系统性炎症反应指数和急性缺血性中风患者的短期功能结果:元分析
1Department of Geriatrics, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China. hanying_fmuh@hotmail.com.
Neurology and therapy
|August 8, 2024
概括
入院时的高系统炎症反应指数 (SIRI) 与急性缺血性中风 (AIS) 患者在三个月内功能结果的恶化有关. 这一发现凸显了SIRI作为AIS恢复的潜在预后标志物.
科学领域:
- 神经学 神经学
- 炎症研究 炎症研究
- 生物统计学 生物统计学
背景情况:
- 系统性炎症反应指数 (SIRI) 是一种全身炎症的新型指标.
- 它是由中性粒细胞,单细胞和淋巴细胞的绝对计数得出的.
- 了解急性缺血性中风 (AIS) 功能结果的预测因素至关重要.
研究的目的:
- 评估SIRI与AIS患者的功能性结局之间的关联.
- 通过元分析综合来自多个队列研究的证据.
主要方法:
- 按照PRISMA指南进行系统的元分析.
- 搜索了主要的数据库 (PubMed,科学网,Embase等) 在2024年2月9日之前.
- 定义了作为修改的兰金尺度≥3的不良功能结果;在3个月后使用随机效应模型.
主要成果:
- 包括14个队列研究.
- 入院时高SIRI与功能性结果差的风险增加有显著的关联 (OR:1.57,95%CI:1.39-1.78).
- 超回归表明SIRI切线与赔率比率有正相关;其他因素没有显著改变结果.
结论:
- 入院时SIRI水平升高可能表明AIS后功能性结果较差的风险较高.
- 在急性缺血性中风管理中,SIRI显示出作为预后生物标志物的潜力.
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