This preprint is under consideration at Molecular Medicine. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
wenbo Zhang
Zhejiang University School of Medicine Children's Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8872-5369
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Non-large artery atherosclerosis (LAA) infarcts are relatively rare compared to LAA type infarcts. Hemorrhagic transformation (HT) is one of the complications of acute ischemic stroke (AIS), and we aim to investigate the risk factors for the development of HT in patients with non-LAA type AIS.
Patients and methods：From January 2015 to January 2020, we included a total of 52 patients with non-LAA type AIS who met the criteria for the occurrence of HT, for which 136 patients without HT were matched. Patients were followed up every 3 months by phone or in the clinic, with a minimum of 1 year of follow-up per patient. The risk factors associated with prognosis were derived after univariate analysis and multifactorial logistic regression analysis, and a nomogram model was developed based on these risk factors. The accuracy of the model was evaluated by creating a calibration plot and the receiver operating characteristic curve (ROC).
Results: Through univariate analysis and logistics regression analysis, we found that the patient's creatine kinase-MB (CK-MB), ejection fraction (EF) and platelets (PLT) were independently related to the HT in patients with non-LAA type AIS. We accordingly developed smoothing curves to predict the probability of HT and found that the HT rate increased with increasing CK-MB and decreased with increasing EF and PLT. The nomogram based on these three factors had an area under curve (AUC) of 0.875 for the development group and 0.889 for the external validation group. The calibration plot showed a good prediction accuracy.
Conclusions: Patients with non-LAA type AIS are relatively uncommon and presenting with HT is even rarer. Our nomogram built on cardiogenic parameters and PLT can accurately predict the occurrence of HT in these non-LAA type AIS patients, which has good clinical significance.
Keywords
Non-large artery atherosclerosis, Nomogram, Hemorrhagic transformation, cardiogenic parameters
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Loading...
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 12 Mar, 2021
No community comments so far
Review #1 received
Received 05 Apr, 2021
Reviewer #1 agreed
On 08 Mar, 2021
Review #? received
Received 08 Mar, 2021
Reviewers invited
Invitations sent on 06 Mar, 2021
Editor invited
On 04 Mar, 2021
Editor assigned
On 04 Mar, 2021
Submission checks complete
On 04 Mar, 2021
First submitted
On 26 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Learn more about our company.
This preprint is under consideration at Molecular Medicine. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
wenbo Zhang
Zhejiang University School of Medicine Children's Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8872-5369
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 12 Mar, 2021
No community comments so far
Review #1 received
Received 05 Apr, 2021
Reviewer #1 agreed
On 08 Mar, 2021
Review #? received
Received 08 Mar, 2021
Reviewers invited
Invitations sent on 06 Mar, 2021
Editor invited
On 04 Mar, 2021
Editor assigned
On 04 Mar, 2021
Submission checks complete
On 04 Mar, 2021
First submitted
On 26 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Non-large artery atherosclerosis (LAA) infarcts are relatively rare compared to LAA type infarcts. Hemorrhagic transformation (HT) is one of the complications of acute ischemic stroke (AIS), and we aim to investigate the risk factors for the development of HT in patients with non-LAA type AIS.
Patients and methods：From January 2015 to January 2020, we included a total of 52 patients with non-LAA type AIS who met the criteria for the occurrence of HT, for which 136 patients without HT were matched. Patients were followed up every 3 months by phone or in the clinic, with a minimum of 1 year of follow-up per patient. The risk factors associated with prognosis were derived after univariate analysis and multifactorial logistic regression analysis, and a nomogram model was developed based on these risk factors. The accuracy of the model was evaluated by creating a calibration plot and the receiver operating characteristic curve (ROC).
Results: Through univariate analysis and logistics regression analysis, we found that the patient's creatine kinase-MB (CK-MB), ejection fraction (EF) and platelets (PLT) were independently related to the HT in patients with non-LAA type AIS. We accordingly developed smoothing curves to predict the probability of HT and found that the HT rate increased with increasing CK-MB and decreased with increasing EF and PLT. The nomogram based on these three factors had an area under curve (AUC) of 0.875 for the development group and 0.889 for the external validation group. The calibration plot showed a good prediction accuracy.
Conclusions: Patients with non-LAA type AIS are relatively uncommon and presenting with HT is even rarer. Our nomogram built on cardiogenic parameters and PLT can accurately predict the occurrence of HT in these non-LAA type AIS patients, which has good clinical significance.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Loading...