Abstract
BackgroundSerum triiodothyronine (T3) concentration was reported to be associated with the prognosis after acute ischemic stroke. The aim of this study was to evaluate the effect of age on the prognostic value of thyroid-related hormones after an acute ischemic stroke.MethodsThis was a retrospective study involving the review of 1072 ischemic stroke patients who had been consecutively admitted to the hospital within 72 h of symptom onset. Total triiodothyronine (T3), total thyroxine (T4), free T3, free T4, and thyroid-stimulating hormone (TSH) were assessed to determine their values for predicting functional outcome at the first follow-up clinic visits, which usually occurred 2 to 4 weeks after discharge from the hospital.ResultsA total of 768 patients were finally included in the study and divided into two age groups: a younger group (age < 65 years) and an older group (age ≥ 65 years). On univariate analysis, four factors—lower total T3, free T3 concentrations, higher scores on the National Institute of Health Stroke Scale (NIHSS) and the presence of atrial fibrillation—were associated with poor functional outcomes in both groups. In addition, older age, female gender, higher free T4, and lower TSH levels were also associated with poor function in the older group. On multiple logistic regression analysis, higher NIHSS scores (odds ratio [OR] =1.95; 95% confidence interval [CI], 1.66–2.30; P ≤ .001) and lower total T3 concentrations (OR = 0.06; 95% CI, 0.01–0.68; P = .024) remained independently associated with poor functional outcome in the older group. However, the independent association with poor function of lower total T3 was not confirmed in the younger group.ConclusionsThe prognostic value of low total T3 is age-associated and more meaningful in an older population.
Highlights
Serum triiodothyronine (T3) concentration was reported to be associated with the prognosis after acute ischemic stroke
Previous studies have shown an association of serum triiodothyronine (T3) concentration with prognosis after acute ischemic stroke; that is, a reduction in T3 level without an elevation in thyroid-stimulating hormone (TSH) was reported to be associated with poorer clinical outcomes [1,2,3,4]
During the study period, 1072 ischemic stroke patients were admitted to our acute stroke unit within 72 h after symptom onset
Summary
Serum triiodothyronine (T3) concentration was reported to be associated with the prognosis after acute ischemic stroke. Previous studies have shown an association of serum triiodothyronine (T3) concentration with prognosis after acute ischemic stroke; that is, a reduction in T3 level without an elevation in thyroid-stimulating hormone (TSH) (i.e., low T3 syndrome) was reported to be associated with poorer clinical outcomes [1,2,3,4]. As a special physiologic status, aging may influence the prognostic value of some known or possible predictors. Li et al BMC Neurology (2019) 19:54 of outcome after stroke; this study was designed to investigate the effect of age on the prognostic value of thyroid-related hormones after acute ischemic stroke
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