Evidence map›Paper›PMID 40460594›Full record

ArticleJournal of the neurological sciences2025

Low-density lipoprotein cholesterol and severity of intracerebral hemorrhage: Insights from the SIREN study.

Oladotun V Olalusi, Osahon J Asowata, Fred Stephen Sarfo, Onoja Matthew Akpa, Joshua Akinyemi, Joseph Yaria, Akintomiwa Makanjuola, Akinkunmi Paul Okekunle, Feyisayo Alabi, Paul Olowoyo and 25 more

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Article in Journal of the neurological sciences, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

35 authors.

Oladotun V OlalusiDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Osahon J AsowataDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Nigeria.
Fred Stephen SarfoDepartment of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Onoja Matthew AkpaDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Nigeria; Department of Medicine, College of Medicine and Health Sciences, Afe Babalola University Ado-Ekiti and Federal Teaching Hospital, Nigeria.
Joshua AkinyemiDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Nigeria.
Joseph YariaDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Akintomiwa MakanjuolaDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Akinkunmi Paul OkekunleDepartment of Food and Nutrition, Seoul National University, 08826, Republic of Korea; Research Institute of Human Ecology, Seoul National University, 08826, Republic of Korea.
Feyisayo AlabiDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Paul OlowoyoDepartment of Medicine, College of Medicine and Health Sciences, Afe Babalola University Ado-Ekiti and Federal Teaching Hospital, Nigeria.
Adekunle FakunleDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Oladimeji AdebayoInstitute of Cardiovascular Diseases, College of Medicine, University of Ibadan, Nigeria.
Okechukwu OgahInstitute of Cardiovascular Diseases, College of Medicine, University of Ibadan, Nigeria; Cardiology Division, Department of Medicine, University College Hospital, Ibadan, Nigeria.
Oyedunni ArulogunDepartment of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria.
Ijezie ChukwuonyeDepartment of Medicine, Federal Medical Centre Umuahia, Nigeria.
Ugochukwu OnyeonoroDepartment of Community Medicine, Federal Medical Centre, Umuahia, Nigeria.
Benedict Calys-TagoeDepartment of Medicine, University of Ghana Medical School, Accra, Ghana.
Lambert AppiahDepartment of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Arti SinghDepartment of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Samuel DialaDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Ayomide OwolabiDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Hemant K TiwariUniversity of Alabama at Birmingham, USA.
Ruth Y LareaDepartment of Medicine, University of Ghana Medical School, Accra, Ghana.
Carolyn JenkinsCollege of Nursing, Medical University of South Carolina, Charleston, SC, United States of America.
Godwin OgboleDepartment of Radiology, College of Medicine, University of Ibadan, Nigeria.
Albert AkpaluDepartment of Medicine, University of Ghana Medical School, Accra, Ghana. Electronic address: a_akpalu@yahoo.com.
Reginald ObiakoDepartment of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Morenikeji KomolafeDepartment of Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
Godwin OsaigbovoJos University Teaching Hospital Jos, Nigeria.
Lukman OwolabiDepartment of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
Adesola OgunniyiDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria.
Rufus AkinyemiDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria; Institute of Advanced Medical Research and Training College of Medicine, University of Ibadan, Nigeria; Center for Genomics and Precision Medicine, College of Medicine, University of Ibadan, Nigeria.
Kolawole WahabDepartment of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Bruce OvbiageleWeill Institute for Neurosciences, School of Medicine, University of California San Francisco, USA.
Mayowa OwolabiDepartment of Neurology, University College Hospital, Ibadan and Department of Medicine, College of Medicine, University of Ibadan, Nigeria; Center for Genomics and Precision Medicine, College of Medicine, University of Ibadan, Nigeria; Blossom Specialist Medical Center, Ibadan, Nigeria. Electronic address: mayowaowolabi@yahoo.com.

Funding

H3Africa Administrative Coordinating Centre: Enabling and Supporting Genomics and Health Research Capacity Building in AfricaU24HG009780 · NHGRI · UNIVERSITY OF CAPE TOWN · PI SKELTON, MICHELLE · 2017 to 2022
$4.8M
Stroke Investigative Research & Educational Network (SIREN)U54HG007479 · NHGRI · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI OVBIAGELE, BRUCE, OWOLABI, MAYOWA OJO · 2013 to 2017
$4.2M
CNV And Stroke (CaNVAS)R01NS114045 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI COLE, JOHN W. · 2020 to 2024
$2.6M
African Rigorous Innovative Stroke Epidemiological Surveillance (ARISES)R01NS115944 · NINDS · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI OVBIAGELE, BRUCE, OWOLABI, MAYOWA OJO · 2020 to 2025
$2.2M
Systematic Investigation of Blacks with Stroke - Genomics (SIBS-Genomics) StudyR01NS107900 · NINDS · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI OVBIAGELE, BRUCE, OWOLABI, MAYOWA OJO · 2018 to 2021
$1.8M
Training Africans to Lead and Execute Neurological Trials & Studies (TALENTS)D43TW012030 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI OVBIAGELE, BRUCE · 2021 to 2025
$1.2M
Growing Data-science Research in Africa to Stimulate Progress (GRASP)UE5HL172183 · NHLBI · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI FATUMO, SEGUN, OVBIAGELE, BRUCE · 2023 to 2025
$568k
African Neurobiobank for Precision Stroke Medicine - (ELSI) ProjectU01HG010273 · NHGRI · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · PI AKINYEMI, RUFUS OLUSOLA, ARULOGUN, OYEDUNNI SOLA · 2018 to 2022
$512k
Sub-Saharan Africa Conference on Stroke (SSACS) ConferenceR13NS115395 · NINDS · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI OVBIAGELE, BRUCE · 2020 to 2020
$50k
FIC NIH HHS D43 TW012030NHGRI NIH HHS U01 HG010273NHGRI NIH HHS U24 HG009780NHGRI NIH HHS U54 HG007479NHLBI NIH HHS UE5 HL172183NINDS NIH HHS R01 NS107900NINDS NIH HHS R01 NS114045NINDS NIH HHS R01 NS115944NINDS NIH HHS R13 NS115395
6 · The paper itself

Abstract

backgroundWe investigated the link between LDL-C and markers of ICH severity among Indigenous West Africans in the Stroke Investigative Research and Education Network study.

methodsICH severity was evaluated using the Glasgow Coma Scale (GCS), Stroke Levity Scale (SLS), and the National Institutes of Health Stroke Scale (NIHSS). The serum LDL-c of the study population was dichotomized into <133 mg/dl and ≥ 133 mg/dl using the optimum threshold by the Youden Index after assessing the linear relationship between the serum LDL-c measured at admission and ICH severity markers. A multivariate-adjusted logistic regression was performed to identify the independent association of serum LDL-C with ICH severity.

resultsOverall, 959 subjects were investigated, with a mean age of 53.9 ± 13.24 years; 62.7 % were men with GCS median (IQR) of 8.0 (12.0,15.0), SLS of 5.0 (2.0,8.0) and NIHSS of 15.0 (8.0,23.0). The mean ± SD LDL-C was 124.78 ± 51.8 mg/dl and the baseline serum LDL-C showed a positive linear relationship with admitting GCS and SLS scores and a negative relationship with the NIHSS score. Patients with LDL < 133 mg/dl had more severe stroke [SLS median (IQR): 5.0(2.0,8.0] and GCS median (IQR):11.0(7.0,15.0] compared to patients with LDL-C ≥ 133 mg/dl. Systolic BP ≥ 140 mmHg [1.720 (1.168,2.532)], ICH volume ≥ 30mls [2.774(1.990,3.865)], presence of intraventricular extension [1.564 (1.158, 2.113)] and serum LDL-C < 133 mg/dl [1.502 (1.110, 2.032)] were independently associated with severe ICH. In the subgroup analysis, the independent association between serum LDL-C < 133 mg/dl and severe ICH was stronger for subjects <50 years [1.690 (1.017, 2.808)] and males [1.621 (1.092, 2.406)].

conclusionLow serum LDL-C is independently associated with severe ICH among West Africans.

Indexed as

Cerebral HemorrhageCholesterol, LDLAdultAgedBiomarkersFemaleGlasgow Coma ScaleHumansMaleMiddle AgedSeverity of Illness IndexBiomarkersCholesterol, LDLGlasgow coma scale (GCS)Intracerebral hemorrhage (ICH)Low-density lipoprotein cholesterol (LDL-C)NIHSSStroke levity scale (SLS)

Identifiers

PMID40460594
PMCPMC12247184

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.