Association between neutrophil/lymphocyte ratio and symptomatic intracranial haemorrhage in ischaemic stroke patients treated with endovascular treatment / 中风与神经疾病杂志

ABSTRACT

@#Objective To investigate the relationship between NLR and symptomatic intracranial hemorrhage (sICH) in patients with acute anterior circulation stroke undergoing endovascular treatment. Methods A total of 437 consecutive patients with acute stroke treated with endovascular treatment (EVT) were included. The patients were divided into two groups according to whether symptomatic intracranial hemorrhage was present. Univariate and multivariate analyses were performed. Results Compared with the non-symptomatic intracranial hemorrhage group. Multivariate Logistic regression analysis showed that the history of stroke and neutrophil/lymphocyte ratio were independent risk factors for postoperative symptomatic intracranial hemorrhage. The Area Under The Curve(AUC) value of NLR showed moderate accuracy,with an AUC value of 0.589 (95%CI 0.509-0.688,P=0.029). The NSE cut-off value was set at 5.89.When the NLR≥ 5.89,the sensitivity was 65.00%,and the specificity was 51.65% (P=0.029). Conclusion Elevated NLR is an independent predictor for patients with acute anterior circulation stroke who are undergoing endovascular treatment.