Elevated Urinary Titin and its Associated Clinical Outcomes after Acute Stroke

• Material Type: 博士論文
• Title: Elevated Urinary Titin and its Associated Clinical Outcomes after Acute Stroke
• Author/Editor: Ishihara, Manabu; Nakanishi, Nobuto; Tsutsumi, Rie; Hara, Kanako; Machida, Kyoka; Yamamoto, Nobuaki; Kanematsu, Yasuhisa; Sakaue, Hiroshi; Oto, Jun; Takagi, Yasushi
• Author Heading: Ishihara, Manabu; Nakanishi, Nobuto; Tsutsumi, Rie; Hara, Kanako; Machida, Kyoka; Yamamoto, Nobuaki; Kanematsu, Yasuhisa; Sakaue, Hiroshi; Oto, Jun; Takagi, Yasushi
• Publication, Distribution, etc.: Elsevier
• Publication Date: 2020-12-24; 30 3
• Publication Date (W3CDTF): 2020-12-24
• Alternative Title: 尿中タイチンの上昇は、急性期脳卒中の転帰と関連する
• Degree grantor/type: 徳島大学
• Date Granted: 2024-06-27
• Date Granted (W3CDTF): 2024-06-27
• Dissertation Number: 甲第3836号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Stroke; Titin; Muscle atrophy; Biomarker; Prognosis; urinary titin; acute stroke; nutrition; rehabilitation
• Target Audience: 一般
• Note (General): Introduction: Urinary titin is a biomarker of muscle atrophy, which is a serious complication after stroke. However, there are currently no clinical data regarding urinary titin in stroke patients. Methods: Consecutive stroke patients admitted to the stroke care unit were included. Spot urine samples were collected immediately after admission, and on days 3, 5, and 7. The primary outcome was the trend of urinary titin in patients after acute stroke. The secondary outcomes included the association between the peak urinary titin level and the modified Rankin Scale (mRS) score, the National Institutes of Health Stroke Scale (NIHSS) score, and the Barthel index (BI) upon hospital discharge. Multivariate analysis was adjusted for age, sex, NIHSS at admission, and the peak urinary titin to predict poor outcome (mRS 3–6). Results: Forty-one patients were included (29 male; age, 68±15 years), 29 had ischemic stroke, 8 had intracerebral hemorrhage, and 4 had subarachnoid hemorrhage. The levels of urinary titin on days 1, 3, 5, and 7 were 9.9 (4.7–21.1), 16.2 (8.6–22.0), 8.9 (4.8–15.2), and 8.7 (3.6–16.2) pmol/mg Cr, respectively. The peak urinary titin level was associated with the mRS score (r = 0.55, p < 0.01), the NIHSS score (r = 0.72, p < 0.01), and the BI (r = –0.59, p < 0.01) upon hospital discharge. In multivariate analysis, the peak urinary titin was associated with poor outcome (p = 0.03). Conclusions: Urinary titin rapidly increased after stroke and was associated with impaired functional outcomes at hospital discharge.
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• Date Accepted (W3CDTF): 2024-08-02T22:09:17+09:00
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