血清白蛋白水平与急性缺血性脑卒中严重程度的相关性:一项横断面研究。
Correlation between Serum Albumin Level and Severity of Acute Ischemic Stroke: A Cross-Sectional Study.
作者信息
Pantha Binod, Khadka Milan, Karki Lochan, Koirala Parimal
机构信息
Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2024 Oct;62(278):669-674. doi: 10.31729/jnma.8792. Epub 2024 Oct 31.
INTRODUCTION
Stroke is a leading cause of disability with devastating consequences. Serum albumin has emerged as a significant prognostic marker in various conditions, including stroke. This study aims to investigate the relationship between serum albumin levels and stroke severity and outcomes in patients with acute ischemic stroke (AIS).
METHODS
An observational, cross-sectional study was conducted over six months at Bir Hospital, among patients admitted in medicine ward after obtaining the ethical approval reference number 34/20081/82. Total population sampling was done. Serum albumin at the time of diagnosis was measured. Ischemic stroke severity was scored based on NIHSS score on admission and the functional outcome was evaluated as modified Rankin Scale (mRS). Finally, correlation of serum albumin with the severity and the outcome of stroke (mRS) was made.
RESULTS
The study of 37 patients showed significant correlation between serum albumin and NIHSS score. The study showed moderate to strong negative correlation between serum albumin levels and mRS scores. The mean serum albumin level was 3.5±0.40 mg/dl.
CONCLUSIONS
Significant correlation of serum albumin level with clinical severity at the time of admission and with the outcome during discharge was found. Thus serum albumin has prognostic significance in acute ischemic stroke.
引言
中风是导致残疾的主要原因,后果严重。血清白蛋白已成为包括中风在内的各种病症中的重要预后标志物。本研究旨在探讨急性缺血性中风(AIS)患者血清白蛋白水平与中风严重程度及预后之间的关系。
方法
在获得伦理批准参考编号34/20081/82后,于比尔医院进行了为期六个月的观察性横断面研究。采用总体抽样。测量诊断时的血清白蛋白。根据入院时的美国国立卫生研究院卒中量表(NIHSS)评分对缺血性中风严重程度进行评分,并将功能结局评估为改良Rankin量表(mRS)。最后,分析血清白蛋白与中风严重程度及结局(mRS)之间的相关性。
结果
对37例患者的研究表明,血清白蛋白与NIHSS评分之间存在显著相关性。研究显示血清白蛋白水平与mRS评分之间存在中度至强的负相关性。血清白蛋白平均水平为3.5±0.40mg/dl。
结论
发现血清白蛋白水平与入院时的临床严重程度以及出院时的结局存在显著相关性。因此,血清白蛋白在急性缺血性中风中具有预后意义。
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