Severity of leukoaraiosis correlates with clinical outcome after ischemic stroke. Export

@article{citeulike:5647680, abstract = {BACKGROUND: Leukoaraiosis (LA) is closely associated with aging, a major determinant of clinical outcome after ischemic stroke. In this study we sought to identify whether LA, independent of advancing age, affects outcome after acute ischemic stroke. METHODS: LA volume was quantified in 240 patients with ischemic stroke and MRI within 24 hours of symptom onset. We explored the relationship between LA volume at admission and clinical outcome at 6 months, as assessed by the modified Rankin Scale (mRS). An ordinal logistic regression model was developed to analyze the independent effect of LA volume on clinical outcome. RESULTS: Bivariate analyses showed a significant correlation between LA volume and mRS at 6 months (r = 0.19, p = 0.003). Mean mRS was 1.7 +/- 1.8 among those in the lowest (< or =1.2 mL) and 2.5 +/- 1.9 in the highest (>9.9 mL) quartiles of LA volume (p = 0.01). The unfavorable prognostic effect of LA volume on clinical outcome was retained in the multivariable model (p = 0.002), which included age, gender, stroke risk factors (hypertension, diabetes mellitus, atrial fibrillation), previous history of brain infarction, admission plasma glucose level, admission NIH Stroke Scale score, IV rtPA treatment, and acute infarct volume on MRI as covariates. CONCLUSIONS: The volume of leukoaraiosis is a predictor of clinical outcome after ischemic stroke and this relationship persists after adjustment for important prognostic factors including age, initial stroke severity, and infarct volume.}, author = {Arsava, E. M. and Rahman, R. and Rosand, J. and Lu, J. and Smith, E. E. and Rost, N. S. and Singhal, A. B. and Lev, M. H. and Furie, K. L. and Koroshetz, W. J. and Sorensen, A. G. and Ay, H.}, citeulike-article-id = {5647680}, citeulike-linkout-0 = {http://dx.doi.org/10.1212/WNL.0b013e3181a18823}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/19380699}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=19380699}, day = {21}, doi = {10.1212/WNL.0b013e3181a18823}, issn = {1526-632X}, journal = {Neurology}, keywords = {brain, human, imaging, ischemia, stroke, white-matter}, month = {April}, number = {16}, pages = {1403--1410}, posted-at = {2009-08-25 22:51:23}, priority = {2}, title = {Severity of leukoaraiosis correlates with clinical outcome after ischemic stroke.}, url = {http://dx.doi.org/10.1212/WNL.0b013e3181a18823}, volume = {72}, year = {2009} }

TY - JOUR ID - citeulike:5647680 L3 - citeulike-article-id:5647680 N2 - BACKGROUND: Leukoaraiosis (LA) is closely associated with aging, a major determinant of clinical outcome after ischemic stroke. In this study we sought to identify whether LA, independent of advancing age, affects outcome after acute ischemic stroke. METHODS: LA volume was quantified in 240 patients with ischemic stroke and MRI within 24 hours of symptom onset. We explored the relationship between LA volume at admission and clinical outcome at 6 months, as assessed by the modified Rankin Scale (mRS). An ordinal logistic regression model was developed to analyze the independent effect of LA volume on clinical outcome. RESULTS: Bivariate analyses showed a significant correlation between LA volume and mRS at 6 months (r = 0.19, p = 0.003). Mean mRS was 1.7 +/- 1.8 among those in the lowest (< or =1.2 mL) and 2.5 +/- 1.9 in the highest (>9.9 mL) quartiles of LA volume (p = 0.01). The unfavorable prognostic effect of LA volume on clinical outcome was retained in the multivariable model (p = 0.002), which included age, gender, stroke risk factors (hypertension, diabetes mellitus, atrial fibrillation), previous history of brain infarction, admission plasma glucose level, admission NIH Stroke Scale score, IV rtPA treatment, and acute infarct volume on MRI as covariates. CONCLUSIONS: The volume of leukoaraiosis is a predictor of clinical outcome after ischemic stroke and this relationship persists after adjustment for important prognostic factors including age, initial stroke severity, and infarct volume. IS - 16 JF - Neurology SN - 1526-632X EP - 1410 TI - Severity of leukoaraiosis correlates with clinical outcome after ischemic stroke. VL - 72 SP - 1403 KW - brain KW - human KW - imaging KW - ischemia KW - stroke KW - white-matter AU - Arsava, EM AU - Rahman, R AU - Rosand, J AU - Lu, J AU - Smith, EE AU - Rost, NS AU - Singhal, AB AU - Lev, MH AU - Furie, KL AU - Koroshetz, WJ AU - Sorensen, AG AU - Ay, H PY - 2009/04/21/ UR - http://dx.doi.org/10.1212/WNL.0b013e3181a18823 ER -