The Hemoglobin, Albumin, Lymphocyte, and Platelet (HALP) Score Is Associated With Poor Outcome of Acute Ischemic Stroke

Frontiers in Neurology

Bo Song²  Shilei Sun²  Yuming Xu²  Xiao Wang²  Wenxian Sun²  Xin Wang²  Jun Wu²  Mengke Tian²  Youfeng Li²  Xuan Tian²  Lu-lu Pei²  Luyang Zhang²  Ferdinando Buonanno³  Mingming Ning³ 

[1] Department of Neurology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China;Henan Key Laboratory of Cerebrovascular Diseases, Zhengzhou, China;Massachusetts General Hospital and Harvard Medical School, Clinical Proteomics Research Center and Cardio-Neurology, Boston, MA, United States;

关键词: acute ischemic stroke;    cohort study;    HALP score;    outcome;    risk factors;   

DOI  :  10.3389/fneur.2020.610318

来源: DOAJ

【 摘 要 】

Background: The combined index of hemoglobin, albumin, lymphocyte, and platelet (HALP) is considered a novel score to reflect systemic inflammation and nutritional status. This study aimed to investigate the association between HALP score and poor outcome in patients with acute ischemic stroke (AIS).Methods: Consecutive AIS patients within 24 h after onset were prospectively enrolled. Poor outcome was a combination of a new stroke event (ischemic and hemorrhagic) and all-cause death within 90 days and 1 year. The association between HALP score and poor outcome was analyzed using Cox proportional hazards.Results: A total of 1,337 patients were included. Overall, 60 (4.5%) and 118 (8.8%) patients experienced poor outcome within 90 days and 1 year, respectively. Patients in the highest tertile of HALP score had a lower risk of poor outcome within 90 days and 1 year (hazard ratio: 0.25 and 0.42; 95% confidence intervals: 0.11–0.57 and 0.25–0.69, P for trend <0.01 for all) compared with those in the lowest tertile after adjusting relevant confounding factors. Adding HALP score to the conventional risk factors improved prediction of poor outcome in patients with AIS within 90 days and 1 year (net reclassification index, 48.38 and 28.95%; integrated discrimination improvement, 1.51 and 1.51%; P < 0.05 for all).Conclusions: Increased HALP score was associated with a decreased risk of recurrent stroke and death within 90 days and 1 year after stroke onset, suggesting that HALP score may serve as a powerful indicator for AIS.

【 授权许可】

Unknown