Serum albumin level is associated with the recurrence of acute ischemic stroke

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• 作者：Qing Zhang ; MD ; Ma^a ; ^{zq71200@163.com" class="auth_mail" title="E-mail the corresponding author} ((Master of Medicine)) ; Yi-Xiong Lei ; MD ; PhD^b ; ^{gz-leizeng@163.com" class="auth_mail" title="E-mail the corresponding author} ; Qiang Wang ; MD ; PhD^a ; ^{kfwq@henu.edu.cn" class="auth_mail" title="E-mail the corresponding author} ; Yong-Ping Jin ; MD^a ; ^{jinyongping@henu.edu.cn" class="auth_mail" title="E-mail the corresponding author} ; Rong-Li Fu^c ; ^{15225475536@163.com" class="auth_mail" title="E-mail the corresponding author} ; He-Hong Geng ; MD ; Ma^a ; ^{15226003150@163.com" class="auth_mail" title="E-mail the corresponding author} ((Master of Medicine)) ; Ling-Ling Huang ; MD ; Ma^a ; ^{huanglingling0703@163.com" class="auth_mail" title="E-mail the corresponding author} ((Master of Medicine)) ; Xiao-Xiao Wang ; MD ; Ma^a ; ^{xiaoxiao52625@163.com" class="auth_mail" title="E-mail the corresponding author} ((Master of Medicine)) ; Pei-Xi Wang ; MD ; PhD^a ; ^b ; ^{peixi001@163.com" class="auth_mail" title="E-mail the corresponding author}
• 刊名：The American Journal of Emergency Medicine
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：34
• 期：9
• 页码：1812-1816
• 全文大小：323 K

文摘

Previous studies have confirmed that low serum albumin levels in acute ischemic stroke patients increased the risk for poor outcome and death, demonstrating the neuroprotective role of albumin. However, there are few studies investigating the relationship between albumin levels and recurrence of stroke. The aim of this study was to evaluate the effect of serum albumin level on the risk of recurrence in patients with acute ischemic stroke.

Methods

Seven hundred fifty-three consecutive patients with acute first-ever ischemic stroke were recruited in this study. Recurrent outcome was measured 1 year after stroke through home interviews (n = 692).

Results

Patients with recurrence had significantly lower serum albumin level than those without recurrence (37.07 ± 4.21 vs 38.91 ± 3.25). The multiple logistic regression adjustment for confounding factors showed that the association remained significant for patients in the second albumin quartile, the third quartile, and the fourth quartile compared with patients in the first quartile (adjusted odds ratio [aOR] = 0.543, 95% confidence interval [CI]: 0.307-0.959, P= .036; aOR = 0.449, 95% CI: 0.249-0.812, P= .008; and aOR = 0.290, 95% CI: 0.148-0.570, P < .001).

Conclusion

Lower serum albumin level increases the risk of recurrence in patients with acute ischemic stroke, suggesting that serum albumin level might be used as an indicator for stroke recurrence.