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논문 기본 정보

자료유형
학술저널
저자정보
Sung Won Yun (Department of Family Medicine Hong-Ik Hospital Seoul Korea) Won Yong Kim (Department of Family Medicine Hong-Ik Hospital Seoul Korea) Jun Beom Lee (Department of Neurology Hong-Ik Hospital Seoul Korea)
저널정보
대한가정의학회 Korean Journal of Family Medicine Korean Journal of Family Medicine 제44권 제1호
발행연도
2023.1
수록면
53 - 57 (5page)
DOI
10.4082/kjfm.22.0117

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Background: Erythropoietin (EPO), which is associated with anemia, exerts neuroprotective effects in ischemic stroke. In cases of stenosis or narrowing of the main cerebral blood vessel, the prognosis is favorable if collateral blood circulation is well developed in acute stroke. Several studies have investigated the relationship between EPO administration and stroke outcomes. The present study investigated the correlation between serum EPO level and cerebral collateral circulation, which could result in favorable clinical outcomes.Methods: The study subjects were patients diagnosed with acute ischemic stroke who underwent initial brain magnetic resonance imaging between January 2020 and March 2022. Following brain computed tomography per-fusion for collateral flow, serum EPO levels were measured. Collaterals were assessed according to the Mass system and divided into good collateral (GC) or poor collateral (PC) groups. Serum EPO levels were determined using a chemiluminescence immunoassay method. A correlation coefficient analysis was conducted to determine the cor-relation between serum EPO levels and GC. A receiver operating characteristic curve analysis determined the cut-off value of EPO for GC.Results: Serum EPO levels were significantly higher in the GC than that in the PC group (P<0.05). The cut-off level of serum EPO for a good outcome was 9.1 mIU/mL.Conclusion: A high serum EPO (>9.1 mIU/mL) could be a marker of GC in patients with acute ischemic stroke that predicts good clinical outcomes.

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