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Vitamin D deficiency is associated with acute ischemic stroke,C-reactive protein,and short-term outcome
Authors:Alfieri  Daniela Frizon  Lehmann   Márcio Francisco  Oliveira   Sayonara Rangel  Flauzino   Tamires  Delongui   Francieli  de Araújo  Maria Caroline Martins  Dichi   Isaias  Delfino   Vinícius Daher  Mezzaroba   Leda  Simão  Andréa Name Colado  Reiche   Edna Maria Vissoci
Affiliation:1.Postgraduate Program, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil
;2.Department of Clinical Surgery, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil
;3.Medicine School, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil
;4.Departmet of Clinical Medicine, Health Sciences Center, State University of Londrina, Londrina, Paraná, Brazil
;5.Department of Pathology, Clinical Analysis and Toxicology, Health Sciences Center, State University of Londrina, Av. Robert Koch, 60, CEP 86.038-440, Londrina, Paraná, Brazil
;
Abstract:

The aim of this study was to investigate whether vitamin D deficiency (VDD) is associated with acute ischemic stroke, inflammatory markers, and short-term outcome. 168 acute ischemic stroke patients and 118 controls were included. The modified Rankin Scale (mRS) was applied up to 8 h of admission (baseline) and after three-months follow-up, and blood samples were obtained up to 24 h of admission to evaluate serum levels of 25-hydroxivitamin D [25(OH)D] and inflammatory markers. Vitamin D levels classified the individuals in sufficient (VDS?≥?30.0 ng/mL), insufficient (VDI 20.0–29.9 ng/mL), and deficient (VDD?p?p?p?=?0.043); those with poor outcome presented with lower 25(OH)D levels than those with good outcome (p?=?0.008); moreover, 25(OH)D levels were negatively correlated with mRS after three-months follow-up (r?=??0.239, p?=?0.005). The associations between VDD and higher hsCRP levels and between 25(OH)D levels and poor outcome at short-term in acute ischemic stroke patients suggest the important role of vitamin D in the inflammatory response and pathophysiology of this ischemic event.

Keywords:
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