国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

Inverse Association between High-Density Lipoprotein Cholesterol and Adverse Outcomes among Acute Ischemic Stroke Patients with Diabetes Mellitus

第一作者:Guoliang Hu

通讯作者:Yongjun Wang,Yilong Wang

high-density lipoprotein cholesterol lipids acute ischemic stroke diabetes mellitus recurrent stroke major adverse cardiovascular event

基本信息

  • 负责人:Guoliang Hu
  • 数据来源: CNSR-Ⅲ
  • 论文编号:CNSR-Ⅲ20210230
  • 发表时间:2021-12-20

2021-12-20

已发表文章

发表杂志:Biomedicines

发表类型: Original Contributions

影响因子(IF): 6.081

PMID: 34944763 Pubmed原文链接 全文下载

主要研究背景及目的

Low level of high-density lipoprotein cholesterol (HDL-C) is a well-established risk factor for cardiovascular diseases. Previous studies found a strong inverse association of HDL-C with worse outcomes. Experimental studies have found that the functionality of HDL may be lost in the diabetes mellitus (DM) state. A dose–response association between high HDL-C concentrations and high CVD risk was observed in participants with DM. However, few studies have assessed whether low levels of HDL-C were associated with an increased risk of adverse outcomes among AIS patients with DM.

方法

We described continuous variables as mean±SD or median (interquartile range) and categorical variables as proportions. Baseline characteristics stratified by HDL-C quintiles were compared by χ2 test for categorical variables and Kruskal-Wallis test for continuous variables for difference between the 5 groups. Cox proportional hazards models were used to calculate the hazard ratios (HRs) and 95% CIs. A 2-tailed P of <0.05 was considered as statistical significance. All statistical analyses were carried out by SAS software, version 9.4 (SAS Institute, Inc, Cary, NC).

结论

There were linear associations between HDL-C levels and the risks of both recurrent stroke and MACEs. Low HDL-C levels were associated with higher risks of recurrent stroke and MACEs within 1 year in AIS patients with diabetes mellitus.

主要结果

Patients in the lowest quintile of HDL-C had a higher risk of recurrent stroke (hazard ratio (HR) 1.59, 95% confidence interval (CI), 1.12–2.25) and MACEs (HR 1.53, 95% CI, 1.09–2.15) during 1-year follow-up compared with those in the highest quintile of HDL-C.