Prognostic implications of admission inflammatory profile in acute ischemic neurological events

Acta Neurol Scand. 2002 Oct;106(4):196-9. doi: 10.1034/j.1600-0404.2002.01224.x.

Abstract

Objective: To reveal the potential prognostic implications of admission inflammatory markers in patients with acute ischemic neurological events.

Patients and methods: Sixty patients with an acute ischemic neurological event who were examined within 24 h from the appearance of symptomatology. We determined the high-sensitive C-reactive protein (hs-CRP) concentrations, erythrocyte sedimentation rate (ESR), fibrinogen concentrations and degree of erythrocyte adhesiveness/aggregation.

Results: A significant correlation was noted between baseline hs-CRP concentrations, ESR as well as adhesiveness/aggregation and the outcome of the ischemic neurological event as determined by the modified Rankin scale 8-12 months following the insult.

Conclusion: Admission inflammatory markers have long-term prognostic implications in patients with acute ischemic neurological events. These findings are relevant in view of the new therapeutic interventions now available for reducing the inflammatory response.

MeSH terms

  • Acute Disease
  • Aged
  • Blood Sedimentation
  • C-Reactive Protein / analysis
  • Diagnostic Tests, Routine
  • Erythrocyte Aggregation
  • Female
  • Fibrinogen / analysis
  • Humans
  • Ischemic Attack, Transient / blood*
  • Ischemic Attack, Transient / diagnosis*
  • Ischemic Attack, Transient / physiopathology
  • Male
  • Middle Aged
  • Prognosis
  • Risk Factors
  • Sampling Studies
  • Severity of Illness Index
  • Stroke / blood*
  • Stroke / diagnosis*
  • Stroke / physiopathology

Substances

  • Fibrinogen
  • C-Reactive Protein