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001-es BibID:	BIBFORM069805
035-os BibID:	(cikkazonosító)e0180477 (WOS)000405544800045 (Scopus)85022341688
Első szerző:	Hudák Renáta
Cím:	Low thrombin generation predicts poor prognosis in ischemic stroke patients after thrombolysis / Renáta Hudák, Edina G. Székely, Katalin R. Kovács, Attila Nagy, Gergely Hofgárt, Ervin Berényi, László Csiba, János Kappelmayer, Zsuzsa Bagoly
Dátum:	2017
ISSN:	1932-6203
Megjegyzések:	Thrombolysis by intravenous recombinant tissue plasminogen activator (rt-PA) is an effective therapy in acute ischemic stroke (AIS). Thrombin generation test (TGT) is a global hemostasis test providing information about the speed and amount of generated thrombin in plasma. Here we aimed to find out whether results of this test before the initiation of thrombolysis might predict outcomes. Study population included 120 consecutive AIS patients, all within 4.5 hours of their symptom onset, who underwent thrombolysis by rt-PA. Blood samples were collected from all patients upon admission and TGT was performed using platelet poor plasma. Clinical data of patients including the NIHSS were registered at admission, day 1 and 7 after therapy. The ASPECT score was assessed using CT images taken before and 24 hours after thrombolysis. Long-term functional outcome was defined 3 months after the event by the modified Rankin Scale. Endogenous Thrombin Potential (ETP) and Peak Thrombin were significantly lower in patients with cardioembolic IS. Symptomatic intracranial hemorrhage (SICH) was found in 6 patients and was significantly associated with low ETP and Peak Thrombin levels. A multiple logistic regression model revealed that an ETP result in the lower quartile is an independent predictor of mortality within the first two weeks (OR: 6.03; 95%CI: 1.2-30.16, p0.05) and three months after the event (OR: 5.28; 95%CI: 1.27-21.86, p0.05). Low levels of ETP and Peak Thrombin parameters increase the risk of therapy associated SICH. A low ETP result is an independent predictor of short- and long-term mortality following thrombolysis.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Plos One. - 12 : 7 (2017), p. 1-13. -
További szerzők:	Székely Edina Gabriella Czuriga-Kovács Katalin Réka (1981-) (neurológus) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Hofgárt Gergely (1984-) (neurológus) Berényi Ervin (1964-) (radiológus) Csiba László (1952-) (neurológus, pszichiáter) Kappelmayer János (1960-) (laboratóriumi szakorvos) Bagoly Zsuzsa (1978-) (orvos)
Pályázati támogatás:	K-109712 OTKA PD-111929 OTKA TÁMOP-4.2.2.A-11/1/KONV-2012-0045 TÁMOP GINOP-2.3.2-15-2016-00043 GINOP
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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