中国卒中杂志Issue(2)：111-115,5.DOI:10.3969/j.issn.1673-5765.2019.02.005
贫血对急性缺血性卒中预后的影响
张晓丹 1尤小凡 2田玉金 1田芳 1骆成1
作者信息
- 1. 北京北京市老年病医院内科
- 2. 北京大学积水潭医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the effect of anemia on the 2-year prognosis in patients with acute ischemic stroke. Methods Data of 131 consecutive inpatients with acute ischemic stroke from Beijing Geriatric Hospital were collected. According to whether having anemia on admission or not, all the paitents were divided into anemia and non-anemia groups. The functional prognosis, composite vascular events and mortality within 2 years were followed up. The prognosis was assessed by mRS, and the good prognosis was deflned as mRS ≤2. Composite vascular events included recurrent stroke, cerebral hemorrhage and acute coronary syndrome. Logistic regression analysis was used to assess the effect of anemia on the prognosis of acute ischemic stroke. Results There were signiflcant differences in age, hemoglobin level, severe neurological impairment and the incidence of atrial flbrillation, chronic kidney disease and peripheral vascular disease between anemia group and non-anemia group (P<0.05). Logistic regression analysis showed that anemia was a risk factor for 2-year poor prognosis ( OR 5.063, 95% CI 1.887-13.590) and mortality ( OR 13.266, 95% CI 1.364-128.993) after acute ischemic stroke. Conclusions Patients with acute ischemic stroke and anemia on admission had elder age, more comorbidities and severe neurological impairment. Anemia was an independent risk factor of 2-year poor prognosis and high mortality in patients with acute ischemic stroke.关键词
贫血/缺血性卒中/预后Key words
Anemia/Acute ischemic stroke/Prognostic引用本文复制引用
张晓丹,尤小凡,田玉金,田芳,骆成..贫血对急性缺血性卒中预后的影响[J].中国卒中杂志,2019,(2):111-115,5.
