1. Laboratory tests as short-term correlates of stroke
- Author
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Michael A. Swiernik, Yang Huang, Trevor Sughrue, and James P. Brody
- Subjects
Male ,Aging ,Neurology ,Health records ,California ,Cohort Studies ,0302 clinical medicine ,Heart Rate ,80 and over ,Electronic Health Records ,030212 general & internal medicine ,Medical diagnosis ,Stroke ,Aged, 80 and over ,General Medicine ,Middle Aged ,Prognosis ,Survival Rate ,Cholesterol ,Female ,Cognitive Sciences ,Research Article ,Adult ,medicine.medical_specialty ,Adolescent ,HDL ,Clinical Neurology ,and over ,LDL ,Young Adult ,03 medical and health sciences ,medicine ,Humans ,Psychiatry ,Survival analysis ,Retrospective Studies ,Aged ,Neurology & Neurosurgery ,Clinical Laboratory Techniques ,Proportional hazards model ,business.industry ,Cholesterol, HDL ,Neurosciences ,Cholesterol, LDL ,medicine.disease ,Blood Cell Count ,Brain Disorders ,Term (time) ,Good Health and Well Being ,Relative risk ,Emergency medicine ,Neurology (clinical) ,business ,Blood Chemical Analysis ,030217 neurology & neurosurgery ,Forecasting - Abstract
Background The widespread adoption of electronic health records provides new opportunities to better predict which patients are likely to suffer a stroke. Using electronic health records, we assessed the correlation of different laboratory tests to future occurrences of a stroke. Methods We examined the electronic health records of 2.4 million people over a two year time span. These records contained 26,964 diagnoses of stroke. Using Cox regression analysis, we measured whether any one of 1796 different laboratory tests were effectively correlated with a future diagnosis of stroke. Results We identified 38 different laboratory tests that had significant short-term (two year) prognostic value for a future diagnosis of stroke. For each of the 38 laboratory tests we also compiled the Kaplan-Meier survival curve, and relative risk ratio that the test confers. Conclusion Several dozen laboratory tests are effective short-term correlates of stroke. Electronic supplementary material The online version of this article (doi:10.1186/s12883-016-0619-y) contains supplementary material, which is available to authorized users.
- Published
- 2016
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