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Evaluation of a novel scoring system based on thrombosis and inflammation for predicting stroke-associated pneumonia: A retrospective cohort study.
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- Author(s): Dongze Li; Yi Liu; Yu Jia; Jing Yu; Xiaoli Chen; Hong Li; Lei Ye; Zhi Wan; Zhi Zeng; Yu Cao
- Source:
Frontiers in Aging Neuroscience; 3/30/2023, Vol. 15, p1-10, 10p- Subject Terms:
RISK factors of pneumonia; THROMBOSIS; BIOMARKERS; KRUSKAL-Wallis Test; STATISTICS; STROKE; PREDICTIVE tests; ANALYSIS of variance; INFLAMMATION; MULTIVARIATE analysis; MULTIPLE regression analysis; FISHER exact test; RISK assessment; FACTOR analysis; CHI-squared test; DESCRIPTIVE statistics; RESEARCH funding; RECEIVER operating characteristic curves; DATA analysis; DATA analysis software; DISEASE complications; EVALUATION - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Inflammation and thrombosis are involved in the development of stroke-associated pneumonia (SAP). Our aim was to evaluate the predictive value of a novel, simplified, thrombo-inflammatory prognostic score (TIPS) that combines both inflammatory and thrombus biomarkers in the early phase of ischemic stroke (IS). Methods: The study population consisted of 897 patients with a first diagnosis of IS admitted to the emergency department of five tertiary hospitals in China. Of these, the data from 70% of patients was randomly selected to derive the model and the other 30% for model validation. A TIPS of "2" was indicative of high inflammation and thrombosis biomarkers and "1" of one biomarker, with "0" indicative of absence of biomarkers. Multivariate logistic regression analyses were used to identify the association between TIPS and SAP. Results: The TIPS was an independent predictor of SAP and 90-day mortality, with the incidence of SAP being significantly higher for patients with a high TIPS. The TIPS provided superior predictive value for SAP than clinical scores (A2DS2) and biomarkers currently used in practice, for both the derivation and validation sets. Mediation analysis revealed that TIPS provided a predictive value than either thrombotic (NLR) and inflammatory (D-dimer) biomarkers alone. Conclusion: The TIPS score may be a useful tool for early identification of patients at high-risk for SAP after IS. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Frontiers in Aging Neuroscience is the property of Frontiers Media S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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