Higher uric acid is associated with better discharge recovery and short-term outcome in stroke patients treated with thrombolysis

• Published in: Neurological sciences Vol. 42; no. 8; pp. 3225 - 3231
• Main Authors: Sun, Zhenjie, Feng, Jiying, He, Mingli, Wang, Min, Zhang, Yongjin, Wang, Na, Liu, Tingting, Zhang, Guanghui
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.08.2021; Springer Nature B.V
• Subjects: Antioxidants; Ischemia; Medicine; Medicine & Public Health; Neurology; Neuroprotection; Neuroradiology; Neurosciences; Neurosurgery; Original Article; Psychiatry; Stroke; Thrombolysis; Uric acid; Serum uric acid; Thrombolysis; Outcome; Acute ischaemic stroke
• ISSN: 1590-1874; 1590-3478
• DOI: 10.1007/s10072-020-04919-z

Background Uric acid (UA) possesses antioxidant features and potential neuroprotective effects. However, conflicting results regarding the association between serum uric acid (SUA) levels and the prognosis of stroke have been obtained. We aimed to assess whether SUA is related to discharge recovery and short-term outcomes in patients who underwent thrombolysis therapy. Methods We recruited 393 consecutive patients who were diagnosed with acute ischaemic stroke (AIS) and treated with thrombolysis. The demographic information, including sex and age, was collected. Haematology tests, including SUA, fasting plasma glucose (FPG), and blood lipid parameters, were performed under fasting conditions the morning after admission. The modified Rankin Scale (mRS) was used to assess the functional outcome of patients at discharge and 3 months after onset. Results A negative correlation was observed between the levels of SUA and the National Institute of Health Stroke Scale (NIHSS) score at discharge ( r = − 0.171, P = 0.003). Additionally, a positive correlation was observed between the levels of SUA and the difference between the baseline NIHSS and discharge NIHSS ( r = 0.118, P = 0.032). The levels of SUA in the patients with good outcomes (353.76 ± 93.05) were higher than those in the patients with poor outcomes (301.99 ± 92.24; P = 0.015) at 3 months. The multivariate logistic regression analysis demonstrated that a higher SUA level (odds ratio 0.988, 95% confidence interval 0.985–0.991, P = 0.002) was an independent predictor of a good outcome at 3 months. Conclusion Higher SUA levels were associated with better discharge recovery and 3-month outcomes in patients with ischaemic stroke who received thrombolysis.