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Neurotox Res ; 38(4): 1001-1009, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32894456

ABSTRACT

Neutrophil counts to high-density lipoprotein cholesterol ratio (NHR) is a relatively new and readily available indicator, and our study aimed to demonstrate its relationship with short-term prognosis after intravenous thrombolysis in acute ischemic stroke (AIS) patients and to make a simple comparison with other prognostic indicators. We compared demographic and laboratory characteristics of AIS patients and healthy controls and grouped AIS patients according to NHR tertiles to contrast 3-month outcomes. Univariate and multivariate regression analyses were carried to further analyze the relationship between NHR and prognosis. Moreover, we compared the accuracy of several factors using receiver-operating characteristic curve. NHR levels of AIS patients were higher than those of healthy controls (p < 0.001). The NHR levels were significantly higher in AIS patients with poor prognosis than those with good prognosis (p = 0.001) and were higher in patients with severe stroke than those with mild stroke (p = 0.011). Multivariate logistic regression analysis indicated that elevated NHR was an independent predictor of poor outcomes (odds ratio = 4.570; 95% CI, 1.841-11.340; p = 0.001). High NHR levels were associated with poor 3-month outcomes after intravenous thrombolysis in AIS patients.


Subject(s)
Brain Ischemia/blood , Cholesterol, HDL/blood , Neutrophils/metabolism , Stroke/blood , Thrombolytic Therapy/trends , Tissue Plasminogen Activator/administration & dosage , Administration, Intravenous , Aged , Aged, 80 and over , Brain Ischemia/diagnosis , Brain Ischemia/drug therapy , Cell Count/methods , Cholesterol, HDL/drug effects , Cohort Studies , Female , Humans , Male , Middle Aged , Neutrophils/drug effects , Prognosis , Retrospective Studies , Stroke/diagnosis , Stroke/drug therapy , Thrombolytic Therapy/methods
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