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Cited by 40Adrenal Hormones and DisordersPituitary Gland Disorders and TreatmentsGrowth Hormone and Insulin-like Growth Factors

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

Endocrine Alterations in Critically Ill Patients With Stroke During the Early Recovery Period

Dimopoulou, Ioanna, Kouyialis, Andreas T., Orfanos, Stylianos, Armaganidis, Apostolos, Tzanela, Marinella, Thalassinos, Nikolaos, Tsagarakis, Stylianos·2005·Neurocritical Care
DOI 10.1385/ncc:3:3:224
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Abstract

Introduction Endocrine abnormalities in critically ill patients with stroke during the early recovery period have not been well characterized.Methods To investigate this issue, 33 consecutive mechanically ventilated patients (27 men) with hemorrhagic (n = 21) or ischemic (n = 12) stroke having a mean age of 57 +/- 12 years were studied. Glasgow Coma Scale score on admission in the hospital was 8 +/- 3. The following basal hormones were measured within 72 hours postextubation: cortisol, corticotropin (ACTH), free thyroxine, tri-iodothyronine, thyroid-stimulating hormone, testosterone, estradiol, follicle-stimulating hormone, luteinizing hormone, growth hormone, and insulin-like growth factor (IGF)-1. Subsequently, a low-dose (1 microg) ACTH stimulation test was performed.Results Twenty-six (79%) patients showed endocrine alterations. The most common change was low IGF-1 levels compatible with growth hormone deficiency (45%), followed by hypogonadism (39%), thyroid dysfunction (36%), and cortisol hyporesponsiveness (33%).Conclusion Neuroendocrine changes occur with high frequency in critically ill patients with stroke during the early recovery period. It remains to be determined whether these changes have implications for functional and/or clinical outcome.

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Metadata

Authors
Dimopoulou, I., Kouyialis, A. T., Orfanos, S., Armaganidis, A., Tzanela, M., Thalassinos, N., & Tsagarakis, S.
Affiliations
National and Kapodistrian University of Athens (GR)
Corresponding author
Dimopoulou, Ioanna
ORCID
Venue
Neurocritical Care
Publisher
Springer Science and Business Media LLC
Published
2005
Volume
3
Issue
3
Pages
224-229
ISSN
1541-6933 (ISSN-L)
DOI
10.1385/ncc:3:3:224
OpenAlex
W2006882468
Cited by
40
References
40
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 4 · 2019: 1 · 2018: 1 · 2017: 4 · 2015: 1 · 2014: 5 · 2013: 1 · 2012: 1
FWCI
1.45
Type
journal article
Language
en
Open access
closed
Locations
  • Neurocritical Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
Keywords
stroke, endocrine alterations, neuroendocrine dysfunction, critically ill patients, hemorrhagic stroke, ischemic stroke, growth hormone deficiency, insulin-like growth factor I, hypogonadism, thyroid dysfunction, ACTH stimulation test, mechanical ventilation
MeSH terms
Aged, Cerebral Hemorrhage, Brain Ischemia, Endocrine System Diseases, Female, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Respiration, Artificial, Critical Illness, Stroke

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