Evidence map›Paper›PMID 41029057›Full record

ArticleMedicine2025

Association of Life's Crucial 9 with the risk of all-cause and cardiovascular mortality among US patients with stroke.

Wenbo Zhang, Wanhong Zhang, Henghao Wu, Jiaying Li, Xinsheng Han

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Article in Medicine, 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

5 authors.

Wenbo ZhangDepartment of Neurology, Kaifeng Central Hospital, Xinxiang Medical University, Kaifeng, China.ORCID 0009-0007-4120-2935
Wanhong ZhangDepartment of Neurosurgery, Kaifeng Central Hospital, Kaifeng, China.
Henghao WuDepartment of Neurosurgery, Kaifeng Central Hospital, Kaifeng, China.
Jiaying LiDepartment of Nursing, Shangluo College, Shangluo, China.
Xinsheng HanDepartment of Neurology, Kaifeng Central Hospital, Xinxiang Medical University, Kaifeng, China.ORCID 0000-0002-8630-5926

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have demonstrated an association between the Life's Crucial 9 (LC9)-based cardiovascular health score and all-cause and cardiovascular mortality in individuals without cardiovascular disease. Higher scores have been associated with reduced all-cause and cardiovascular mortality. However, no study has explored the association between the LC9 and the survival outcomes in stroke patients. This study aimed to analyze the association between the LC9 and all-cause and cardiovascular mortality in the American stroke population. Based on the National Health and Nutrition Examination Survey database from 2007 to 2018, a total of 949 eligible patients were enrolled in our cohort study. The relationship between LC9 and mortality was analyzed using univariate weighted Cox proportional regression analysis models and Kaplan-Meier curves. A subgroup analysis was conducted to ascertain whether there was an interaction between age, sex, education, hypertension, and diabetes. The restricted cubic spline curve was employed to examine the association of LC9 with risk of death. The study cohort comprised 949 patients who had experienced a stroke, of with 313 died from all causes and 89 died from cardiovascular causes. In the Cox regression model, after adjusting for confounding factors, a significant inverse association was observed between the highest third of the patients' LC9 and all-cause mortality (95% confidence interval 0.35-0.78, P = .001) and cardiovascular mortality (95% confidence interval 0.12-0.56, P < .001). Furthermore, a negative association was identified between the LC9 and patient mortality rate, indicating that the higher the LC9 score, the lower the mortality rate. The Kaplan-Meier curve showed that the higher LC9 score, the better prognosis for the patient and a reduced mortality rate. No interaction was identified in the subgroup analysis. Dose-response analysis also showed that LC9 was linearly and negatively associated with all-cause mortality and cardiovascular mortality in patients.

Indexed as

Cardiovascular DiseasesStrokeAgedCause of DeathCohort StudiesFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNutrition SurveysProportional Hazards ModelsRisk AssessmentRisk FactorsUnited Statescardiovascular mortalityLC9NHANESstroke

Identifiers

PMID41029057
PMCPMC13592975

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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.