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Updated: Jun 24, 2026

Intrastriatal Injection of Autologous Blood or Clostridial Collagenase as Murine Models of Intracerebral Hemorrhage
Published on: July 3, 2014
Serum cholesterol LDL and 90-day mortality in patients with intracerebral hemorrhage
José María Ramírez-Moreno1, Ignacio Casado-Naranjo, Juan Carlos Portilla
1Department of Neurology, Section of Neurology, Infanta Cristina Universitary Hospital, Badajoz, Spain. jramirezm@meditex.es
Insights
Low low-density lipoprotein cholesterol (LDL-C) levels are linked to increased mortality risk in patients with intracranial hemorrhage (ICH). This study found low LDL-C independently predicts death in ICH survivors.
Area of Science:
- Neurology
- Cardiovascular Science
- Critical Care Medicine
Background:
- The prognostic value of low-density lipoprotein cholesterol (LDL-C) in patients with intracranial hemorrhage (ICH) remains incompletely understood.
- Investigating LDL-C's role is crucial for understanding ICH outcomes.
Purpose of the Study:
- To determine the association between LDL-C levels and mortality in patients diagnosed with ICH.
Main Methods:
- A cohort of 88 ICH patients had their lipid profiles assessed within hours of admission.
- Statistical analyses included Cox proportional hazards models and Mantel-Haenszel tests to evaluate LDL-C's impact on 90-day mortality.
- Spearman correlation was used to explore associations between LDL-C and ICH severity markers.
Main Results:
- Low LDL-C levels were independently associated with a significantly increased risk of 90-day mortality (HR=3.07; P=0.042) after adjusting for confounders.
- Trend analysis confirmed a significant association between lower LDL-C and mortality (P=0.032).
- No significant correlation was found between LDL-C levels and ICH severity markers such as NIH score, GCS score, ICH volume, or length of stay.
Conclusions:
- Low LDL-C levels are an independent predictor of increased mortality in patients with brain hemorrhage.
- LDL-C levels did not appear to serve as a reliable biological marker for ICH severity in this cohort.
Background And Purpose:
Prognostic significance of low-density lipoprotein cholesterol (LDL-C) in intracranial hemorrhage (ICH) is unclear. The objective of this study was to determine the association between LDL-C and mortality in ICH.
Methods:
Consecutive patients (n=88) presenting with ICH were included in the study. Lipid profile was obtained during the first hours after admission. We analyzed the impact of LDL-C on 90-day mortality using the Hazard Rate (HR) crude, analysis crude for trend by Mantel-Haenszel Test, Multiple Cox Proportional Hazards model, and analysis of survival curves. Association between LDL-C and severity markers of ICH were explored using Spearman correlation coefficient.
Results:
Low LDL-C levels were independently associated with death after intracranial hemorrhage (HR=3.07 (95% CI:1.04 to 9.02; P=0.042) in multivariable analysis after controlling for confounding factors. Analysis for trend showed a significant association (Xt=-2.144; P=0.032) by Mantel-Haenszel Test. Spearman analysis showed no correlation between LDL-C and variables that are markers of ICH severity: NIH score (r=-0.091; P=0.400), GCS score (r=0.136; P=0.207), ICH volume (r=0.140; P=0.192), and length of stay (r=-0.111; P=0.308).
Conclusions:
Low levels of LDL-C are independently associated with an increased risk of death in patients with brain hemorrhage. We have not found evidences that the levels of LDL-C can act as a biological marker of severity.
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