Beyond low-density lipoprotein cholesterol levels: Impact of prior statin treatment on ischemic stroke outcomes

Autor: Zi-Mo Chen, Jing-Lin Mo, Kai-Xuan Yang, Ying-Yu Jiang, Chun-Juan Wang, Xin Yang, Yong Jiang, Xia Meng, Jie Xu, Hao Li, Li-Ping Liu, Yi-Long Wang, Xing-Quan Zhao, Yong-Jun Wang, Hong-Qiu Gu, Zi-Xiao Li
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: The Innovation, Vol 5, Iss 6, Pp 100713- (2024)
Druh dokumentu: article
ISSN: 2666-6758
DOI: 10.1016/j.xinn.2024.100713
Popis: Although essential for cardiovascular therapy, the pleiotropic effects of statins on ischemic stroke lack clinical evidence. This study examined the effects of statins beyond low-density lipoprotein cholesterol (LDL-C) levels on mortality and stroke severity. A total of 825,874 patients with ischemic stroke were included in this study, of whom 125,650 statin users were 1:1 matched with non-users based on their LDL-C levels (±0.05 mmol/L), forming the LDL-C-matched cohort. Associations between preceding statin treatment, in-hospital mortality, and stroke severity (National Institutes of Health Stroke Scale score ≥16) were estimated by multivariate and conditional logistic regression models in overall cohort and LDL-C-matched cohort, respectively. The overall statin effects reduced in-hospital mortality (odds ratio [OR]: 0.72, 95% confidence interval [CI]: 0.65–0.79, p
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