Favorable Outcome of Ischemic Stroke in Patients Pretreated with Statins

• Joan Martí-Fàbregas

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Meritxell Gomis

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Adrià Arboix

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Aitziber Aleu

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Javier Pagonabarraga

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Robert Belvís

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Dolores Cocho

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Jaume Roquer

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Ana Rodríguez

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• María Dolores García

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Laura Molina-Porcel

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Jordi Díaz-Manera

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

• Josep-Lluis Martí-Vilalta

  From Departments of Neurology, Hospital de la Santa Creu i Sant Pau (J.M.-F., A.A., J.P., R.B., D.C., M.D.G., L.M.-P., J.D.-M., J.-L.M.-V.), Hospital Nostra Senyora del Mar (M.G., J.R., A.R.), and Hospital del Sagrat Cor (A.A.), Barcelona, Spain.

抄録

Background and Purpose— Statins may be beneficial for patients with acute ischemic stroke. We tested the hypothesis that patients pretreated with statins at the onset of stroke have less severe neurological effects and a better outcome. Methods— We prospectively included consecutive patients with ischemic stroke of <24-hour duration. We recorded demographic data, vascular risk factors, Oxfordshire Classification, National Institutes of Health Stroke Scale (NIHSS) score, admission blood glucose and body temperature, cause (Trial of Org 10172 in Acute Treatment [TOAST] criteria), neurological progression at day 3, previous statin treatment, and outcome at 3 months. We analyzed the data using univariate methods and a logistic regression with the dependent variable of good outcome (modified Rankin Scale [mRS] 0 to 1, Barthel Index [BI] 95 to 100). Results— We included 167 patients (mean age 70.7±12 years, 94 men). Thirty patients (18%) were using statins when admitted. In the statin group, the median NIHSS score was not significantly lower and the risk of progression was not significantly reduced. Favorable outcomes at 3 months were more frequent in the statin group (80% versus 61.3%, P =0.059 with the mRS; 76.7% versus 51.8%, P =0.015 with the BI). Predictors of favorable outcome with the BI were: NIHSS score at admission (OR: 0.72; CI: 0.65 to 0.80; P <0.0001), age (OR: 0.96; CI: 0.92 to 0.99; P =0.017), and statin group (OR: 5.55; CI: 1.42 to 17.8; P =0.012). Conclusions— Statins may provide benefits for the long-term functional outcome when administered before the onset of cerebral ischemia. However, randomized controlled trials will be required to evaluate the validity of our results.

収録刊行物

• Stroke

  Stroke 35 (5), 1117-1121, 2004-05

  Ovid Technologies (Wolters Kluwer Health)

キーワード

• Advanced and Specialized Nursing
• Cardiology and Cardiovascular Medicine
• Neurology (clinical)

詳細情報

• CRID: 1360855569847742592
• NII論文ID: 30022680857
• DOI: 10.1161/01.str.0000125863.93921.3f
• ISSN: 15244628
• ISSN: 00392499
• ISSN: http://id.crossref.org/issn/00392499
• Web Site: https://www.ahajournals.org/doi/full/10.1161/01.STR.0000125863.93921.3f
• データソース種別:
  • Crossref
  • CiNii Articles