The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Monocyte/high-density lipoprotein ratio predicts the mortality in ischemic stroke patients
Abstract
OBJECTIVE: The inflammatory process is a very important stage in the development and prognosis of acute ischemic stroke (AIS). The monocyte to high-density lipoprotein (HDL) ratio (MHR) is accepted as a novel marker for demonstrating inflammation. However, the role of MHR as a predictor of mortality in patients with AIS remains unclear. METHODS: We retrospectively enrolled 466 patients who were referred to our clinic within the first 24hours of symptom presentation and who were diagnosed with AIS between January 2008 and June 2016. Four hundred and eight controls of similar age and gender were also included. The patient group was classified into two groups according to 30-day mortality. The groups were compared in terms of monocyte counts, HDL, and MHR values. RESULTS: The patient group had significantly higher monocyte counts and lower HDL levels; therefore, this group had higher values of MHR compared to controls. Additionally, the monocyte count and MHR value were higher, and the HDL level was lower in non-surviving patients (p<0.001). The MHR value was also observed as a significant independent variable of 30-day mortality in patients with AIS (p<0.001). The optimum cut-off value of MHR in predicting the 30-day mortality for patients with AIS was 17.52 (95% CI 0.95-0.98). CONCLUSION: Our study demonstrated that a high MHR value is an independent predictor of 30-day mortality in patients with AIS.
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“Furthermore, elevated MHR values were also observed in patients with ischemic stroke, unlike healthy controls who had normal values.”
From Residual Cardiovascular Risk: Role of Remnants Cholesterol, Monocyte/HDL Ratio and Lipoprotein Ratios on Personalized Cardiovascular Prevention (2024) · cites this paper as [30]
In the citing paper
“In particular, MHR was found to be an independent predictor of 30-day mortality in patients with stroke (with a cut-off value of 17.5 capable of adequately predicting this mortality) [30].”
From Residual Cardiovascular Risk: Role of Remnants Cholesterol, Monocyte/HDL Ratio and Lipoprotein Ratios on Personalized Cardiovascular Prevention (2024) · cites this paper as [30]
Citations
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Cited by
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Monocyte‐to‐HDL‐cholesterol ratio as a prognostic marker in cardiovascular diseases
Ganjali, S., Gotto, A. M., Ruscica, M., Atkin, S. L., Butler, A. E., Banach, M., & Sahebkar, A. (2018) · Journal of Cellular Physiology · doi:10.1002/jcp.27028 · Cited by 312
Jiang, M., Yang, J., Zou, H., Li, M., Sun, W. Y., & Kong, X. (2022) · Lipids in Health and Disease · doi:10.1186/s12944-022-01638-6 · Cited by 100
Karataş, A., Türkmen, E., Erdem, E., Düğeroğlu, H., & Kaya, Y. (2018) · Biomarkers in Medicine · doi:10.2217/bmm-2018-0048 · Cited by 60
Önalan, E. (2019) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.35.4.534 · Cited by 45
Oh, S. W., Yi, H. J., Lee, D. H., & Sung, J. H. (2020) · World Neurosurgery · doi:10.1016/j.wneu.2020.05.272 · Cited by 43
Metadata
- Authors
- Bolayir, A., Gokce, S. F., Cigdem, B., Bolayir, H. A., Yildiz, O. K., Bolayir, E., & Topaktas, S. A.
- Affiliations
- Sivas Cumhuriyet Üniversitesi (TR)
- ORCID
- Bolayir, Asli
- Venue
- Neurologia i Neurochirurgia Polska
- Publisher
- VM Media Group sp. z o.o
- Published
- 2018-03
- Volume
- 52
- Issue
- 2
- Pages
- 150-155
- ISSN
- 0028-3843 (ISSN-L)
- OpenAlex
- W2747790253
- Cited by
- 98
- References
- 27
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 6 · 2023: 13 · 2022: 13 · 2021: 17 · 2020: 24 · 2019: 5 · 2018: 8
- FWCI
- 7.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurologia i Neurochirurgia Polska (publishedVersion)
- PubMed (publishedVersion)
- Via Medica Journals (submittedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Oncology › Inflammatory Biomarkers in Disease Prognosis
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Keywords
- acute ischemic stroke, monocyte-to-HDL cholesterol ratio, high-density lipoprotein, monocyte count, 30-day mortality, mortality prediction, inflammation, prognostic factors, cut-off values
- MeSH terms
- Brain Ischemia, Humans, Lipoproteins, HDL, Cholesterol, HDL, Monocytes, Retrospective Studies, Stroke
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- The paper
- Bolayir, A., Gokce, S. F., Cigdem, B., Bolayir, H. A., Yildiz, O. K., Bolayir, E., & Topaktas, S. A. (2018). Monocyte/high-density lipoprotein ratio predicts the mortality in ischemic stroke patients. Neurologia i Neurochirurgia Polska. https://doi.org/10.1016/j.pjnns.2017.08.011