Evidence map›Paper›PMID 39932917›Full record

ArticleAnnals of clinical and translational neurology2025

Cerebral autoregulation in patients with acute lacunar infarction: a reliable predictor of outcome.

Xiang-Kun Si, Song Xue, Xin Zhou, Ya-Nan Guo, Wen-Yu Du, Yang Qu, Xin Sun, Zhen-Ni Guo

Abstract read
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Article in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiang-Kun SiDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.ORCID 0009-0009-0118-2954
Song XueDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.
Xin ZhouDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.
Ya-Nan GuoDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.
Wen-Yu DuDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.
Yang QuDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.ORCID 0000-0001-8598-3517
Xin SunDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.ORCID 0009-0008-7483-7766
Zhen-Ni GuoDepartment of Neurology, Stroke Center, The First Hospital of Jilin University, Changchun, China.

Funding

the National Natural Science Foundation of China 82271303the Science and Technology Department of Jilin Province YDZJ202201ZYTS677the Science and Technology Department of Jilin Province YDZJ202301ZYTS520the Talent Reserve Program of the First Hospital of Jilin University JDYYCB-2023002
6 · The paper itself

Abstract

objectiveTo further investigate the association between dynamic cerebral autoregulation (dCA) and the outcomes in patients with acute lacunar infarction.

methodsPatients were prospectively and consecutively enrolled at The First Hospital of Jilin University between 2016 and 2023. dCA was monitored at 1-3 and 7-10 days after the stroke. The outcomes were evaluated using a 3-month modified Rankin Scale score. Binary and ordered logistic regression were employed to analyze the relationship between dCA parameters and outcomes. dCA-based nomogram models were also developed to assess the predictive value of dCA for these patients.

resultsOverall, 332 patients were included in analysis. dCA showed no significant differences between bilateral cerebral hemispheres, as well as two measurement time points (all P > 0.05). Regression analyses showed that dCA at 1-3 and 7-10 days were independently associated with the outcomes of patients with acute lacunar infarction after adjusting for confounders (all P < 0.05). Incorporating dCA parameters into conventional risk factors enhanced the risk-predictive ability of a 3-month unfavorable outcome, significantly improving the area under the receiver operating characteristic curve from 0.798(95% confidence interval [CI], 0.748-0.848) to 0.829(95% CI, 0.783-0.875) (P = 0.046).

interpretationdCA remained consistent in bilateral cerebral hemispheres within acute and subacute periods among patients with lacunar infarction. It was independently associated with 3-month outcomes and could be regarded as a reliable predictor for discriminating outcome.

Indexed as

Cerebrovascular CirculationHomeostasisOutcome Assessment, Health CareStroke, LacunarAgedFemaleHumansMaleMiddle AgedNomogramsPrognosisProspective Studies

Identifiers

PMID39932917
PMCPMC12040510

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