Plasma Cluster of Differentiation 147 and Cognitive Impairment After Acute Ischemic Stroke.
Wenyu Zhao, Lulu Sun, Jiaxin Zan et al.
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In 30 seconds
This multicenter randomized controlled trial investigated the relationship between plasma CD147 levels and poststroke cognitive impairment (PSCI) in 612 patients with acute ischemic stroke. The study found that elevated plasma CD147 levels were associated with higher odds of PSCI, with an odds ratio of 1.75 (95% CI, 1.21-2.51) after multivariate adjustment.
Key findings
- 317 participants developed PSCI as defined by the Mini-Mental State Examination.
- Elevated plasma CD147 levels were associated with an odds ratio of 1.75 for PSCI.
- Adding plasma CD147 to conventional risk factors improved discriminatory power (C statistics, 0.695 vs 0.711).
- Similar associations were observed using the Montreal Cognitive Assessment for PSCI.
Why it matters
Understanding the role of plasma CD147 in cognitive impairment after stroke could help identify patients at risk for PSCI, potentially guiding monitoring and intervention strategies in clinical practice.