Evidence map›Paper›PMID 42890896›Full record

ArticleFrontiers in aging neuroscience2026

Associations between inflammatory-lipid indices and clinical outcomes in ischemic stroke patients treated with mechanical thrombectomy.

Ao Qian, Jia Duan, Wenli Xing, Longyi Zheng, Shuang Tang

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Article in Frontiers in aging neuroscience, 2026. 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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5 · Who and what money

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5 authors.

Ao QianDepartment of Cerebrovascular Disease, Suining Central Hospital, Suining, Sichuan, China.
Jia DuanDepartment of Cerebrovascular Disease, Suining Central Hospital, Suining, Sichuan, China.
Wenli XingDepartment of Cerebrovascular Disease, Suining Central Hospital, Suining, Sichuan, China.
Longyi ZhengDepartment of Radiology, Suining Central Hospital, Suining, Sichuan, China.
Shuang TangDepartment of Cerebrovascular Disease, Suining Central Hospital, Suining, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Inflammation and dyslipidemia are critical in post-stroke prognosis. We conducted a comprehensive analysis of six common inflammatory-lipid indices to evaluate the associations between these indices and four clinical outcomes after mechanical thrombectomy (MT) for acute ischemic stroke (AIS), and to identify generalizable consistently associated markers for all four clinical outcomes. Methods: In this retrospective studyassociations between inflammatory-lipid indices, namely monocyte-to-high-density lipoprotein cholesterol ratio (MHR), platelet-to-HDL-C ratio (PHR), neutrophil-to-HDL-C (NHR), lymphocyte-to-HDL-C ratio (LHR), fibrinogen-to-HDL-C ratio (FHR), and C-reactive protein-to-HDL-C ratio (CRP/HDL-C), and four post-MT clinical outcomes comprised hemorrhagic transformation (HT), malignant cerebral edema (MCE) 90-day unfavorable outcome and all-cause mortality were evaluated using multivariable analyses. False discovery rate (FDR) correction was applied for multiple comparisons. NHR, which demonstrated consistent significance for all four clinical outcomes, was subjected to further analyses. Results: A total of 513 patients were included., demonstrated The incidences of HT, MCE, unfavorable outcome, and all-cause mortality were 30.6% (157), 22.6% (116), 54.8% (281), and 25.9% (133), respectively. The NHR was significantly associated with all four clinical outcomes (HT: odds ratio [OR] 1.079, 95% confidence interval [CI] 1.023-1.142, p-FDR = 0.034; MCE: OR 1.089, 95% CI 1.031-1.154, p-FDR = 0.008; unfavorable outcome: OR 1.177, 95% CI 1.098-1.269, p-FDR < 0.001; all-cause mortality: hazard ratio [HR] 1.047, 95% CI 1.012-1.084, p-FDR = 0.022). In the subgroup analysis for all-cause mortality, an interaction between NHR and TOAST classification was observed ( Conclusion: NHR may serve as a potentially useful complementary marker of post-MT HT, MCE, unfavorable outcome, and all-cause mortality. Its association with all-cause mortality appears stronger in patients with cardioembolic stroke. HT and MCE may act as mediators linking NHR to unfavorable outcomes. External validation is required to verify these findings.

Indexed as

acute ischemic strokeinflammationlarge vessel occlusionlipidmechanical thrombectomyoutcomes

Identifiers

PMID42890896
PMCPMC13672604

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