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The impact of dyslipidemia on the prognosis and the recurrence in the patients with ischemic stroke

Research Project

Project/Area Number 24591300
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurology
Research InstitutionKyushu University

Principal Investigator

KUWASHIRO TAKAHIRO  九州大学, 医学(系)研究科(研究院), 研究員 (70568964)

Co-Investigator(Kenkyū-buntansha) KITAZONO Takanari  九州大学, 医学研究院, 教授 (70284487)
Co-Investigator(Renkei-kenkyūsha) KAMOUCHI Masahiro  九州大学, 医学研究院, 教授 (80346783)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords脳梗塞 / 予後 / 再発 / 脂質異常症 / HDLコレステロール / スタチン / アディポネクチン / 脳神経疾患 / 病型
Outline of Final Research Achievements

We investigated the prognosis of stroke patients from Fukuoka Stroke Registry (FSR) database. On February 28, 2015, the FSR data had the registration of 10,388 cases. In the consecutive ischemic stroke patients, we showed prescribed doses of statins reduced the risks of cerebrovascular events and all-cause mortality in a cohort of Japanese patients with first-ever ischemic stroke. Also, in stroke patients with diabetes mellitus, age, NIHSS score on admission, diabetic nephropathy and HbA1c were independently associated with a poor outcome 1 year after the first ischemic stroke. Furthermore, it was found that in patients with cardioembolic ischemic stroke age and C reactive protein were independent risk factors for recurrence in the first year after onset, and plasma adiponectin values might help to classify stroke subtypes and predict neurological severity and functional outcome in ischemic stroke patients.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (30 results)

All 2014 2013 2012

All Journal Article (12 results) (of which Peer Reviewed: 12 results) Presentation (13 results) Book (5 results)

  • [Journal Article] Significance of plasma adiponectin for diagnosis, neurological severity and functional outcome in ischemic stroke - Research for Biomarkers in Ischemic Stroke (REBIOS).2014

    • Author(s)
      Kuwashiro T, Ago T, Kamouchi M, Matsuo R, Hata J, Kuroda J, Fukuda K, Sugimori H, Fukuhara M, Awano H, Isomura T, Suzuki K, Yasaka M, Okada Y, Kiyohara Y, Kitazono T.
    • Journal Title

      Metabolism

      Volume: 63 Pages: 1093-1103

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] High blood pressure after acute ischemic stroke is associated with poor clinical outcomes: Fukuoka Stroke Registry.2014

    • Author(s)
      Ishitsuka K, Kamouchi M, Hata J, Fukuda K, Matsuo R, Kuroda J, Ago T, Kuwashiro T, Sugimori H, Nakane H, Kitazono T; FSR Investigators.
    • Journal Title

      Hypertension

      Volume: 63 Pages: 54-60

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Statins and the risks of stroke recurrence and death after ischemic stroke: the Fukuoka Stroke Registry.2013

    • Author(s)
      Makihara N, Kamouchi M, Hata J, Matsuo R, Ago T, Kuroda J, Kuwashiro T, Sugimori H, Kitazono T; Fukuoka Stroke Registry Investigators.
    • Journal Title

      Atherosclerosis

      Volume: 231(2) Pages: 211-215

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Predictive role of C reactive protein in stroke recurrence after cardioembolic stroke: the Fukuoka Stroke Registry.2013

    • Author(s)
      Kuwashiro T, Sugimori H, Ago T, Kuroda J, Kamouchi M, Kitazono T; FSR Investigators (see appendix).
    • Journal Title

      BMJ Open

      Volume: 3(11) Pages: 2013-3678

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Intensity of anticoagulation and clinical outcomes in acute cardioembolic stroke: the Fukuoka Stroke Registry.2013

    • Author(s)
      Nakamura A, Ago T, Kamouchi M, Hata J, Matsuo R, Kuroda J, Kuwashiro T, Sugimori H, Kitazono T; Fukuoka Stroke Registry Investigators.
    • Journal Title

      Stroke

      Volume: 44(11) Pages: 3239-42

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical significance of plasma VEGF value in ischemic stroke - research for biomarkers in ischemic stroke (REBIOS) study.2013

    • Author(s)
      Matsuo R, Ago T, Kamouchi M, Kuroda J, Kuwashiro T, Hata J, Sugimori H, Fukuda K, Gotoh S, Makihara N, Fukuhara M, Awano H, Isomura T, Suzuki K, Yasaka M, Okada Y, Kiyohara Y, Kitazono T.
    • Journal Title

      BMC Neurol

      Volume: 8

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] The impact of predisposing factors on long-term outcome after stroke in diabetic patients: the Fukuoka Stroke Registry.2013

    • Author(s)
      Kuwashiro T, Sugimori H, Ago T, Kuroda J, Kamouchi M, Kitazono T.
    • Journal Title

      Eur J Neurol

      Volume: 20(6) Pages: 921-7

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Early findings on brain computed tomography and the prognosis of post-cardiac arrest syndrome: application of the score for stroke patients.2013

    • Author(s)
      Sugimori H, Kanna T, Yamashita K, Kuwashiro T, Yoshiura T, Zaitsu A, Hashizume M.
    • Journal Title

      Resuscitation

      Volume: 83(7) Pages: 848-54

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Early findings on brain computed tomography and the prognosis of post-cardiac arrest syndrome: application of the score for stroke patients.2012

    • Author(s)
      Sugimori H, Kanna T, Yamashita K, Kuwashiro T, Yoshiura T, Zaitsu A, Hashizume M.
    • Journal Title

      Resuscitation.

      Volume: 83 (7) Pages: 848-854

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Risk factors predisposing to stroke recurrence within one year of non-cardioembolic stroke onset: the Fukuoka Stroke Registry.2012

    • Author(s)
      Kuwashiro T, Sugimori H, Ago T, Kamouchi M, Kitazono T; FSR Investigators.
    • Journal Title

      Cerebrovasc Dis.

      Volume: 33 (2) Issue: 2 Pages: 141-149

    • DOI

      10.1159/000334190

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Lower levels of high-density lipoprotein cholesterol on admission and a recurrence of ischemic stroke: a 12-month follow-up of the Fukuoka Stroke Registry.2012

    • Author(s)
      Kuwashiro T, Sugimori H, Kamouchi M, Ago T, Kitazono T, Iida M.
    • Journal Title

      J Stroke Cerebrovasc Dis.

      Volume: 21 (7) Pages: 561-568

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] High plasma D-dimer is a marker of deep vein thrombosis in acute stroke.2012

    • Author(s)
      Kuwashiro T, Toyoda K, Oyama N, Kawase K, Okazaki S, Nagano K, Koga M, Matsuo H, Naritomi H, Minematsu K.
    • Journal Title

      J Stroke Cerebrovasc Dis.

      Volume: 21 (3) Pages: 205-209

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Clinical Implications of acute ischemic lesions on diffusion-weighted images in transient ischemic attack patients2014

    • Author(s)
      Takahiro Kuwashiro, Masahiro Yasaka, Yuichiro Tsurusaki, Yoshiki Sanbongi, Asako Nakamura, Yohei Mima, Yoshiyuki Wakugawa, Tomoyuki Tsumoto, Yasushi Okada
    • Organizer
      9th World Stroke Congress
    • Place of Presentation
      Istanbul, Turkey
    • Year and Date
      2014-10-22 – 2014-10-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] 脳出血急性期における発症前抗血栓療法と急性期血圧管理-Fukuoka stroke Registry-2014

    • Author(s)
      舩津世絵良,桑城貴弘,吾郷哲朗,矢坂正弘,前田亘一郎,上床武史,湧川佳幸,鴨打正浩,岡田靖,北園孝成
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-05-21 – 2014-05-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] 一過性脳虚血発作発症後の血圧管理と脳卒中再発の関係 - Fukuoka Stroke Registry -2014

    • Author(s)
      脇坂佳世,桑城貴弘,吾郷哲朗,前田亘一郎,上床武史,湧川佳幸,矢坂正弘,鴨打正浩,岡田靖,北園孝成
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-05-21 – 2014-05-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] Body Mass Indexが脳梗塞患者の長期予後に及ぼす影響– Fukuoka Stroke Registry -2014

    • Author(s)
      由比智裕,桑城貴弘,吾郷哲朗,竹迫仁則,古森元浩,鴨打正浩,岡田靖,北園孝成
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-05-21 – 2014-05-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] Transient Ischemic Attack(TIA)における心房細動の影響 - Fukuoka Stroke Registry -2014

    • Author(s)
      中西泰之,桑城貴弘,吾郷哲朗,矢坂正弘,前田亘一郎,上床武史,湧川佳幸,鴨打正浩,岡田靖,北園孝成
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-05-21 – 2014-05-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] 脳梗塞患者における入院時高血糖および蛋白尿と機能予後の関係-Fukuoka Stroke Registry-2014

    • Author(s)
      芝原友也,桑城貴弘,三間洋平,鶴崎雄一郎,前田亘一郎,上床武史,湧川佳幸,吾郷哲朗,鴨打正浩,矢坂正弘,岡田靖,北園孝成
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-05-21 – 2014-05-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] 心房細動の病型による脳梗塞発症時の重症度の差異についての検討- Fukuoka Stroke Registry -2014

    • Author(s)
      三浦聖史1,4)、桑城貴弘,吾郷哲朗,矢坂正弘,前田亘一郎,上床武史,湧川佳幸,鴨打正浩,岡田靖,北園孝成
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-05-21 – 2014-05-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] Significance of acute ischemic lesions on diffusion-weighted images in transient ischemic attack patients2014

    • Author(s)
      Takahiro Kuwashiro, Masahiro Yasaka, Yoshiyuki Wakugawa, Koichiro Maeda, Takeshi Uwatoko, Tomoyuki Tsumoto, Yasushi Okada
    • Organizer
      ESC Nice 2014: European Stroke Conference
    • Place of Presentation
      Nice, France
    • Year and Date
      2014-05-06 – 2014-05-09
    • Related Report
      2014 Annual Research Report
  • [Presentation] The impact of estimated glomerular filtration rate on a recurrence of ischemic stroke: the Fukuoka Stroke Registry2014

    • Author(s)
      Takahiro Kuwashiro, Masahiro Kamouchi, Yasuhiko Kumai, Koichiro Maeda, Takeshi Uwatoko, Yoshiyuki Wakugawa, Tetsuro Ago, Masahiro Yasaka, Yasushi Okada, Takanari Kitazono
    • Organizer
      International Stroke Conference 2014
    • Place of Presentation
      San Diego, U.S.A.
    • Related Report
      2013 Research-status Report
  • [Presentation] The impact of acute ischemic lesions on diffusion-weighted images in transient ischemic attack patients2013

    • Author(s)
      Takahiro Kuwashiro, Masahiro Yasaka, Yoshiyuki Wakugawa, Koichiro Maeda, Takeshi Uwatoko, Tomoyuki Tsumoto, Yasushi Okada
    • Organizer
      International TIA/ACVS Conference 2013
    • Place of Presentation
      Tokyo, Japan
    • Related Report
      2013 Research-status Report
  • [Presentation] High Non-HDL Cholesterol Is Associated With Acute Neurological Deterioration In Ischemic Stroke Patients: the Fukuoka Stroke Registry (FSR)2013

    • Author(s)
      Takayuki Matsuki, Takahiro Kuwashiro, et al.
    • Organizer
      International Stroke Conference 2013
    • Place of Presentation
      Honolulu U.S.A.
    • Related Report
      2012 Research-status Report
  • [Presentation] Plasma Interleukin-6 Values Are Associated With Neurological Severity In Ischemic Stroke2013

    • Author(s)
      Takahiro Kuwashiro, Tetsuro Ago, et al.
    • Organizer
      International Stroke Conference 2013
    • Place of Presentation
      Honolulu U.S.A.
    • Related Report
      2012 Research-status Report
  • [Presentation] Glucagon-like peptide-1 is increased in blood plasma and may play neuroprotective roles after ischemic stroke in human.2013

    • Author(s)
      Takahiro Kuwashiro, Tetsuro Ago, et al.
    • Organizer
      International Stroke Conference 2013
    • Place of Presentation
      Honolulu U.S.A.
    • Related Report
      2012 Research-status Report
  • [Book] THROMBOSIS and Circulation(血栓と循環) 虚血性脳卒中に対する抗血栓療法・線溶療法ー米国胸部専門医学会(ACCP)ガイドラインー2014

    • Author(s)
      桑城貴弘
    • Publisher
      メディカルレビュー社
    • Related Report
      2014 Annual Research Report
  • [Book] 新しい経口抗凝固薬はこう使いこなす NOAC使用上の注意点とワルファリンとの相違2014

    • Author(s)
      桑城貴弘,矢坂正弘
    • Publisher
      日本医事新報社
    • Related Report
      2014 Annual Research Report
  • [Book] 最新臨床脳卒中学 病型分類 TOAST分類と脳卒中病型診断の現状2014

    • Author(s)
      芝原友也,桑城貴弘,岡田靖
    • Publisher
      日本臨床
    • Related Report
      2014 Annual Research Report
  • [Book] 急性脳血管症候群としての一過性脳虚血発作 - 脳卒中予防の水際作戦 急性脳血管症候群の概念と病態生理2014

    • Author(s)
      伊東佑里子,桑城貴弘,岡田靖
    • Publisher
      ライフメディコム
    • Related Report
      2014 Annual Research Report
  • [Book] 日本臨床 神経症候群I,血管障害,脳梗塞,アテローム血栓性脳梗塞2013

    • Author(s)
      桑城貴弘,岡田靖
    • Total Pages
      7
    • Publisher
      日本臨床社
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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