Pirouz Piran1,2, Yahya B Atalay1,2, Ajay Gupta1,3, Praneil Patel1,3, Santosh B Murthy1,2, Babak B Navi1,2, Hooman Kamel1,2, Alexander E Merkler4,5. 1. Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute, New York, New York, USA. 2. Department of Neurology, Weill Cornell Medicine, New York, New York, USA. 3. Department of Radiology, Weill Cornell Medicine, New York, New York, USA. 4. Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute, New York, New York, USA, alm9097@med.cornell.edu. 5. Department of Neurology, Weill Cornell Medicine, New York, New York, USA, alm9097@med.cornell.edu.
Abstract
INTRODUCTION: Evidence of visceral infarction is often found in patients with acute ischemic stroke. It remains uncertain whether there exists a relationship between visceral infarction and functional outcomes among patients with stroke. OBJECTIVE: The aim of this study was to evaluate whether evidence of visceral infarction is associated with functional outcomes among patients with stroke. METHODS: Among patients with acute ischemic stroke enrolled in the Cornell AcutE Stroke Academic Registry (CAESAR) from 2011 through 2016, we included those with a contrast-enhanced abdominal computed tomographic scan within 1 year of admission. Our outcome was ambulatory status at discharge from acute stroke hospitalization, categorized as walking without assistance, walking with assistance, and unable to walk. We used ordinal logistic regression to examine the association between visceral infarction and discharge ambulatory status after adjustment for demographics, stroke risk factors, stroke severity (NIH Stroke Scale), and stroke subtype. RESULTS: Among 2,116 ischemic stroke patients registered in CAESAR from 2011 to 2016, 259 had contrast-enhanced abdominal computed tomographic imaging, of whom 48 (19%) had evidence of visceral infarction. After adjustment for demographics, stroke risk factors, stroke severity, and stroke subtype, the presence of visceral infarction was associated with a worse ambulatory status at discharge (global OR for better ambulatory status, 0.4; 95% CI, 0.2-1.0, p = 0.046). CONCLUSIONS: We found that the presence of visceral infarction was associated with poor functional outcomes at the time of hospital discharge. These findings suggest that such findings are not necessarily benign and are at the least a marker of poor outcomes.
INTRODUCTION: Evidence of visceral infarction is often found in patients with acute ischemic stroke. It remains uncertain whether there exists a relationship between visceral infarction and functional outcomes among patients with stroke. OBJECTIVE: The aim of this study was to evaluate whether evidence of visceral infarction is associated with functional outcomes among patients with stroke. METHODS: Among patients with acute ischemic stroke enrolled in the Cornell AcutE Stroke Academic Registry (CAESAR) from 2011 through 2016, we included those with a contrast-enhanced abdominal computed tomographic scan within 1 year of admission. Our outcome was ambulatory status at discharge from acute stroke hospitalization, categorized as walking without assistance, walking with assistance, and unable to walk. We used ordinal logistic regression to examine the association between visceral infarction and discharge ambulatory status after adjustment for demographics, stroke risk factors, stroke severity (NIH Stroke Scale), and stroke subtype. RESULTS: Among 2,116 ischemic strokepatients registered in CAESAR from 2011 to 2016, 259 had contrast-enhanced abdominal computed tomographic imaging, of whom 48 (19%) had evidence of visceral infarction. After adjustment for demographics, stroke risk factors, stroke severity, and stroke subtype, the presence of visceral infarction was associated with a worse ambulatory status at discharge (global OR for better ambulatory status, 0.4; 95% CI, 0.2-1.0, p = 0.046). CONCLUSIONS: We found that the presence of visceral infarction was associated with poor functional outcomes at the time of hospital discharge. These findings suggest that such findings are not necessarily benign and are at the least a marker of poor outcomes.
Authors: Halim Abboud; Julien Labreuche; Fernando Gongora-Riverra; Arturo Jaramillo; Charles Duyckaerts; Philippe Gabriel Steg; Jean-Jacques Hauw; Pierre Amarenco Journal: Stroke Date: 2007-03-22 Impact factor: 7.914
Authors: I Sánchez-Blanco; C Ochoa-Sangrador; L López-Munaín; M Izquierdo-Sánchez; J Fermoso-Garcia Journal: Clin Rehabil Date: 1999-12 Impact factor: 3.477
Authors: T Slaoui; I F Klein; C Guidoux; L Cabrejo; E Meseguer; H Abboud; P C Lavalllée; M Mazighi; J Labreuche; P Amarenco Journal: Neurology Date: 2010-03-03 Impact factor: 9.910
Authors: Robert G Hart; Hans-Christoph Diener; Shelagh B Coutts; J Donald Easton; Christopher B Granger; Martin J O'Donnell; Ralph L Sacco; Stuart J Connolly Journal: Lancet Neurol Date: 2014-04 Impact factor: 44.182