C-Reactive Protein Level in Admission and the Outcome of Stroke Survivors

BACKGROUND AND OBJECTIVE: Elevated CRP level is independently associated with the excessive risk of ischemic stroke. However, there is currently no consensus on the use of CRP in detecting and tracking the progression of cerebrovascular diseases. The aim of this study was to determine the relationsh...

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Autores principales: A Ahmadi Ahangar, P Saadat, ST Taheri Otaghsara, S Alijanpour
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Publicado: Babol University of Medical Sciences 2020
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Acceso en línea:https://doaj.org/article/11f6cf0a9d1947d2b29f3f8c8f56a494
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spelling oai:doaj.org-article:11f6cf0a9d1947d2b29f3f8c8f56a4942021-11-09T10:15:54ZC-Reactive Protein Level in Admission and the Outcome of Stroke Survivors1561-41072251-7170https://doaj.org/article/11f6cf0a9d1947d2b29f3f8c8f56a4942020-03-01T00:00:00Zhttp://jbums.org/article-1-8623-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Elevated CRP level is independently associated with the excessive risk of ischemic stroke. However, there is currently no consensus on the use of CRP in detecting and tracking the progression of cerebrovascular diseases. The aim of this study was to determine the relationship between CRP and outcome in stroke patients. METHODS: This was an analytical cross-sectional study. Patients admitted with diagnosis of ischemic stroke were enrolled. Demographic, and clinical characteristics, medical history, drug abuse and tobacco use and severity of stroke (National Institute of Health Stroke Scale) were completed in checklist. FINDINGS: Of the total 214 patients, the serum CRP levels in 122 cases (57%) were positive. The mortality during the first week of hospitalization included 17 cases (8%). The differences in CRP serum level with underlying disease such as Diabetes Mellitus (82 cases (51%) of positive CRP vs. 77 cases (49%) of negative CRP, p= 0.007) and Hypertension (59 cases (50.4%) of positive CRP vs. 58 cases (49.6%) of negative CRP, p=0.03) were statistically significant. In addition, high CRP was seen in 10 thrombotic (91%) and 4 embolic (67%) of stroke expire patients (p= 0.034). The difference in CRP serum level in mortality cases was statistically significant (14 cases (82%) of positive CRP vs. 3 cases (18%) of negative CRP, p= 0.032). CONCLUSION: The positive CRP serum level at the admission was accompanied by more severity of disability in stroke survivor. Checking serum level of CRP in admission is suggested for predicting disability and mortality rate during the first week of post-stroke hospitalization.A Ahmadi AhangarP SaadatST Taheri OtaghsaraS AlijanpourBabol University of Medical Sciencesarticlec-reactive proteinstrokeprognosispatient outcome assessmentpatient admissioniran.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 22, Iss 1, Pp 210-214 (2020)
institution DOAJ
collection DOAJ
language EN
FA
topic c-reactive protein
stroke
prognosis
patient outcome assessment
patient admission
iran.
Medicine
R
Medicine (General)
R5-920
spellingShingle c-reactive protein
stroke
prognosis
patient outcome assessment
patient admission
iran.
Medicine
R
Medicine (General)
R5-920
A Ahmadi Ahangar
P Saadat
ST Taheri Otaghsara
S Alijanpour
C-Reactive Protein Level in Admission and the Outcome of Stroke Survivors
description BACKGROUND AND OBJECTIVE: Elevated CRP level is independently associated with the excessive risk of ischemic stroke. However, there is currently no consensus on the use of CRP in detecting and tracking the progression of cerebrovascular diseases. The aim of this study was to determine the relationship between CRP and outcome in stroke patients. METHODS: This was an analytical cross-sectional study. Patients admitted with diagnosis of ischemic stroke were enrolled. Demographic, and clinical characteristics, medical history, drug abuse and tobacco use and severity of stroke (National Institute of Health Stroke Scale) were completed in checklist. FINDINGS: Of the total 214 patients, the serum CRP levels in 122 cases (57%) were positive. The mortality during the first week of hospitalization included 17 cases (8%). The differences in CRP serum level with underlying disease such as Diabetes Mellitus (82 cases (51%) of positive CRP vs. 77 cases (49%) of negative CRP, p= 0.007) and Hypertension (59 cases (50.4%) of positive CRP vs. 58 cases (49.6%) of negative CRP, p=0.03) were statistically significant. In addition, high CRP was seen in 10 thrombotic (91%) and 4 embolic (67%) of stroke expire patients (p= 0.034). The difference in CRP serum level in mortality cases was statistically significant (14 cases (82%) of positive CRP vs. 3 cases (18%) of negative CRP, p= 0.032). CONCLUSION: The positive CRP serum level at the admission was accompanied by more severity of disability in stroke survivor. Checking serum level of CRP in admission is suggested for predicting disability and mortality rate during the first week of post-stroke hospitalization.
format article
author A Ahmadi Ahangar
P Saadat
ST Taheri Otaghsara
S Alijanpour
author_facet A Ahmadi Ahangar
P Saadat
ST Taheri Otaghsara
S Alijanpour
author_sort A Ahmadi Ahangar
title C-Reactive Protein Level in Admission and the Outcome of Stroke Survivors
title_short C-Reactive Protein Level in Admission and the Outcome of Stroke Survivors
title_full C-Reactive Protein Level in Admission and the Outcome of Stroke Survivors
title_fullStr C-Reactive Protein Level in Admission and the Outcome of Stroke Survivors
title_full_unstemmed C-Reactive Protein Level in Admission and the Outcome of Stroke Survivors
title_sort c-reactive protein level in admission and the outcome of stroke survivors
publisher Babol University of Medical Sciences
publishDate 2020
url https://doaj.org/article/11f6cf0a9d1947d2b29f3f8c8f56a494
work_keys_str_mv AT aahmadiahangar creactiveproteinlevelinadmissionandtheoutcomeofstrokesurvivors
AT psaadat creactiveproteinlevelinadmissionandtheoutcomeofstrokesurvivors
AT sttaheriotaghsara creactiveproteinlevelinadmissionandtheoutcomeofstrokesurvivors
AT salijanpour creactiveproteinlevelinadmissionandtheoutcomeofstrokesurvivors
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