Prevalence and Clinical Relevance of Antiphospholipid Antibodies in Ischemic Stroke: A Systematic Review and Meta-Analysis.
Nathan W Watson, Syed Bukhari, Sina Rashedi et al.
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In 30 seconds
This systematic review and meta-analysis examined the prevalence of antiphospholipid antibodies (aPL) in patients with ischemic stroke. Among 9438 patients, the pooled prevalence of aPL seropositivity was 19.1%. The analysis revealed that aPL seropositivity was associated with increased odds of first ischemic stroke (OR, 2.93), particularly for lupus anticoagulant (OR, 6.69).
Key findings
- Pooled prevalence of aPL seropositivity in ischemic stroke patients was 19.1%.
- aPL seropositivity increased the odds of first ischemic stroke (OR, 2.93).
- Lupus anticoagulant showed the strongest association with first ischemic stroke (OR, 6.69).
- No significant difference in recurrent ischemic stroke odds with aPL seropositivity (OR, 1.20).
Why it matters
Understanding the prevalence and implications of aPL seropositivity in ischemic stroke patients can aid clinicians in risk assessment and management strategies for stroke prevention.