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Predicting value of fibrinogen in identifying cerebrovascular ischemic events in patients with dizziness/vertigo

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Abstract

Purpose

Dizziness and vertigo are caused by multiple etiologies, including cerebrovascular ischemic events. However, identifying cerebrovascular ischemic events as a cause of dizziness and vertigo remains a challenge. We tried to assess the value of fibrinogen (FIB) in identifying of cerebral ischemic event in patients with dizziness/vertigo.

Methods

The study enrolled patients with dizziness/vertigo presented within 72 h in a tertiary hospital. The plasma FIB levels were measured in all participants. According to the final diagnosis, participants were divided into cerebral ischemic events group and non-cerebrovascular diseases group. Multivariate logistic regression was performed to explore the association between FIB and cerebral ischemic events. The receiver operating characteristic curve was performed, and the nomogram was constructed to evaluate the overall prediction ability of FIB in cerebral ischemic event.

Results

A total of 298 participants were enrolled in our study, of 126 cerebral ischemic events patients. Multivariate logistic regression analysis showed that FIB was independently associated with cerebral ischemic event in patients with dizziness (OR = 1.84, 95%CI [1.15, 2.92], p = 0.010). The cut-off value of FIB in predicting cerebral ischemic event was 2.43 g/L (AUC = 0.658). The nomogram showed that higher FIB level was associated with a greater risk of cerebral ischemic event (C-index = 0.800).

Conclusions

Our study suggested that FIB may be a useful biochemical parameter for identifying cerebral ischemic event in patients with dizziness/vertigo.

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Authors and Affiliations

  1. Department of Neurology, the First Affiliated Hospital of Chongqing Medical University, Yuzhong District, 1 Youyi Road, Chongqing, 400016, China

    You Wang, Xueling Zhou & Yong Luo

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  1. You Wang
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  2. Xueling Zhou
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  3. Yong Luo
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Correspondence to Yong Luo.

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Considering the study was retrospective, the informed consent requirement was waived by the ethics committee of the hospital.

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Wang, Y., Zhou, X. & Luo, Y. Predicting value of fibrinogen in identifying cerebrovascular ischemic events in patients with dizziness/vertigo. Neurol Sci 43, 1105–1113 (2022). https://doi.org/10.1007/s10072-021-05363-3

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  • DOI: https://doi.org/10.1007/s10072-021-05363-3

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