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Association of diabetes and white blood cell count with stroke in patients with carotid artery dissection.
Zhao, Meng; Zhong, Xuemin; Du, Jiaxiu; Li, Li; Wang, Jian; Wang, Hongyu.
Afiliación
  • Zhao M; Intensive care unit, The Fifth Clinical Medical College of Henan University of Chinese Medicine (Zhengzhou People's Hospital), Zheng Zhou, China.
  • Zhong X; Neurology, ChengDu Second People's Hospital, Chengdu, China.
  • Du J; Intensive care unit, The Fifth Clinical Medical College of Henan University of Chinese Medicine (Zhengzhou People's Hospital), Zheng Zhou, China.
  • Li L; The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Wang J; Neurology, ChengDu Second People's Hospital, Chengdu, China. 383376877@qq.com.
  • Wang H; Intensive care unit, The Fifth Clinical Medical College of Henan University of Chinese Medicine (Zhengzhou People's Hospital), Zheng Zhou, China. hongyu260@163.com.
BMC Neurol ; 24(1): 350, 2024 Sep 17.
Article en En | MEDLINE | ID: mdl-39289622
ABSTRACT

BACKGROUND:

Carotid artery dissection is an important cause of stroke. However, the predictors of ischemic stroke in patients with carotid artery dissection are controversial. The study aimed to analyze the predictors of ischemic stroke in patients with carotid artery dissection through retrospective medical records.

METHODS:

Data of discharged patients diagnosed with carotid artery dissection during 2019-2023 were retrospectively collected. Based on the occurrence of ischemic stroke, the patients were divided into the ischemic stroke or non-ischemic stroke groups. Based on the results of univariate analyses, variables with an associated P value < 0.05 were introduced into the multivariable logistic regression analysis. .

RESULTS:

A total of 165 patients were included in the study, with an average age of 55.00 (48.00, 66.00) years, including 86 patients with internal carotid artery dissection and 79 patients with vertebral artery dissection. Ischemic stroke occurred in 69 patients with carotid artery dissection. Multivariate logistic regression analysis indicated that diabetes (odds ratio [OR] 3.144, 95% confidence interval [CI] 1.552-6.508, P<0.002) and high white blood cells count (OR 1.157, 95% CI 1.02-1.327,P = 0.028) were related to the incidence of ischemic stroke in patients with carotid artery dissection.

CONCLUSION:

Ischemic stroke caused by carotid artery dissection causes severe damage to the nervous system. This study found that diabetes and high white blood cells count were associated with the incidence of ischemic stroke in patients with carotid artery dissection. Therefore, monitoring and controlling blood glucose levels and infections is essential in patients with carotid artery dissection to reduce the incidence of stroke.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección de la Arteria Carótida Interna / Diabetes Mellitus Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Neurol Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección de la Arteria Carótida Interna / Diabetes Mellitus Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Neurol Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido