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Early neutrophil count relates to infarct size and fatal outcome after large hemispheric infarction
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Cui, L. L., Zhang, Y., Chen, Z.Y., Su, Y. Y., Liu, Y. and Boltze, Johannes (2020) Early neutrophil count relates to infarct size and fatal outcome after large hemispheric infarction. CNS Neuroscience & Therapeutics, 26 (8). pp. 829-836. doi:10.1111/cns.13381 ISSN 1755-5930.
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Official URL: https://doi.org/10.1111/cns.13381
Abstract
Aims: To investigate the relationship between peripheral leukocyte dynamics and the outcome of large hemispheric infarction (LHI) patients.
Methods: Patients with acute LHI admitted to the neuro-intensive care unit of Xuanwu Hospital from 2013 to 2017 were prospectively enrolled and followed up for 6 months after LHI.
Results: A total of 84 LHI patients were included, 38 patients suffered brain herniation and 20 patients died from stroke. Compared to patients with benign course, LHI patients with fatal outcome showed larger infarcts and more severe brain edema (P<0.01), as well as increased WBC and neutrophil counts throughout the first week after stroke (P<0.05). Correlation analysis revealed that neutrophil counts on D2 after LHI positively correlated with infarct and edema volumes measured from CT/MRI (R2=0.22 and R2=0.15, P<0.01), and negatively correlated with Glasgow Coma Scale (ρ=-0.234, P<0.05). Patients with D2 neutrophils>7.14×109/L had higher risk of brain herniation [odds ratio (OR)=7.5, 95% CI: 2.0-28.1, P=0.001], and patients with D2 neutrophils>7.79×109/L had a higher risk of death (OR=5.8, 95% CI: 1.2-27.0, P=0.015).
Conclusion:Early peripheral neutrophil count after stroke relates to infarct size and the fatal outcome of LHI patients, which might help guiding acute LHI management such as reduction of intracranial pressure and potential anti-inflammatory therapy in the future.
| Item Type: | Journal Article | ||||||||||||
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| Subjects: | Q Science > QP Physiology R Medicine > R Medicine (General) R Medicine > RB Pathology R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Science > Life Sciences (2010- ) | ||||||||||||
| Library of Congress Subject Headings (LCSH): | Cerebral edema, Infarction, Neutrophils, Outcome assessment (Medical care) | ||||||||||||
| Journal or Publication Title: | CNS Neuroscience & Therapeutics | ||||||||||||
| Publisher: | Wiley | ||||||||||||
| ISSN: | 1755-5930 | ||||||||||||
| Official Date: | August 2020 | ||||||||||||
| Dates: |
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| Volume: | 26 | ||||||||||||
| Number: | 8 | ||||||||||||
| Page Range: | pp. 829-836 | ||||||||||||
| DOI: | 10.1111/cns.13381 | ||||||||||||
| Status: | Peer Reviewed | ||||||||||||
| Publication Status: | Published | ||||||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||||||
| Date of first compliant deposit: | 7 April 2020 | ||||||||||||
| Date of first compliant Open Access: | 27 May 2020 | ||||||||||||
| RIOXX Funder/Project Grant: |
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