TY - JOUR
T1 - Clinical variables and genetic risk factors associated with the acute outcome of ischemic stroke
T2 - a systematic review
AU - Torres-Aguila, Nuria P
AU - Carrera, Caty
AU - Muiño, Elena
AU - Cullell, Natalia
AU - Cárcel-Márquez, Jara
AU - Gallego-Fabrega, Cristina
AU - González-Sánchez, Jonathan
AU - Bustamante, Alejandro
AU - Delgado, Pilar
AU - Ibañez, Laura
AU - Heitsch, Laura
AU - Krupinski, Jerzy
AU - Montaner, Joan
AU - Martí-Fàbregas, Joan
AU - Cruchaga, Carlos
AU - Lee, Jin-Moo
AU - Fernandez-Cadenas, Israel
AU - Acute Endophenotypes Group of the International Stroke Genetics Consortium (ISGC)
PY - 2019/9
Y1 - 2019/9
N2 - Stroke is a complex disease and one of the main causes of morbidity and mortality among the adult population. A huge variety of factors is known to influence patient outcome, including demographic variables, comorbidities or genetics. In this review, we expound what is known about the influence of clinical variables and related genetic risk factors on ischemic stroke outcome, focusing on acute and subacute outcome (within 24 to 48 hours after stroke and until day 10, respectively), as they are the first indicators of stroke damage. We searched the PubMed data base for articles that investigated the interaction between clinical variables or genetic factors and acute or subacute stroke outcome. A total of 61 studies were finally included in this review. Regarding the data collected, the variables consistently associated with acute stroke outcome are: glucose levels, blood pressure, presence of atrial fibrillation, prior statin treatment, stroke severity, type of acute treatment performed, severe neurological complications, leukocyte levels, and genetic risk factors. Further research and international efforts are required in this field, which should include genome-wide association studies.
AB - Stroke is a complex disease and one of the main causes of morbidity and mortality among the adult population. A huge variety of factors is known to influence patient outcome, including demographic variables, comorbidities or genetics. In this review, we expound what is known about the influence of clinical variables and related genetic risk factors on ischemic stroke outcome, focusing on acute and subacute outcome (within 24 to 48 hours after stroke and until day 10, respectively), as they are the first indicators of stroke damage. We searched the PubMed data base for articles that investigated the interaction between clinical variables or genetic factors and acute or subacute stroke outcome. A total of 61 studies were finally included in this review. Regarding the data collected, the variables consistently associated with acute stroke outcome are: glucose levels, blood pressure, presence of atrial fibrillation, prior statin treatment, stroke severity, type of acute treatment performed, severe neurological complications, leukocyte levels, and genetic risk factors. Further research and international efforts are required in this field, which should include genome-wide association studies.
U2 - 10.5853/jos.2019.01522
DO - 10.5853/jos.2019.01522
M3 - Review article
C2 - 31590472
SN - 2287-6391
VL - 21
SP - 276
EP - 289
JO - Stroke
JF - Stroke
IS - 3
ER -