Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 186-189
TANG Ai-jie, NIU Shu-zhen, LIU Yi-fan, WANG Wen-qing, YANG Hong-yan, DAI Xiu-juan, WU Qian. Analysis of the influencing factors of neurological improvement in acute ischemic stroke on the basis of propensity score matching[J]. Chinese Journal of General Practice, 2022, 20(2): 186-189. doi: 10.16766/j.cnki.issn.1674-4152.002308
Citation: TANG Ai-jie, NIU Shu-zhen, LIU Yi-fan, WANG Wen-qing, YANG Hong-yan, DAI Xiu-juan, WU Qian. Analysis of the influencing factors of neurological improvement in acute ischemic stroke on the basis of propensity score matching[J]. Chinese Journal of General Practice, 2022, 20(2): 186-189. doi: 10.16766/j.cnki.issn.1674-4152.002308
shu

Analysis of the influencing factors of neurological improvement in acute ischemic stroke on the basis of propensity score matching

doi: 10.16766/j.cnki.issn.1674-4152.002308
  • 1.

    School of Medicine, Tongji University, Shanghai 200092, China

Funds:

 71704135

  • Received Date: 2021-01-27
    Available Online: 2022-03-04
    Abstract
  •   Objective  To explore the factors influencing the improvement of neurological function in patients with acute ischemic stroke (AIS).  Methods  A total of 247 patients with first ischemic stroke from June 2019 to June 2020 in Shanghai Tenth People's Hospital were selected as the research objects, and the patients were divided into the non-significantly improved group (< 46%) and significantly improved group (≥ 46%) according to the percentage reduction in National Institutes of Health Stroke Scale (NIHSS) at discharge. The 1∶ 1 propensity score matching method was used to control the general data of patients the admission NIHSS score, and logistic regression was used for matched patients to analyse the influencing factors of neurological function improvement.  Results  Before matching, MBI (Z=2.030, P=0.042), mRs (Z=2.996, P=0.003), admission NIHSS score (Z=2.501, P=0.012), sleep duration (χ2=9.486, P=0.009) and cognitive impairment (χ2=31.598, P < 0.001) showed a statistically significant difference between both groups. After matching, sleep duration (χ2=8.161, P=0.017), diabetes (χ2=6.092, P=0.014) and cognitive impairment (χ2=21.066, P < 0.001) showed a statistically significant difference between both groups. After matching, the variables (diabetes, sleep duration, cognitive impairment) with P < 0.1 in the comparison between both groups were entered into logistic regression analysis. Results showed that sleep duration (OR=1.667, 95% CI: 1.043-2.664, P=0.033) and MoCA (OR=4.697, 95% CI: 1.973-11.185, P < 0.001) were risk factors affecting the improvement of neurological function.  Conclusion  Shorter sleep duration and early cognitive dysfunction after stroke have an adverse effect on the short-term prognosis of AIS.

     

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    • References(21)
  • [1]
    ZHOU M, WANG H, ZENG X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: A systematic analysis for the global burden of disease study 2017[J]. Lancet, 2019, 394(10204): 1145-1158. doi: 10.1016/S0140-6736(19)30427-1
    [2]
    WANG W, JIANG B, SUN H, et al. Prevalence, incidence, and mortality of stroke in China: Results from a nationwide population-based survey of 480 687 adults[J]. Circulation, 2017, 135(8): 759-771. doi: 10.1161/CIRCULATIONAHA.116.025250
    [3]
    罗国英, 陈秀芳. 危机管理结合无缝隙一体化急救模式在急性缺血性脑卒中患者中的应用[J]. 中华全科医学, 2020, 18(11): 1936-1939. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202011039.htm
    [4]
    CAI Y, WANG C, DI W, et al. Correlation between blood glucose variability and the risk of death in patients with severe acute stroke[J]. Rev Neurol (Paris), 2020, 176(7-8): 582-586. doi: 10.1016/j.neurol.2019.12.003
    [5]
    SANDSET E C, APPLETON J P, BERGE E, et al. Associations between change in blood pressure and functional outcome, early events and death: Results from the efficacy of nitric oxide in stroke trial[J]. J Hypertens, 2019, 37(10): 2104-2109. doi: 10.1097/HJH.0000000000002154
    [6]
    李梅, 郑眉光, 闫振文. 急性缺血性脑卒中患者血清腱糖蛋白C和鸢尾素水平的变化及对患者预后的评估价值[J]. 中国医药, 2020, 15(11): 1714-1718. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202011015.htm
    [7]
    张余辉, 黄秋丽, 苏庆杰, 等. 血清蛋白质Z水平及FG79A基因多态性与急性缺血性脑卒中的关系[J]. 中华全科医学, 2020, 18(9): 1452-1484. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202009007.htm
    [8]
    彭斌, 吴波. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志, 2018, 51(9): 666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004
    [9]
    LIAO X, ZUO L, PAN Y, et al. Screening for cognitive impairment with the montreal cognitive assessment at six months after stroke and transient ischemic attack[J]. Neurol Res, 2021, 43(1): 15-21. doi: 10.1080/01616412.2020.1819070
    [10]
    全国第四届脑血管病学术会议. 脑卒中患者临床神经功能缺损程度评分标准(1995)[J]. 中华神经科杂志, 1996, 29(6): 381-383. doi: 10.3760/j.issn:1006-7876.1996.06.007
    [11]
    AUSTIN P C. Some methods of propensity-score matching had superior performance to others: Results of an empirical investigation and monte carlo simulations[J]. Biom J, 2009, 51(1): 171-184. doi: 10.1002/bimj.200810488
    [12]
    WU Q, TANG A, NIU S, et al. Comparison of three instruments for activity disability in acute ischemic stroke survivors[J]. Can J Neurol Sci, 2021, 48(1): 94-104. doi: 10.1017/cjn.2020.149
    [13]
    ALTEMIMI M T, HASHIM A R. Acute stroke in diabetes mellitus: A prospective observational study evaluating the course and short-term outcome in Basrah, Southern Iraq[J]. Cureus, 2019, 11(10): e6017. DOI: 10.7759/cureus.6017.
    [14]
    FUENTES B, AMARO S, LECIANA M, et al. Stroke prevention in patients with type 2 diabetes or prediabetes. Recommendations from the cerebrovascular diseases study group, Spanish society of neurology[J]. Neurdogia, 2020, 36(4): 224-233.
    [15]
    高和. 《国际睡眠障碍分类》(第三版)慢性失眠障碍的诊断标准[J]. 世界睡眠医学杂志, 2018, 5(5): 555-557. doi: 10.3969/j.issn.2095-7130.2018.05.015
    [16]
    BAYLAN S, GRIFFITHS S, GRANT N, et al. Incidence and prevalence of post-stroke insomnia: A systematic review and meta-analysis[J]. Sleep Med Rev, 2020, 49(19): 101222. DOI: 10.1016/j.smrv.2019.101222.
    [17]
    XIE C, ZHU R, TIAN Y, et al. Association of obstructive sleep apnoea with the risk of vascular outcomes and all-cause mortality: A meta-analysis[J]. BMJ Open, 2017, 7(12): e013983. DOI: 10.1136/bmjopen-2016-013983.
    [18]
    YIN J, JIN X, SHAN Z, et al. Relationship of sleep duration with all-cause mortality and cardiovascular events: A systematic review and dose-response meta-analysis of prospective cohort studies[J]. J Am Heart Assoc, 2017, 6(9): 1-15.
    [19]
    王卫华, 崔时贝, 纪晓雯, 等. 睡眠时长与脑卒中及其危险因素间关系的研究进展[J]. 中国全科医学, 2019, 22(31): 3897-3901. doi: 10.12114/j.issn.1007-9572.2019.00.631
    [20]
    MAGGIO M G, LATELLA D, MARESCA G, et al. Virtual reality and cognitive rehabilitation in people with stroke: An overview[J]. J Neurosci Nurs, 2019, 51(2): 101-105. doi: 10.1097/JNN.0000000000000423
    [21]
    ABGOTTSPON S, STEINER L, SLAVOVA N, et al. Relationship between motor abilities and executive functions in patients after pediatric stroke[J]. Appl Neuropsychol Child, 2021, 5(27): 1-11.
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