The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin Level

Objective:Cerebrovascular disease is a frequent cause of emergency department visits, and early diagnosis can reduce mortality and morbidity. It was aimed to evaluate the relationship between diffusion-weighted-magnetic resonance imaging (DW-MRI) and blood ischemic modified albumin (IMA) levels of c...

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Main Authors: Burak Demirci, Muhammed Evvah Karakılıç, Abuzer Coşkun, Cihat Yel, Sadık Ahmet Uyanık, Kübranur Ünal, İsa Başpınar, Çilem Çaltılı, Selim İnan
Format: Article
Language:English
Published: Galenos Yayinevi 2021-03-01
Series:Bagcilar Medical Bulletin
Subjects:
Online Access: http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-brain-schemic-volume-correlation-with-the-sche/42811
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author Burak Demirci
Muhammed Evvah Karakılıç
Abuzer Coşkun
Cihat Yel
Sadık Ahmet Uyanık
Kübranur Ünal
İsa Başpınar
Çilem Çaltılı
Selim İnan
author_facet Burak Demirci
Muhammed Evvah Karakılıç
Abuzer Coşkun
Cihat Yel
Sadık Ahmet Uyanık
Kübranur Ünal
İsa Başpınar
Çilem Çaltılı
Selim İnan
author_sort Burak Demirci
collection DOAJ
description Objective:Cerebrovascular disease is a frequent cause of emergency department visits, and early diagnosis can reduce mortality and morbidity. It was aimed to evaluate the relationship between diffusion-weighted-magnetic resonance imaging (DW-MRI) and blood ischemic modified albumin (IMA) levels of cerebrovascular diseases in terms of demographic characteristics, mortality, and morbidity.Method:This prospective cohort study included 44 patients diagnosed with ischemic stroke in the emergency room between January and July 2014 and 44 people in the control group. Age, gender, vital signs, co-morbid disease states, neurological deficit levels, IMA levels, DW-MRI involvement volumes, and mortality rates were analyzed in patients who were diagnosed with stroke and who had DW-MRI restrictions. Also, a control group of 44 volunteers who applied to our emergency department was added to compare the IMA level.Results:The median age of the patients was 71 years (24 males, 20 females, range 47 to 83 years) and the median age of the control group was 68 (25 males, 19 females, range 52 to 79) years. The median age of the control group was close to that of the patient group, the two groups were also similar in terms of gender distribution. The most common co-morbid disease was hypertension 28 (63.6%), atrial fibrillation (AF) 14 (31.8%), diabetes mellitus (DM) 10 (22.8%) and coronary artery disease 10 (22.8%). The median value of the IMA level was 13.84 in the patient group and 8.66 in the control group. While the patients’ NIHSS stroke score was high, the area of involvement in MRI and also IMA levels increased. Besides, diffusion involvement area and IMA levels were positively and moderately correlated.Conclusion:IMA level can be considered as a parameter that can be used in acute ischemic stroke and as an indicator of the diffusion restriction area in MRI.
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spelling doaj.art-3fff8e750e404c67b3df000991bc7ea02023-02-15T16:09:32ZengGalenos YayineviBagcilar Medical Bulletin2547-94312021-03-0161263110.4274/BMB.galenos.2020.10.06813049054The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin LevelBurak Demirci0Muhammed Evvah Karakılıç1Abuzer Coşkun2Cihat Yel3Sadık Ahmet Uyanık4Kübranur Ünal5İsa Başpınar6Çilem Çaltılı7Selim İnan8 University of Health Sciences Turkey, İstanbul Bağcılar Training and Research Hospital, Clinic of Emergency Medicine, İstanbul, Turkey Eskişehir Osmangazi University, Training and Research Hospital, Clinic of Emergency Medicine, Eskişehir, Turkey University of Health Sciences Turkey, İstanbul Bağcılar Training and Research Hospital, Clinic of Emergency Medicine, İstanbul, Turkey Ankara Numune Training and Research Hospital, Clinic of Emergency Medicine, Ankara, Turkey Okan University Hospital, Clinic of Radiology, İstanbul, Turkey Ankara Duatepe Polatlı State Hospital, Clinic of Medical Biochemistry, Ankara, Turkey University of Health Sciences Turkey, İstanbul Bağcılar Training and Research Hospital, Clinic of Emergency Medicine, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Bağcılar Training and Research Hospital, Clinic of Emergency Medicine, İstanbul, Turkey Ankara Training and Research Hospital, Clinic of Emergency Medicine, Ankara, Turkey Objective:Cerebrovascular disease is a frequent cause of emergency department visits, and early diagnosis can reduce mortality and morbidity. It was aimed to evaluate the relationship between diffusion-weighted-magnetic resonance imaging (DW-MRI) and blood ischemic modified albumin (IMA) levels of cerebrovascular diseases in terms of demographic characteristics, mortality, and morbidity.Method:This prospective cohort study included 44 patients diagnosed with ischemic stroke in the emergency room between January and July 2014 and 44 people in the control group. Age, gender, vital signs, co-morbid disease states, neurological deficit levels, IMA levels, DW-MRI involvement volumes, and mortality rates were analyzed in patients who were diagnosed with stroke and who had DW-MRI restrictions. Also, a control group of 44 volunteers who applied to our emergency department was added to compare the IMA level.Results:The median age of the patients was 71 years (24 males, 20 females, range 47 to 83 years) and the median age of the control group was 68 (25 males, 19 females, range 52 to 79) years. The median age of the control group was close to that of the patient group, the two groups were also similar in terms of gender distribution. The most common co-morbid disease was hypertension 28 (63.6%), atrial fibrillation (AF) 14 (31.8%), diabetes mellitus (DM) 10 (22.8%) and coronary artery disease 10 (22.8%). The median value of the IMA level was 13.84 in the patient group and 8.66 in the control group. While the patients’ NIHSS stroke score was high, the area of involvement in MRI and also IMA levels increased. Besides, diffusion involvement area and IMA levels were positively and moderately correlated.Conclusion:IMA level can be considered as a parameter that can be used in acute ischemic stroke and as an indicator of the diffusion restriction area in MRI. http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-brain-schemic-volume-correlation-with-the-sche/42811 acute ischemic strokebiomarkersdiffusion-weighted magnetic resonance imaginingischemic modified albumin
spellingShingle Burak Demirci
Muhammed Evvah Karakılıç
Abuzer Coşkun
Cihat Yel
Sadık Ahmet Uyanık
Kübranur Ünal
İsa Başpınar
Çilem Çaltılı
Selim İnan
The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin Level
Bagcilar Medical Bulletin
acute ischemic stroke
biomarkers
diffusion-weighted magnetic resonance imagining
ischemic modified albumin
title The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin Level
title_full The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin Level
title_fullStr The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin Level
title_full_unstemmed The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin Level
title_short The Brain Ischemic Volume Correlation with the Ischemic Modified Albumin Level
title_sort brain ischemic volume correlation with the ischemic modified albumin level
topic acute ischemic stroke
biomarkers
diffusion-weighted magnetic resonance imagining
ischemic modified albumin
url http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-brain-schemic-volume-correlation-with-the-sche/42811
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