萨科佩尼亚是急性缺血性中风患者死亡的预测因素
Jan Boriesosdick1, Alexey Surov1, Arwed Michael1
1Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital Minden, Ruhr University Bochum, Hans-Nolte-Str. 1, Minden 32429, Germany.
概括
马塞特肌肉区域是急性缺血性中风 (AIS) 患者死亡率和结局的重要预测因素. 这种成像生物标志物显示出预后价值,有助于在血栓切除术后评估患者的存活率.
科学领域:
- 神经学 神经学
- 医疗成像医学成像
- 生物标志物 生物标志物
背景情况:
- 萨科佩尼亚正在成为急性疾病的关键成像生物标志物.
- 调查急性缺血性中风 (AIS) 的预后标志物对于患者的治疗结果至关重要.
研究的目的:
- 为了评估AIS患者中按摩肌肉测量的预后意义.
- 为了确定是否masseter肌肉区域可以预测90天的结果和死亡率.
主要方法:
- 对189名AIS患者进行了机械血栓切除术的回顾性分析.
- 测量按摩器肌肉横向表面积和密度.
- 后勤回归和ROC分析,以评估诊断性能,以获得有利的结果和死亡率.
主要成果:
- 在幸存者和非幸存者之间,以及在有利和不利的结果之间,马塞特肌肉面积显著不同.
- 鉴定了masseter肌肉区域的特定切断值,用于预测有利的mRS和死亡率.
- 马塞特肌肉区域是一个强有力的预测指标,在年龄和NIHSS之后排名第三.
结论:
- 马塞特肌肉区域作为AIS患者死亡率的独立预测指标.
- 马塞特肌肉评估可以在急性缺血性中风中提供宝贵的预后信息.
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