The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion
AimsWe aim to explore the predictive value of admission blood glucose to serum albumin ratio (AAR) for futile recanalization after successful interventional recanalization of acute cerebral infarction.MethodsWe retrospectively collected the data of patients suffered from acute cerebral infarction du...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1442979/full |
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| author | Wensheng Zhang Wensheng Zhang Wensheng Zhang Wensheng Zhang Jie Li Hongxing Zhou Weifang Xing Kaifeng Li Yudi Li Jinzhao He Jinzhao He Xiongjun He Yajie Liu Li Ling Li Ling |
| author_facet | Wensheng Zhang Wensheng Zhang Wensheng Zhang Wensheng Zhang Jie Li Hongxing Zhou Weifang Xing Kaifeng Li Yudi Li Jinzhao He Jinzhao He Xiongjun He Yajie Liu Li Ling Li Ling |
| author_sort | Wensheng Zhang |
| collection | DOAJ |
| description | AimsWe aim to explore the predictive value of admission blood glucose to serum albumin ratio (AAR) for futile recanalization after successful interventional recanalization of acute cerebral infarction.MethodsWe retrospectively collected the data of patients suffered from acute cerebral infarction due to anterior circulation large vessel occlusion and received successful interventional recanalization from January 2019 to November 2023. Statistical analysis of clinical data was conducted using SPSS 26.0.ResultsA total of 452 patients were included in the study. There were statistically significant differences in mRS score and futile recanalization rates among the three groups of patients at 3 months after surgery according to AAR tertile. In the multiple logistic regression analysis, there were statistically significant differences in Diabetes, grade of NIHSS score at admission, AAR tertiles, good collateral circulation and Pathogenesis. The Receiver Operating Characteristic curve (ROC) curve of AAR predicting futile recanalization was drawn with an AUC of 0.582 and a 95% confidence interval of 0.529–0.634. After combining grade of NIHSS score at admission, AAR tertiles and good collateral circulation, a ROC curve was drawn to predict futile recanalization, with an AUC of 0.907 and a 95% confidence interval of 0.879–0.936.ConclusionAAR is a new composite indicator for predicting futile recanalization in patients with acute cerebral infarction with anterior circulation large vessel occlusion. The combination of grade of NIHSS score at admission, AAR tertiles and good collateral circulation has a high predictive power for futile recanalization. |
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| institution | DOAJ |
| issn | 1664-2295 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neurology |
| spelling | doaj-art-2cc72e6c4c8a4df79e684539fd58b2c82025-08-20T02:58:15ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-12-011510.3389/fneur.2024.14429791442979The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusionWensheng Zhang0Wensheng Zhang1Wensheng Zhang2Wensheng Zhang3Jie Li4Hongxing Zhou5Weifang Xing6Kaifeng Li7Yudi Li8Jinzhao He9Jinzhao He10Xiongjun He11Yajie Liu12Li Ling13Li Ling14Department of Neurology, Heyuan People’s Hospital, Guangdong Provincial People's Hospital Heyuan Hospital, Heyuan, Guangdong, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaHeyuan Key Laboratory of Molecular Diagnosis & Disease Prevention and Treatment, Doctors Station of Guangdong Province, Heyuan People's Hospital, Heyuan, Guangdong, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Neurology, Heyuan People’s Hospital, Guangdong Provincial People's Hospital Heyuan Hospital, Heyuan, Guangdong, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Neurology, Heyuan People’s Hospital, Guangdong Provincial People's Hospital Heyuan Hospital, Heyuan, Guangdong, ChinaHeyuan Key Laboratory of Molecular Diagnosis & Disease Prevention and Treatment, Doctors Station of Guangdong Province, Heyuan People's Hospital, Heyuan, Guangdong, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Neurology, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaAimsWe aim to explore the predictive value of admission blood glucose to serum albumin ratio (AAR) for futile recanalization after successful interventional recanalization of acute cerebral infarction.MethodsWe retrospectively collected the data of patients suffered from acute cerebral infarction due to anterior circulation large vessel occlusion and received successful interventional recanalization from January 2019 to November 2023. Statistical analysis of clinical data was conducted using SPSS 26.0.ResultsA total of 452 patients were included in the study. There were statistically significant differences in mRS score and futile recanalization rates among the three groups of patients at 3 months after surgery according to AAR tertile. In the multiple logistic regression analysis, there were statistically significant differences in Diabetes, grade of NIHSS score at admission, AAR tertiles, good collateral circulation and Pathogenesis. The Receiver Operating Characteristic curve (ROC) curve of AAR predicting futile recanalization was drawn with an AUC of 0.582 and a 95% confidence interval of 0.529–0.634. After combining grade of NIHSS score at admission, AAR tertiles and good collateral circulation, a ROC curve was drawn to predict futile recanalization, with an AUC of 0.907 and a 95% confidence interval of 0.879–0.936.ConclusionAAR is a new composite indicator for predicting futile recanalization in patients with acute cerebral infarction with anterior circulation large vessel occlusion. The combination of grade of NIHSS score at admission, AAR tertiles and good collateral circulation has a high predictive power for futile recanalization.https://www.frontiersin.org/articles/10.3389/fneur.2024.1442979/fulladmission blood glucose to serum albumin ratiolarge vessel occlusionacute cerebral infarctioninterventional recanalizationfutile recanalization |
| spellingShingle | Wensheng Zhang Wensheng Zhang Wensheng Zhang Wensheng Zhang Jie Li Hongxing Zhou Weifang Xing Kaifeng Li Yudi Li Jinzhao He Jinzhao He Xiongjun He Yajie Liu Li Ling Li Ling The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion Frontiers in Neurology admission blood glucose to serum albumin ratio large vessel occlusion acute cerebral infarction interventional recanalization futile recanalization |
| title | The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion |
| title_full | The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion |
| title_fullStr | The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion |
| title_full_unstemmed | The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion |
| title_short | The predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion |
| title_sort | predictive value of admission blood glucose to serum albumin ratio for futile recanalization after successful interventional recanalization in acute cerebral infarction with large vessel occlusion |
| topic | admission blood glucose to serum albumin ratio large vessel occlusion acute cerebral infarction interventional recanalization futile recanalization |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1442979/full |
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