Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression
Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admi...
Ausführliche Beschreibung
Autor*in: |
Gao J [verfasserIn] Xu W [verfasserIn] Han K [verfasserIn] Zhu L [verfasserIn] Gao L [verfasserIn] Shang XL [verfasserIn] |
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Englisch |
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2017 |
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Übergeordnetes Werk: |
In: Neuropsychiatric Disease and Treatment - Dove Medical Press, 2009, (2017), Seite 83-93 |
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Übergeordnetes Werk: |
year:2017 ; pages:83-93 |
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DOAJ052361586 |
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(DE-627)DOAJ052361586 (DE-599)DOAJ81b2875125ac4609a6709f19671e1199 DE-627 ger DE-627 rakwb eng RC321-571 RC346-429 Gao J verfasserin aut Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study Depression after stroke Stroke Total bilirubin Uric acid Longitudinal study Neurosciences. Biological psychiatry. Neuropsychiatry Neurology. Diseases of the nervous system Xu W verfasserin aut Han K verfasserin aut Zhu L verfasserin aut Gao L verfasserin aut Shang XL verfasserin aut In Neuropsychiatric Disease and Treatment Dove Medical Press, 2009 (2017), Seite 83-93 (DE-627)481905693 (DE-600)2180554-4 11782021 nnns year:2017 pages:83-93 https://doaj.org/article/81b2875125ac4609a6709f19671e1199 kostenfrei https://www.dovepress.com/changes-of-serum-uric-acid-and-total-bilirubin-in-elderly-patients-wit-peer-reviewed-article-NDT kostenfrei https://doaj.org/toc/1178-2021 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 83-93 |
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(DE-627)DOAJ052361586 (DE-599)DOAJ81b2875125ac4609a6709f19671e1199 DE-627 ger DE-627 rakwb eng RC321-571 RC346-429 Gao J verfasserin aut Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study Depression after stroke Stroke Total bilirubin Uric acid Longitudinal study Neurosciences. Biological psychiatry. Neuropsychiatry Neurology. Diseases of the nervous system Xu W verfasserin aut Han K verfasserin aut Zhu L verfasserin aut Gao L verfasserin aut Shang XL verfasserin aut In Neuropsychiatric Disease and Treatment Dove Medical Press, 2009 (2017), Seite 83-93 (DE-627)481905693 (DE-600)2180554-4 11782021 nnns year:2017 pages:83-93 https://doaj.org/article/81b2875125ac4609a6709f19671e1199 kostenfrei https://www.dovepress.com/changes-of-serum-uric-acid-and-total-bilirubin-in-elderly-patients-wit-peer-reviewed-article-NDT kostenfrei https://doaj.org/toc/1178-2021 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 83-93 |
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(DE-627)DOAJ052361586 (DE-599)DOAJ81b2875125ac4609a6709f19671e1199 DE-627 ger DE-627 rakwb eng RC321-571 RC346-429 Gao J verfasserin aut Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study Depression after stroke Stroke Total bilirubin Uric acid Longitudinal study Neurosciences. Biological psychiatry. Neuropsychiatry Neurology. Diseases of the nervous system Xu W verfasserin aut Han K verfasserin aut Zhu L verfasserin aut Gao L verfasserin aut Shang XL verfasserin aut In Neuropsychiatric Disease and Treatment Dove Medical Press, 2009 (2017), Seite 83-93 (DE-627)481905693 (DE-600)2180554-4 11782021 nnns year:2017 pages:83-93 https://doaj.org/article/81b2875125ac4609a6709f19671e1199 kostenfrei https://www.dovepress.com/changes-of-serum-uric-acid-and-total-bilirubin-in-elderly-patients-wit-peer-reviewed-article-NDT kostenfrei https://doaj.org/toc/1178-2021 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 83-93 |
allfieldsGer |
(DE-627)DOAJ052361586 (DE-599)DOAJ81b2875125ac4609a6709f19671e1199 DE-627 ger DE-627 rakwb eng RC321-571 RC346-429 Gao J verfasserin aut Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study Depression after stroke Stroke Total bilirubin Uric acid Longitudinal study Neurosciences. Biological psychiatry. Neuropsychiatry Neurology. Diseases of the nervous system Xu W verfasserin aut Han K verfasserin aut Zhu L verfasserin aut Gao L verfasserin aut Shang XL verfasserin aut In Neuropsychiatric Disease and Treatment Dove Medical Press, 2009 (2017), Seite 83-93 (DE-627)481905693 (DE-600)2180554-4 11782021 nnns year:2017 pages:83-93 https://doaj.org/article/81b2875125ac4609a6709f19671e1199 kostenfrei https://www.dovepress.com/changes-of-serum-uric-acid-and-total-bilirubin-in-elderly-patients-wit-peer-reviewed-article-NDT kostenfrei https://doaj.org/toc/1178-2021 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 83-93 |
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(DE-627)DOAJ052361586 (DE-599)DOAJ81b2875125ac4609a6709f19671e1199 DE-627 ger DE-627 rakwb eng RC321-571 RC346-429 Gao J verfasserin aut Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study Depression after stroke Stroke Total bilirubin Uric acid Longitudinal study Neurosciences. Biological psychiatry. Neuropsychiatry Neurology. Diseases of the nervous system Xu W verfasserin aut Han K verfasserin aut Zhu L verfasserin aut Gao L verfasserin aut Shang XL verfasserin aut In Neuropsychiatric Disease and Treatment Dove Medical Press, 2009 (2017), Seite 83-93 (DE-627)481905693 (DE-600)2180554-4 11782021 nnns year:2017 pages:83-93 https://doaj.org/article/81b2875125ac4609a6709f19671e1199 kostenfrei https://www.dovepress.com/changes-of-serum-uric-acid-and-total-bilirubin-in-elderly-patients-wit-peer-reviewed-article-NDT kostenfrei https://doaj.org/toc/1178-2021 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 83-93 |
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Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores &gt;17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P&lt;0.01) and Tbil (OR=2.31, P&lt;0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P&lt;0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels &ge;406.5 &micro;mol/L (males with SUA levels of &ge;409.5 &micro;mol/L and females with SUA levels &ge;385.5 &micro;mol/L) and Tbil levels &ge;23.65 &micro;mol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 &micro;mol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 &micro;mol/L) had minor diagnostic values (AUC&lt;0.700), although SUA levels &le;214.5 &micro;mol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (&chi;2=2.33, P=0.13) or Tbil (&chi;2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. 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Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression |
abstract |
Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study |
abstractGer |
Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study |
abstract_unstemmed |
Jie Gao, Wei Xu, Kun Han, Lu Zhu, Lili Gao, Xiuli Shang Department of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China Background: This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores >17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P<0.01) and Tbil (OR=2.31, P<0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P<0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels ≥406.5 µmol/L (males with SUA levels of ≥409.5 µmol/L and females with SUA levels ≥385.5 µmol/L) and Tbil levels ≥23.65 µmol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 µmol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 µmol/L) had minor diagnostic values (AUC<0.700), although SUA levels ≤214.5 µmol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (χ2=2.33, P=0.13) or Tbil (χ2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. Keywords: depression after stroke, stroke, total bilirubin, uric acid, longitudinal study |
collection_details |
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title_short |
Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression |
url |
https://doaj.org/article/81b2875125ac4609a6709f19671e1199 https://www.dovepress.com/changes-of-serum-uric-acid-and-total-bilirubin-in-elderly-patients-wit-peer-reviewed-article-NDT https://doaj.org/toc/1178-2021 |
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up_date |
2024-07-04T00:46:08.663Z |
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Subjects and methods: Data were analyzed for 525 acute ischemic stroke patients. Beck Depression Inventory (BDI) scores &gt;17 and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were used separately to screen and diagnose IPSD at 3, 6, and 9 months post-stroke. Once IPSD was diagnosed, follow-up activities were terminated. Results: High levels of SUA (odds ratio [OR]=2.08, P&lt;0.01) and Tbil (OR=2.31, P&lt;0.01) in the first 3 months post-stroke and low levels of SUA (OR=2.05, P=0.03) and Tbil (OR=2.79, P&lt;0.01) from 3 to 6 months post-stroke were identified as risk factors for major IPSD. At 3 months, patients with SUA levels &ge;406.5 &micro;mol/L (males with SUA levels of &ge;409.5 &micro;mol/L and females with SUA levels &ge;385.5 &micro;mol/L) and Tbil levels &ge;23.65 &micro;mol/L were more likely to develop major IPSD. At 6 months, both SUA (area under curve [AUC]=0.625, P=0.005, cutoff =194.0 &micro;mol/L) and Tbil (AUC=0.681, P=0.004, cutoff =6.75 &micro;mol/L) had minor diagnostic values (AUC&lt;0.700), although SUA levels &le;214.5 &micro;mol/L (AUC=0.756, P=0.001) in female patients had a good diagnostic value (AUC=0.722, P=0.006) for major IPSD. At 9 months, major IPSD showed no statistical relationship with either SUA (&chi;2=2.33, P=0.13) or Tbil (&chi;2=0.41, P=0.84). Conclusion: Higher levels of SUA and Tbil on admission were closely related to the occurrence of major IPSD within 3 months of stroke. Lower levels of these two biomarkers on admission were characteristic for the occurrence of major IPSD between 3 and 6 months post-stroke, while 6 months after stroke, there was no relationship between major IPSD and these two biomarkers. 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