Post-Treatment Plasma D-Dimer Levels Are Associated With Short-Term Outcomes in Patients With Cancer-Associated Stroke.

D-dimer anticoagulant cancer prognosis stroke

Journal

Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899

Informations de publication

Date de publication:
2022
Historique:
received: 02 02 2022
accepted: 17 03 2022
entrez: 21 4 2022
pubmed: 22 4 2022
medline: 22 4 2022
Statut: epublish

Résumé

Hypercoagulability is associated with increased risks of ischemic stroke and subsequent mortality in patients with active cancer. This study investigated the relationships between plasma D-dimer levels after stroke treatment and short-term outcomes in patients with cancer-associated stroke. This retrospective, observational, multicenter study analyzed consecutive patients with cancer-associated ischemic stroke. Hypercoagulability was assessed by plasma D-dimer levels before and after stroke treatment. Short-term outcomes were assessed in terms of poor outcomes (a modified Rankin Scale score >3), cumulative rates of recurrent ischemic stroke, and mortality at 30 days after admission. Of 282 patients, 135 (47.9%) showed poor outcomes. Recurrent ischemic stroke was observed in 28 patients (9.9%), and the cumulative mortality rate was 12.4%. Multivariate analysis showed that post-treatment plasma D-dimer levels ≥10 μg/ml were independently associated with both poor outcomes (adjusted odds ratio [OR], 9.61; 95% confidence interval [CI], 3.60-25.70; A high plasma D-dimer level after stroke treatment was associated with poor short-term outcomes in patients with cancer-associated stroke. Using anticoagulants to reduce D-dimer levels may improve short-term outcomes in these patients.

Sections du résumé

Background and Objective UNASSIGNED
Hypercoagulability is associated with increased risks of ischemic stroke and subsequent mortality in patients with active cancer. This study investigated the relationships between plasma D-dimer levels after stroke treatment and short-term outcomes in patients with cancer-associated stroke.
Methods UNASSIGNED
This retrospective, observational, multicenter study analyzed consecutive patients with cancer-associated ischemic stroke. Hypercoagulability was assessed by plasma D-dimer levels before and after stroke treatment. Short-term outcomes were assessed in terms of poor outcomes (a modified Rankin Scale score >3), cumulative rates of recurrent ischemic stroke, and mortality at 30 days after admission.
Results UNASSIGNED
Of 282 patients, 135 (47.9%) showed poor outcomes. Recurrent ischemic stroke was observed in 28 patients (9.9%), and the cumulative mortality rate was 12.4%. Multivariate analysis showed that post-treatment plasma D-dimer levels ≥10 μg/ml were independently associated with both poor outcomes (adjusted odds ratio [OR], 9.61; 95% confidence interval [CI], 3.60-25.70;
Conclusion UNASSIGNED
A high plasma D-dimer level after stroke treatment was associated with poor short-term outcomes in patients with cancer-associated stroke. Using anticoagulants to reduce D-dimer levels may improve short-term outcomes in these patients.

Identifiants

pubmed: 35444612
doi: 10.3389/fneur.2022.868137
pmc: PMC9015657
doi:

Types de publication

Journal Article

Langues

eng

Pagination

868137

Informations de copyright

Copyright © 2022 Nakajima, Kawano, Yamashiro, Tanaka, Kameda, Kurita, Hira, Miyamoto, Ueno, Watanabe, Hirano, Fujimoto, Urabe and Hattori.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Sho Nakajima (S)

Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.

Hiroyuki Kawano (H)

Department of Stroke and Cerebrovascular Medicine, Kyorin University, Tokyo, Japan.

Kazuo Yamashiro (K)

Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.

Ryota Tanaka (R)

Division of Neurology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.

Tomoaki Kameda (T)

Department of Neurology, Shin-Oyama City Hospital, Tochigi, Japan.

Naohide Kurita (N)

Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.

Kenichiro Hira (K)

Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.

Nobukazu Miyamoto (N)

Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.

Yuji Ueno (Y)

Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.

Masao Watanabe (M)

Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.

Teruyuki Hirano (T)

Department of Stroke and Cerebrovascular Medicine, Kyorin University, Tokyo, Japan.

Shigeru Fujimoto (S)

Division of Neurology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.

Takao Urabe (T)

Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan.

Nobutaka Hattori (N)

Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.

Classifications MeSH