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A Direct Correlation between Red Blood Cell Indices and Cognitive Impairment After Aneurysmal Subarachnoid Hemorrhage (aSAH)

[ Vol. 16 , Issue. 2 ]

Author(s):

Li Gong, Yongzhe Gu, Qiong Dong, Xiang Zhang, Haichao Wang, Yanxin Zhao* and Xueyuan Liu*   Pages 142 - 147 ( 6 )

Abstract:


Background/Aims: Cognitive impairment can occur after aneurysmal subarachnoid hemorrhage (aSAH) though it commonly tends to be neglected. RBC indices are associated with long-term functional outcomes, while it is unclear whether RBC indices could be a potential predictor of cognitive decline after aSAH. We aimed to investigate the association between RBC indices and post-aSAH cognitive impairment at 1 year.

Methods: Patients with aSAH received neuropsychological test by the Montreal Cognitive Assessment (MoCA) and underwent serum and cerebrospinal fluid (CSF) samples test. To determine the association between RBC indices and cognitive impairment after acute aSAH, we adjusted for demographic and vascular risk factors using multivariate logistic regression analysis.

Results: Of the 126 patients included in this study, 33% (42/126) of them were diagnosed with cognitive impairment (MoCA<26). After adjustment for potential confounders, increased mean corpuscular volume (MCV) (OR: 1.36, 95%CI: 1.19-1.55) and mean corpuscular hemoglobin (MCH) (OR: 1.61, 95%CI: 1.25-2.08), reflecting systemic iron status, are more likely to be associated with cognitive impairment after aSAH.

Conclusions: In this aSAH population, our data shows the positive association between MCH and MCV and cognitive impairment at 1 year.

Keywords:

Aneurysmal subarachnoid hemorrhage (aSAH), red blood cell (RBC), cerebrospinal fluid (CSF), mean corpuscular hemoglobin (MCH), red cell distribution width (RDW), confidence interval (CI).

Affiliation:

Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, 301# Middle Yanchang Road, Shanghai 200072, Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, 301# Middle Yanchang Road, Shanghai 200072, Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, 301# Middle Yanchang Road, Shanghai 200072, Department of Neurosurgery, Shanghai Tenth People’s Hospital, Tongji University, 301# Middle Yanchang Road, Shanghai 200072, Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, 301# Middle Yanchang Road, Shanghai 200072, Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, 301# Middle Yanchang Road, Shanghai 200072, Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, 301# Middle Yanchang Road, Shanghai 200072



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