Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke

Abstract Background Chronic inflammatory disorders in atrial fibrillation (AF) contribute to the onset of ischemic stroke. Systemic immune inflammation index (SIII) and system inflammation response index (SIRI) are the two novel and convenient measurements that are positively associated with body in...

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Main Authors: Kai-bin Lin, Feng-hua Fan, Ming-qi Cai, Yin Yu, Chuan-liang Fu, Lu-yue Ding, Yu-dong Sun, Jia-wen Sun, Yong-wang Shi, Zhi-feng Dong, Min-Jie Yuan, Shuai Li, Yan-peng Wang, Kan-kai Chen, Ji-ni Zhu, Xin-wei Guo, Xue Zhang, Yu-wu Zhao, Jing-bo Li, Dong Huang
Format: Article
Language:English
Published: BMC 2022-07-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-022-00733-9
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author Kai-bin Lin
Feng-hua Fan
Ming-qi Cai
Yin Yu
Chuan-liang Fu
Lu-yue Ding
Yu-dong Sun
Jia-wen Sun
Yong-wang Shi
Zhi-feng Dong
Min-Jie Yuan
Shuai Li
Yan-peng Wang
Kan-kai Chen
Ji-ni Zhu
Xin-wei Guo
Xue Zhang
Yu-wu Zhao
Jing-bo Li
Dong Huang
author_facet Kai-bin Lin
Feng-hua Fan
Ming-qi Cai
Yin Yu
Chuan-liang Fu
Lu-yue Ding
Yu-dong Sun
Jia-wen Sun
Yong-wang Shi
Zhi-feng Dong
Min-Jie Yuan
Shuai Li
Yan-peng Wang
Kan-kai Chen
Ji-ni Zhu
Xin-wei Guo
Xue Zhang
Yu-wu Zhao
Jing-bo Li
Dong Huang
author_sort Kai-bin Lin
collection DOAJ
description Abstract Background Chronic inflammatory disorders in atrial fibrillation (AF) contribute to the onset of ischemic stroke. Systemic immune inflammation index (SIII) and system inflammation response index (SIRI) are the two novel and convenient measurements that are positively associated with body inflammation. However, little is known regarding the association between SIII/SIRI with the presence of AF among the patients with ischemic stroke. Methods A total of 526 ischemic stroke patients (173 with AF and 353 without AF) were consecutively enrolled in our study from January 2017 to June 2019. SIII and SIRI were measured in both groups. Logistic regression analysis was used to analyse the potential association between SIII/SIRI and the presence of AF. Finally, the correlation between hospitalization expenses, changes in the National Institutes of Health Stroke Scale (NIHSS) scores and SIII/SIRI values were measured. Results In patients with ischemic stroke, SIII and SIRI values were significantly higher in AF patients than in non-AF patients (all p < 0.001). Moreover, with increasing quartiles of SIII and SIRI in all patients, the proportion of patients with AF was higher than that of non-AF patients gradually. Logistic regression analyses demonstrated that log-transformed SIII and log-transformed SIRI were independently associated with the presence of AF in patients with ischemic stroke (log-transformed SIII: odds ratio [OR]: 1.047, 95% confidence interval CI = 0.322–1.105, p = 0.047; log-transformed SIRI: OR: 6.197, 95% CI = 2.196–17.484, p = 0.001). Finally, a positive correlation between hospitalization expenses, changes in the NIHSS scores and SIII/SIRI were found, which were more significant in patients with AF (all p < 0.05). Conclusions Our study suggests SIII and SIRI are convenient and effective measurements for predicting the presence of AF in patients with ischemic stroke. Moreover, they were correlated with increased financial burden and poor short-term prognosis in AF patients presenting with ischemic stroke.
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spelling doaj.art-f4ee73a16bed49f69d926aaae065327e2022-12-22T02:27:59ZengBMCEuropean Journal of Medical Research2047-783X2022-07-012711810.1186/s40001-022-00733-9Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic strokeKai-bin Lin0Feng-hua Fan1Ming-qi Cai2Yin Yu3Chuan-liang Fu4Lu-yue Ding5Yu-dong Sun6Jia-wen Sun7Yong-wang Shi8Zhi-feng Dong9Min-Jie Yuan10Shuai Li11Yan-peng Wang12Kan-kai Chen13Ji-ni Zhu14Xin-wei Guo15Xue Zhang16Yu-wu Zhao17Jing-bo Li18Dong Huang19Heart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictSchool of Medicine, Shanghai Jiaotong UniversitySchool of Medicine, Shanghai Jiaotong UniversitySchool of Medicine, Shanghai Jiaotong UniversitySchool of Biomedical Engineering, Shanghai Jiao Tong UniversityZhiyuan College, Shanghai Jiaotong UniversityHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictDepartment of Neurology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong UniversityHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictHeart Center, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Xuhui DistrictAbstract Background Chronic inflammatory disorders in atrial fibrillation (AF) contribute to the onset of ischemic stroke. Systemic immune inflammation index (SIII) and system inflammation response index (SIRI) are the two novel and convenient measurements that are positively associated with body inflammation. However, little is known regarding the association between SIII/SIRI with the presence of AF among the patients with ischemic stroke. Methods A total of 526 ischemic stroke patients (173 with AF and 353 without AF) were consecutively enrolled in our study from January 2017 to June 2019. SIII and SIRI were measured in both groups. Logistic regression analysis was used to analyse the potential association between SIII/SIRI and the presence of AF. Finally, the correlation between hospitalization expenses, changes in the National Institutes of Health Stroke Scale (NIHSS) scores and SIII/SIRI values were measured. Results In patients with ischemic stroke, SIII and SIRI values were significantly higher in AF patients than in non-AF patients (all p < 0.001). Moreover, with increasing quartiles of SIII and SIRI in all patients, the proportion of patients with AF was higher than that of non-AF patients gradually. Logistic regression analyses demonstrated that log-transformed SIII and log-transformed SIRI were independently associated with the presence of AF in patients with ischemic stroke (log-transformed SIII: odds ratio [OR]: 1.047, 95% confidence interval CI = 0.322–1.105, p = 0.047; log-transformed SIRI: OR: 6.197, 95% CI = 2.196–17.484, p = 0.001). Finally, a positive correlation between hospitalization expenses, changes in the NIHSS scores and SIII/SIRI were found, which were more significant in patients with AF (all p < 0.05). Conclusions Our study suggests SIII and SIRI are convenient and effective measurements for predicting the presence of AF in patients with ischemic stroke. Moreover, they were correlated with increased financial burden and poor short-term prognosis in AF patients presenting with ischemic stroke.https://doi.org/10.1186/s40001-022-00733-9Atrial fibrillationSystemic immune inflammation indexSystemic inflammation response indexIschemic stroke
spellingShingle Kai-bin Lin
Feng-hua Fan
Ming-qi Cai
Yin Yu
Chuan-liang Fu
Lu-yue Ding
Yu-dong Sun
Jia-wen Sun
Yong-wang Shi
Zhi-feng Dong
Min-Jie Yuan
Shuai Li
Yan-peng Wang
Kan-kai Chen
Ji-ni Zhu
Xin-wei Guo
Xue Zhang
Yu-wu Zhao
Jing-bo Li
Dong Huang
Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke
European Journal of Medical Research
Atrial fibrillation
Systemic immune inflammation index
Systemic inflammation response index
Ischemic stroke
title Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke
title_full Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke
title_fullStr Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke
title_full_unstemmed Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke
title_short Systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke
title_sort systemic immune inflammation index and system inflammation response index are potential biomarkers of atrial fibrillation among the patients presenting with ischemic stroke
topic Atrial fibrillation
Systemic immune inflammation index
Systemic inflammation response index
Ischemic stroke
url https://doi.org/10.1186/s40001-022-00733-9
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