Brachial-Ankle Pulse Wave Velocity for Predicting Functional Outcome in Acute Stroke
BACKGROUND AND PURPOSE—We investigated whether the brachial-ankle pulse wave velocity (baPWV) has prognostic value for predicting functional outcome after acute cerebral infarction and whether the prognostic value differs between stroke subtypes. METHODS—We included 1091 consecutive patients with fi...
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| Veröffentlicht in: | Stroke (1970) 2014-08, Vol.45 (8), p.2305-2310 |
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| container_title | Stroke (1970) |
| container_volume | 45 |
| creator | Kim, Jinkwon Song, Tae-Jin Kim, Eun Hye Lee, Ki Jeong Lee, Hye Sun Nam, Chung Mo Song, Dongbeom Nam, Hyo Suk Kim, Young Dae Heo, Ji Hoe |
| description | BACKGROUND AND PURPOSE—We investigated whether the brachial-ankle pulse wave velocity (baPWV) has prognostic value for predicting functional outcome after acute cerebral infarction and whether the prognostic value differs between stroke subtypes.
METHODS—We included 1091 consecutive patients with first-ever acute cerebral infarction who underwent baPWV measurements. Stroke subtypes were classified using the Trial of Org 10172 in Acute Stroke Treatment classification. Poor functional outcomes were defined as modified Rankin Scale score >2 at 3 months after stroke onset.
RESULTS—We noted that 181 (16.59%) patients had a poor functional outcome. In multivariate logistic regression, patients in the highest tertile of baPWV (>22.25 m/s) were found to be at increased risk for poor functional outcome (adjusted odds ratio, 1.88; 95% confidence interval, 1.06–3.40) compared with those in the lowest tertile ( |
| doi_str_mv | 10.1161/STROKEAHA.114.005576 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1549633059</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1549633059</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5686-bc999e4d7c9b9986d94873589622f73566df7fdddc75aa51167cba1a6fa75a873</originalsourceid><addsrcrecordid>eNp9kMtOwzAQRS0EoqXwBwh5g8QmxUlsx16GCigCqQgKLCPXmdBQNy52AuLvMWopO1Yzc3XmdRE6jskwjnl8_jh9mNxe5uM8lHRICGMZ30H9mCU0ojwRu6hPSCqjhErZQwfevxFCklSwfdQLGhcyTftoeuGUntfKRHmzMIDvO-MBv6gPwM9grK7bL1xZh-8dlLVu6-YVX3VNSGyjDJ50rbZLwHWDc921gB9bZxdwiPYqFeYcbeIAPV1dTkfj6G5yfTPK7yLNuODRTEspgZaZljMpBS8lFVnKhORJUoWE87LKqrIsdcaUYuHrTM9UrHilghDQATpbz105-96Bb4tl7TUYoxqwnS9iFv5MU8JkQOka1c5676AqVq5eKvdVxKT48bPY-hlKWqz9DG0nmw3dbAnltunXwACcbgDltTKVU42u_R8nMkJJ9nOqWHOf1rTg_MJ0n-CKOSjTzv-_4RvdqJAq</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1549633059</pqid></control><display><type>article</type><title>Brachial-Ankle Pulse Wave Velocity for Predicting Functional Outcome in Acute Stroke</title><source>MEDLINE</source><source>American Heart Association Journals</source><source>Journals@Ovid Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Kim, Jinkwon ; Song, Tae-Jin ; Kim, Eun Hye ; Lee, Ki Jeong ; Lee, Hye Sun ; Nam, Chung Mo ; Song, Dongbeom ; Nam, Hyo Suk ; Kim, Young Dae ; Heo, Ji Hoe</creator><creatorcontrib>Kim, Jinkwon ; Song, Tae-Jin ; Kim, Eun Hye ; Lee, Ki Jeong ; Lee, Hye Sun ; Nam, Chung Mo ; Song, Dongbeom ; Nam, Hyo Suk ; Kim, Young Dae ; Heo, Ji Hoe</creatorcontrib><description>BACKGROUND AND PURPOSE—We investigated whether the brachial-ankle pulse wave velocity (baPWV) has prognostic value for predicting functional outcome after acute cerebral infarction and whether the prognostic value differs between stroke subtypes.
METHODS—We included 1091 consecutive patients with first-ever acute cerebral infarction who underwent baPWV measurements. Stroke subtypes were classified using the Trial of Org 10172 in Acute Stroke Treatment classification. Poor functional outcomes were defined as modified Rankin Scale score >2 at 3 months after stroke onset.
RESULTS—We noted that 181 (16.59%) patients had a poor functional outcome. In multivariate logistic regression, patients in the highest tertile of baPWV (>22.25 m/s) were found to be at increased risk for poor functional outcome (adjusted odds ratio, 1.88; 95% confidence interval, 1.06–3.40) compared with those in the lowest tertile (<17.55 m/s). No significant interaction between baPWV and stroke subtype was noted. Receiver operating characteristic curve analysis indicated that the addition of baPWV to the prediction model significantly improved the discrimination ability for poor functional outcome.
CONCLUSIONS—baPWV has an independent prognostic value for predicting functional outcome after acute cerebral infarction. The prognostic value did not differ according to the stroke subtype.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/STROKEAHA.114.005576</identifier><identifier>PMID: 24968933</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: American Heart Association, Inc</publisher><subject>Aged ; Ankle Brachial Index ; Biological and medical sciences ; Blood Flow Velocity - physiology ; Brachial Artery - physiopathology ; Brain Ischemia - drug therapy ; Brain Ischemia - physiopathology ; Female ; Fibrinolytic Agents - therapeutic use ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Predictive Value of Tests ; Prognosis ; Pulse Wave Analysis ; Retrospective Studies ; Stroke - drug therapy ; Stroke - physiopathology ; Tissue Plasminogen Activator - therapeutic use ; Treatment Outcome ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Stroke (1970), 2014-08, Vol.45 (8), p.2305-2310</ispartof><rights>2014 American Heart Association, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5686-bc999e4d7c9b9986d94873589622f73566df7fdddc75aa51167cba1a6fa75a873</citedby><cites>FETCH-LOGICAL-c5686-bc999e4d7c9b9986d94873589622f73566df7fdddc75aa51167cba1a6fa75a873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3673,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28704077$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24968933$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Jinkwon</creatorcontrib><creatorcontrib>Song, Tae-Jin</creatorcontrib><creatorcontrib>Kim, Eun Hye</creatorcontrib><creatorcontrib>Lee, Ki Jeong</creatorcontrib><creatorcontrib>Lee, Hye Sun</creatorcontrib><creatorcontrib>Nam, Chung Mo</creatorcontrib><creatorcontrib>Song, Dongbeom</creatorcontrib><creatorcontrib>Nam, Hyo Suk</creatorcontrib><creatorcontrib>Kim, Young Dae</creatorcontrib><creatorcontrib>Heo, Ji Hoe</creatorcontrib><title>Brachial-Ankle Pulse Wave Velocity for Predicting Functional Outcome in Acute Stroke</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>BACKGROUND AND PURPOSE—We investigated whether the brachial-ankle pulse wave velocity (baPWV) has prognostic value for predicting functional outcome after acute cerebral infarction and whether the prognostic value differs between stroke subtypes.
METHODS—We included 1091 consecutive patients with first-ever acute cerebral infarction who underwent baPWV measurements. Stroke subtypes were classified using the Trial of Org 10172 in Acute Stroke Treatment classification. Poor functional outcomes were defined as modified Rankin Scale score >2 at 3 months after stroke onset.
RESULTS—We noted that 181 (16.59%) patients had a poor functional outcome. In multivariate logistic regression, patients in the highest tertile of baPWV (>22.25 m/s) were found to be at increased risk for poor functional outcome (adjusted odds ratio, 1.88; 95% confidence interval, 1.06–3.40) compared with those in the lowest tertile (<17.55 m/s). No significant interaction between baPWV and stroke subtype was noted. Receiver operating characteristic curve analysis indicated that the addition of baPWV to the prediction model significantly improved the discrimination ability for poor functional outcome.
CONCLUSIONS—baPWV has an independent prognostic value for predicting functional outcome after acute cerebral infarction. The prognostic value did not differ according to the stroke subtype.</description><subject>Aged</subject><subject>Ankle Brachial Index</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity - physiology</subject><subject>Brachial Artery - physiopathology</subject><subject>Brain Ischemia - drug therapy</subject><subject>Brain Ischemia - physiopathology</subject><subject>Female</subject><subject>Fibrinolytic Agents - therapeutic use</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Pulse Wave Analysis</subject><subject>Retrospective Studies</subject><subject>Stroke - drug therapy</subject><subject>Stroke - physiopathology</subject><subject>Tissue Plasminogen Activator - therapeutic use</subject><subject>Treatment Outcome</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EoqXwBwh5g8QmxUlsx16GCigCqQgKLCPXmdBQNy52AuLvMWopO1Yzc3XmdRE6jskwjnl8_jh9mNxe5uM8lHRICGMZ30H9mCU0ojwRu6hPSCqjhErZQwfevxFCklSwfdQLGhcyTftoeuGUntfKRHmzMIDvO-MBv6gPwM9grK7bL1xZh-8dlLVu6-YVX3VNSGyjDJ50rbZLwHWDc921gB9bZxdwiPYqFeYcbeIAPV1dTkfj6G5yfTPK7yLNuODRTEspgZaZljMpBS8lFVnKhORJUoWE87LKqrIsdcaUYuHrTM9UrHilghDQATpbz105-96Bb4tl7TUYoxqwnS9iFv5MU8JkQOka1c5676AqVq5eKvdVxKT48bPY-hlKWqz9DG0nmw3dbAnltunXwACcbgDltTKVU42u_R8nMkJJ9nOqWHOf1rTg_MJ0n-CKOSjTzv-_4RvdqJAq</recordid><startdate>201408</startdate><enddate>201408</enddate><creator>Kim, Jinkwon</creator><creator>Song, Tae-Jin</creator><creator>Kim, Eun Hye</creator><creator>Lee, Ki Jeong</creator><creator>Lee, Hye Sun</creator><creator>Nam, Chung Mo</creator><creator>Song, Dongbeom</creator><creator>Nam, Hyo Suk</creator><creator>Kim, Young Dae</creator><creator>Heo, Ji Hoe</creator><general>American Heart Association, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201408</creationdate><title>Brachial-Ankle Pulse Wave Velocity for Predicting Functional Outcome in Acute Stroke</title><author>Kim, Jinkwon ; Song, Tae-Jin ; Kim, Eun Hye ; Lee, Ki Jeong ; Lee, Hye Sun ; Nam, Chung Mo ; Song, Dongbeom ; Nam, Hyo Suk ; Kim, Young Dae ; Heo, Ji Hoe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5686-bc999e4d7c9b9986d94873589622f73566df7fdddc75aa51167cba1a6fa75a873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Ankle Brachial Index</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity - physiology</topic><topic>Brachial Artery - physiopathology</topic><topic>Brain Ischemia - drug therapy</topic><topic>Brain Ischemia - physiopathology</topic><topic>Female</topic><topic>Fibrinolytic Agents - therapeutic use</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Pulse Wave Analysis</topic><topic>Retrospective Studies</topic><topic>Stroke - drug therapy</topic><topic>Stroke - physiopathology</topic><topic>Tissue Plasminogen Activator - therapeutic use</topic><topic>Treatment Outcome</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Jinkwon</creatorcontrib><creatorcontrib>Song, Tae-Jin</creatorcontrib><creatorcontrib>Kim, Eun Hye</creatorcontrib><creatorcontrib>Lee, Ki Jeong</creatorcontrib><creatorcontrib>Lee, Hye Sun</creatorcontrib><creatorcontrib>Nam, Chung Mo</creatorcontrib><creatorcontrib>Song, Dongbeom</creatorcontrib><creatorcontrib>Nam, Hyo Suk</creatorcontrib><creatorcontrib>Kim, Young Dae</creatorcontrib><creatorcontrib>Heo, Ji Hoe</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Jinkwon</au><au>Song, Tae-Jin</au><au>Kim, Eun Hye</au><au>Lee, Ki Jeong</au><au>Lee, Hye Sun</au><au>Nam, Chung Mo</au><au>Song, Dongbeom</au><au>Nam, Hyo Suk</au><au>Kim, Young Dae</au><au>Heo, Ji Hoe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brachial-Ankle Pulse Wave Velocity for Predicting Functional Outcome in Acute Stroke</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2014-08</date><risdate>2014</risdate><volume>45</volume><issue>8</issue><spage>2305</spage><epage>2310</epage><pages>2305-2310</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>BACKGROUND AND PURPOSE—We investigated whether the brachial-ankle pulse wave velocity (baPWV) has prognostic value for predicting functional outcome after acute cerebral infarction and whether the prognostic value differs between stroke subtypes.
METHODS—We included 1091 consecutive patients with first-ever acute cerebral infarction who underwent baPWV measurements. Stroke subtypes were classified using the Trial of Org 10172 in Acute Stroke Treatment classification. Poor functional outcomes were defined as modified Rankin Scale score >2 at 3 months after stroke onset.
RESULTS—We noted that 181 (16.59%) patients had a poor functional outcome. In multivariate logistic regression, patients in the highest tertile of baPWV (>22.25 m/s) were found to be at increased risk for poor functional outcome (adjusted odds ratio, 1.88; 95% confidence interval, 1.06–3.40) compared with those in the lowest tertile (<17.55 m/s). No significant interaction between baPWV and stroke subtype was noted. Receiver operating characteristic curve analysis indicated that the addition of baPWV to the prediction model significantly improved the discrimination ability for poor functional outcome.
CONCLUSIONS—baPWV has an independent prognostic value for predicting functional outcome after acute cerebral infarction. The prognostic value did not differ according to the stroke subtype.</abstract><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>24968933</pmid><doi>10.1161/STROKEAHA.114.005576</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Ankle Brachial Index Biological and medical sciences Blood Flow Velocity - physiology Brachial Artery - physiopathology Brain Ischemia - drug therapy Brain Ischemia - physiopathology Female Fibrinolytic Agents - therapeutic use Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Predictive Value of Tests Prognosis Pulse Wave Analysis Retrospective Studies Stroke - drug therapy Stroke - physiopathology Tissue Plasminogen Activator - therapeutic use Treatment Outcome Vascular diseases and vascular malformations of the nervous system |
| title | Brachial-Ankle Pulse Wave Velocity for Predicting Functional Outcome in Acute Stroke |
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