatlisumak, T. ; Gensicke, H. ; Lyrer, P. A. ; Bösel, J. ; Engelter, S. T. ; Grond-Ginsbach, C.
  • Assuntos: Adolescent ; Adult ; Aged ; Anemia ; Anemia - diagnosis ; Anemia - epidemiology ; Aneurysm, Dissecting - diagnosis ; Aneurysm, Dissecting - epidemiology ; Brain Ischemia - diagnosis ; Brain Ischemia - epidemiology ; cervical artery dissection ; Comorbidity ; Female ; Human health and pathology ; Humans ; ischaemic stroke ; Life Sciences ; Male ; Middle Aged ; Risk Factors ; Severity of Illness Index ; Stroke ; Stroke - diagnosis ; Stroke - epidemiology ; stroke severity ; United States ; Young Adult
  • É parte de: European journal of neurology, 2015-06, Vol.22 (6), p.948-953
  • Notas: Paavo Ilmari Ahvenainen Foundation
    Käthe-Zingg-Schwichtenberg-Fonds of the Swiss Academy of Medical Sciences
    Maire Taponen Foundation
    Orion Farmos Research Foundation
    Finnish Brain Foundation
    Finnish Medical Foundation
    Lilly Foundation
    Academy of Finland
    Helsinki University Medical Foundation
    Centre National de Genotypage
    Aarne and Aili Turunen Foundation
    Aarne Koskelo Foundation
    Génopôle de Lille
    Helsinki University Central Hospital Research Fund
    Projet Hospitalier de Recherche Clinique Regional
    ArticleID:ENE12687
    Alfred Kordelin Foundation
    Emil Aaltonen Foundation
    Päivikki and Sakari Sohlberg Foundation
    Contrat de Projet Etat − Region 2007
    Biomedicum Helsinki Foundation
    Basel Stroke-Funds
    Swiss Heart Foundation
    ark:/67375/WNG-QW54GZ6Q-W
    Maud Kuistila Foundation
    Swiss National Science Foundation - No. 33CM30-124119; No. 33CM30-140340/1
    Fondation de France
    istex:41B1EA81D31C2AC3C92708349D713B63153F6C40
    Institut Pasteur de Lille
    ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Background and purpose To investigate the association of anemia on admission with ischaemic stroke (IS), stroke severity and early functional outcome in patients with cervical artery dissection (CeAD) or with IS of other causes (non‐CeAD‐IS patients). Methods The study sample comprised all patients from the Cervical Artery Dissection and Ischaemic Stroke Patients (CADISP) study without pre‐existing disability and with documentation of stroke severity and hemoglobin (Hb) concentration on admission. Anemia was classified as mild (Hb < 12 g/dl in women and Hb < 13 g/dl in men) or moderate to severe (Hb < 10 g/dl in women and Hb < 11 g/dl in men). Stroke severity on admission was assessed with the National Institutes of Health Stroke Scale (NIHSS). Outcome after 3 months was assessed with the modified Rankin Scale (mRS‐3mo). Unfavorable outcome was defined as mRS‐3mo ≥ 3. Results Amongst 1206 study patients (691 CeAD and 515 non‐CeAD), 87 (7.2%) had anemia, which was moderate to severe in 18 (1.5%) patients. Anemia was associated with female sex in both study samples, but no further associations with risk factors or comorbidities were observed. In CeAD patients, anemia was associated with occurrence of stroke (P = 0.042). In both study samples, anemic patients had more severe strokes (CeAD, P = 0.023; non‐CeAD, P = 0.005). Functional outcome was not associated with anemia in general, but moderate to severe anemia was significantly associated with unfavorable outcome (P = 0.004). Conclusion Anemia on admission was associated with stroke in CeAD patients and with more severe strokes in both study samples. Moderate to severe anemia may predict unfavorable outcome.
  • Editor: England: Blackwell Publishing Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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