Human urinary kallidinogenase may improve the prognosis of acute stroke patients with early neurological deterioration. Issue 3 (13th February 2022)

• Record Type: Journal Article
• Authors: Xie, Yiju; Li, Shengyu; Zhang, Jian; Chen, Shijian; Deng, Xuhui; Cen, Gengyu; Liang, Zhijian
• Is Part Of: Brain and behavior. Volume 12:Issue 3(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-02-13
• Subjects: acute ischemic stroke -- early neurological deterioration -- human urinary kallidinogenase -- intravenous thrombolysis -- prognosis; Neurology -- Periodicals; Neurosciences -- Periodicals; Psychology -- Periodicals; Psychiatry -- Periodicals; 616.8005
• DOI: 10.1002/brb3.2524
• Languages: English
• ISSNs: 2162-3279

Abstract

Abstract: Objectives: Some acute ischemic stroke (AIS) patients still suffer from early neurological deterioration (END) after receiving intravenous thrombolysis (IVT), and these patients often have a poor prognosis. The purpose of our study is to observe the efficacy and safety of human urinary kallidinogenase (HUK) treatment in patients with END. Methods: This was a retrospective analysis and 49 patients with END who met the inclusion criteria were divided into the observation group and the control group. All patients received routine treatment of AIS, while patients in the observation group were treated with HUK within 24 h after IVT and the other group without HUK. Results: There were 24 patients in the observation group and 25 patients in the control group. After treatment, favorable prognosis (mRS scores ≤2) at 3 months in the observation group with 13 cases (54.17%) was significantly better than that in the control group with four cases (16%) ( p = .001), and there was no statistical difference between the two groups in any hemorrhagic complication. Conclusion: HUK is considered to be safe and may improve the prognosis of AIS patients with END after IVT. More clinical trials are needed to validate these results in the future. Abstract : Acute cerebral infarction patients with early neurological deterioration often have a poor prognosis. Human urinary kallidinogenase may be a possible treatment to improve the outcome of them.