1. Lower Serum Iron and Hemoglobin Levels are Associated with Acute Seizures in Patients with Ruptured Cerebral Aneurysms
- Author
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Peng Lin, Yuanxiang Lin, Pei-Sen Yao, Zhangya Lin, Yi-Bin Zhang, Dezhi Kang, Shu-Fa Zheng, Huang-Cheng Shang-Guan, and Guo-Rong Chen
- Subjects
Adult ,Male ,medicine.medical_specialty ,Subarachnoid hemorrhage ,Iron ,Critical Care and Intensive Care Medicine ,Gastroenterology ,Coronary artery disease ,Hemoglobins ,03 medical and health sciences ,Epilepsy ,0302 clinical medicine ,Seizures ,Internal medicine ,Diabetes mellitus ,Odds Ratio ,medicine ,Humans ,Risk factor ,Univariate analysis ,Anemia, Iron-Deficiency ,Rupture, Spontaneous ,medicine.diagnostic_test ,business.industry ,Anemia ,Intracranial Aneurysm ,030208 emergency & critical care medicine ,Middle Aged ,Subarachnoid Hemorrhage ,medicine.disease ,Logistic Models ,Multivariate Analysis ,Serum iron ,Female ,Neurology (clinical) ,Hemoglobin ,business ,030217 neurology & neurosurgery - Abstract
The aim of the study is to investigate the value of serum iron and hemoglobin levels for predicting acute seizures following aneurysmal subarachnoid hemorrhage (aSAH). Clinical and laboratorial data from patients with ruptured intracranial aneurysms were collected in the retrospective study. Age, sex, symptom onset, history of diabetes and hypertension, history of coronary artery disease, temperature, Hunt–Hess grade, Fisher grade, aneurysm location, hemoglobin, serum potassium, sodium, calcium, phosphorus, and iron were collected. Acute seizures were determined as seizures within 1 week following aSAH. Propensity score matching (PSM) analyses were performed to correct imbalances in patient characteristics between seizure and non-seizure groups. A total of 760 patients were included. Incidence of acute seizures following aSAH was 6.4%. In the univariate analysis, significant differences were detected in age, admission Hunt–Hess grade, Fisher grade, hemoglobin, serum sodium, and serum iron between seizure and non-seizure groups. In multivariate logistic regression model, lower serum iron was considered as a risk factor for acute seizures (OR 0.182, 95% CI 0.084–0.393, p = 0.000), as well as lower hemoglobin (OR 0.977, 95% CI 0.962–0.993, p = 0.004) and higher serum sodium (OR 1.072, 95% CI 1.003–1.145, p = 0.039). After PSM, there were no significant differences in age, admission Hunt–Hess grade, Fisher grade, and serum sodium between seizure and non-seizure groups. The matched seizure group had lower serum iron and hemoglobin levels compared with the matched non-seizure group (p
- Published
- 2019