Prognostic value of blood interleukin-6 in the prediction of functional outcome after stroke : a systematic review and meta-analysis

Copyright © 2014 Elsevier B.V. All rights reserved..

We aimed to quantify the association of blood interleukin-6 (IL-6) concentrations with poor outcome after stroke and its added predictive value over clinical information. Meta-analysis of 24 studies confirmed this association with a weighted mean difference of 3.443 (1.592-5.294) pg/mL, despite high heterogeneity and publication bias. Individual participant data including 4112 stroke patients showed standardized IL-6 levels in the 4th quartile were independently associated with poor outcome (OR=2.346 (1.814-3.033), p<0.0001). However, the additional predictive value of IL-6 was moderate (IDI=1.5%, NRI=5.35%). Overall these results indicate an unlikely translation of IL-6 into clinical practice for this purpose.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:274

Enthalten in:

Journal of neuroimmunology - 274(2014), 1-2 vom: 15. Sept., Seite 215-24

Sprache:

Englisch

Beteiligte Personen:

Bustamante, Alejandro [VerfasserIn]
Sobrino, Tomás [VerfasserIn]
Giralt, Dolors [VerfasserIn]
García-Berrocoso, Teresa [VerfasserIn]
Llombart, Victor [VerfasserIn]
Ugarriza, Iratxe [VerfasserIn]
Espadaler, Marc [VerfasserIn]
Rodríguez, Noelia [VerfasserIn]
Sudlow, Cathie [VerfasserIn]
Castellanos, Mar [VerfasserIn]
Smith, Craig J [VerfasserIn]
Rodríguez-Yánez, Manuel [VerfasserIn]
Waje-Andreassen, Ulrike [VerfasserIn]
Tanne, David [VerfasserIn]
Oto, Jun [VerfasserIn]
Barber, Mark [VerfasserIn]
Worthmann, Hans [VerfasserIn]
Wartenberg, Katja E [VerfasserIn]
Becker, Kyra J [VerfasserIn]
Chakraborty, Baidarbhi [VerfasserIn]
Oh, Seung-Hun [VerfasserIn]
Whiteley, William N [VerfasserIn]
Castillo, José [VerfasserIn]
Montaner, Joan [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
IL6 protein, human
Individual participant data analysis
Interleukin-6
Journal Article
Meta-Analysis
Meta-analysis
Outcome
Post-stroke infection
Research Support, Non-U.S. Gov't
Review
Stroke
Systematic Review

Anmerkungen:

Date Completed 11.11.2014

Date Revised 30.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jneuroim.2014.07.015

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM240693108