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A score using left ventricular diastolic dysfunction to predict 90-day mortality in acute ischemic stroke: The DONE score
http://hdl.handle.net/10069/38887
http://hdl.handle.net/10069/38887b44cde17-46da-4c83-8cf9-595ee2c8ab3d
名前 / ファイル | ライセンス | アクション |
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JNS398_157.pdf (275.7 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-03-15 | |||||
タイトル | ||||||
タイトル | A score using left ventricular diastolic dysfunction to predict 90-day mortality in acute ischemic stroke: The DONE score | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Diastolic dysfunction | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ischemic stroke | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | mortality | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | transthoracic | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | echocardiography | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Tateishi, Yohei
× Tateishi, Yohei× Kanamoto, Tadashi× Nakaoka, Kenjiro× Yoshimura, Shunsuke× Miyazaki, Teiichiro× Shiraishi, Hirokazu× Morimoto, Shimpei× Tsuneto, Akira× Maemura, Koji× Morofuji, Yoichi× Horie, Nobutaka× Izumo, Tsuyoshi× Tsujino, Akira |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: The aim of this study was to identify whether diastolic dysfunction predicts death at 90 days after acute ischemic stroke.Methods: We retrospectively analyzed patients with ischemic stroke. All patients underwent transthoracic echocardiography to evaluate systolic function and diastolic function by means of assessing ejection fraction and septal E/e’.We evaluated the initial National Institute of Health Stroke Scale (NIHSS) score,arterial occlusion, and laboratory data. We used multivariate regression models to identify independent predictors of 90-day mortality. Results: Among 1208 patients, the overall 90-day mortality rate was 8%. In multivariate logistic regression analysis, a higher initial NIHSS score,plasma D-dimer level and E/e’ and occlusion of internal carotid artery or basilar artery were independent predictors of 90-day mortality.The DONE score derived from these valuables showed good discrimination with area under the curve (AUC) value of 0.82 (95% confidence interval [CI],0.78?0.87) to predict 90-day mortality. The DONE score also predicted poor outcome (modified Rankin scale score, 4?6) at 90 days (AUC, 0.82;95% CI 0.80?0.85). Conclusions: Higher E/e’ indicating diastolic dysfunction,may be associated with 90-day mortality in patients with acute ischemic stroke. The DONE score could readily predict poor outcome after acute ischemic stroke. |
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書誌情報 |
Journal of the Neurological Sciences 巻 398, p. 157-162, 発行日 2019-03-15 |
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出版者 | ||||||
出版者 | Elsevier B.V. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0022510X | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.jns.2019.01.021 | |||||
権利 | ||||||
権利情報 | c2019, Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal of the Neurological Sciences, 398, pp.157-162; 2019 |