Associations of inflammatory and haemostatic biomarkers with poor outcome in acute ischaemic stroke

Cerebrovasc Dis. 2009;27(3):247-53. doi: 10.1159/000196823. Epub 2009 Jan 29.

Abstract

Background: Many inflammatory and haemostatic biomarkers show associations with acute ischaemic stroke outcome, but few studies compare a large range of markers.

Methods: We assessed clinical status and 16 biomarkers within 24 h of onset in 180 consecutive acute ischaemic stroke patients.

Results: A total of 94 patients had a poor outcome (dead or dependent at 30 days). C-reactive protein (CRP), IL-6, and fibrin D-dimer showed the strongest univariate associations with poor outcome (>2-fold increase; p < 0.01). When all biomarkers were included with clinical variables in a multivariable model, only D-dimer (OR 1.54; 95% CI 1.09-2.17), CRP (OR 1.31; 95% CI 1.03-1.68) and Scandinavian Stroke Scale (OR 0.91; 95% CI 0.88-0.95) were associated with poor outcome.

Conclusions: D-dimer and CRP are independently associated with poor outcome in acute ischaemic stroke. More data is required to expand our understanding of these potential relationships with outcome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Brain Ischemia / blood*
  • Brain Ischemia / complications
  • Brain Ischemia / immunology*
  • Brain Ischemia / mortality
  • C-Reactive Protein / analysis
  • Female
  • Fibrin Fibrinogen Degradation Products / analysis
  • Hemostasis*
  • Humans
  • Inflammation Mediators / blood*
  • Interleukin-6 / blood
  • Logistic Models
  • Male
  • Middle Aged
  • Odds Ratio
  • Prognosis
  • Prospective Studies
  • Risk Assessment
  • Risk Factors
  • Severity of Illness Index
  • Stroke / blood*
  • Stroke / etiology
  • Stroke / immunology*
  • Stroke / mortality
  • Time Factors

Substances

  • Biomarkers
  • Fibrin Fibrinogen Degradation Products
  • IL6 protein, human
  • Inflammation Mediators
  • Interleukin-6
  • fibrin fragment D
  • C-Reactive Protein