ArticleFrontiers in neurology
NLR-FAR Index as a superior predictor of 30-day functional outcome after endovascular thrombectomy in acute ischemic stroke.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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9 authors.
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Abstract
Objective: To determine whether the neutrophil-to-lymphocyte ratio-fibrinogen-to-albumin ratio (NLR-FAR) Index predicts long-term prognosis in acute ischemic stroke patients undergoing endovascular thrombectomy (EVT). Introduction: Systemic inflammatory imbalance contributes to ischemic brain injury, but the combined effect of NLR and FAR on EVT outcomes has remained unclear. Methods: We retrospectively analyzed patients treated with EVT. A composite inflammatory-coagulation index, designated as the NLR-FAR Index, was defined as the product of NLR and FAR. The primary endpoint was 30-day functional outcome defined by the modified Rankin Scale (mRS), with poor outcome as mRS ≥3. Logistic regression and restricted cubic spline analyses were used to assess associations. Results: Of 254 patients, 121 (47.6%) had poor outcomes. Higher NLR, FAR, and especially NLR-FAR Index were significantly associated with poor prognosis. The NLR-FAR Index showed the strongest predictive effect (adjusted Conclusion: The NLR-FAR Index independently predicts functional outcomes after EVT and outperforms NLR or FAR alone. This accessible biomarker may aid early risk stratification and individualized management in acute ischemic stroke.
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