Evidence map›Paper›PMID 38438839›Full record

ArticleBMC neurology2024

The associations between peripheral inflammatory and lipid parameters, white matter hyperintensity, and cognitive function in patients with non-disabling ischemic cerebrovascular events.

Binghan Li, Zhengsheng Gu, Weisen Wang, Bingying Du, Chenghao Wu, Bin Li, Tianren Wang, Ge Yin, Xin Gao, Jingjing Chen and 3 more

Abstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Binghan Li *Department of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Zhengsheng Gu *Department of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Weisen Wang *Department of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Bingying DuDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Chenghao WuDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Bin LiDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Tianren WangDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Ge YinDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Xin GaoDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Jingjing ChenDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Xiaoying BiDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China.
Hailing ZhangDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China. dr_zhl@sina.com.
Xu SunDepartment of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, China. Sunxu20232023@163.com.

Funding

234 discipline peak climbing program of Shanghai Changhai hospital 2019YXK013National Natural Science Foundation of China 81871040Scientific research project of Shanghai Health Commission 20214Y0500Scientific research project of Shanghai Health Commission 202340066
6 · The paper itself

Abstract

backgroundThe global prevalence of VCI has increased steadily in recent years, but diagnostic biomarkers for VCI in patients with non-disabling ischemic cerebrovascular incidents (NICE) remain indefinite. The primary objective of this research was to investigate the relationship between peripheral serological markers, white matter damage, and cognitive function in individuals with NICE.

methodsWe collected clinical data, demographic information, and medical history from 257 patients with NICE. Using the MoCA upon admission, patients were categorized into either normal cognitive function (NCF) or VCI groups. Furthermore, they were classified as having mild white matter hyperintensity (mWMH) or severe WMH based on Fazekas scores. We then compared the levels of serological markers between the cognitive function groups and the WMH groups.

resultsAmong 257 patients with NICE, 165 were male and 92 were female. Lymphocyte count (OR = 0.448, P < 0.001) and LDL-C/HDL-C (OR = 0.725, P = 0.028) were protective factors for cognitive function in patients with NICE. The sWMH group had a higher age and inflammation markers but a lower MoCA score, and lymphocyte count than the mWMH group. In the mWMH group, lymphocyte count (AUC = 0.765, P < 0.001) and LDL-C/HDL-C (AUC = 0.740, P < 0.001) had an acceptable diagnostic value for the diagnosis of VCI. In the sWMH group, no significant differences were found in serological markers between the NCF and VCI groups.

conclusionLymphocyte count, LDL-C/HDL-C were independent protective factors for cognitive function in patients with NICE; they can be used as potential biological markers to distinguish VCI in patients with NICE and are applicable to subgroups of patients with mWMH.

Indexed as

LeukoaraiosisWhite MatterCholesterol, LDLCognitionFemaleHospitalizationHumansInflammationMaleCholesterol, LDLLipid ParameterLow density lipoprotein-CNon-disabling ischemic cerebrovascular eventSerum biomarkerVascular cognitive impairmentWhite matter hyperintensity

Identifiers

PMID38438839
PMCPMC10910845

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.