Cargando…
Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis
BACKGROUND: Studies on the association of homocysteine level with poststroke depression (PSD) have yielded conflicting results. This systematic review and meta-analysis aimed to evaluate the elevated homocysteine level at the acute stage of ischemic stroke in predicting PSD. METHODS: Two authors sys...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968726/ https://www.ncbi.nlm.nih.gov/pubmed/36860702 http://dx.doi.org/10.3389/fpsyt.2022.1016700 |
_version_ | 1784897561775046656 |
---|---|
author | Liang, Yanling Shi, Xiangqun Chen, Lue Li, Yongxin Zhong, Jianping |
author_facet | Liang, Yanling Shi, Xiangqun Chen, Lue Li, Yongxin Zhong, Jianping |
author_sort | Liang, Yanling |
collection | PubMed |
description | BACKGROUND: Studies on the association of homocysteine level with poststroke depression (PSD) have yielded conflicting results. This systematic review and meta-analysis aimed to evaluate the elevated homocysteine level at the acute stage of ischemic stroke in predicting PSD. METHODS: Two authors systematically searched articles indexed in PubMed and Embase databases up to 31 January 2022. Studies evaluating the association of homocysteine level with the development of PSD in patients with acute ischemic stroke were selected. RESULTS: A total of 10 studies involving 2,907 patients were identified. The pooled adjusted odds ratio (OR) of PSD was 3.72 [95% confidence intervals (CI) 2.03–6.81] for the top vs. bottom homocysteine level. The value of elevated homocysteine level in predicting PSD was stronger in ≥6-month follow-up (OR 4.81; 95% CI 3.12–7.43) than those in ≤ 3-month follow-up subgroup (OR 3.20; 95% CI 1.29–7.91). Moreover, a per unit increase in homocysteine level conferred a 7% higher risk of PSD. CONCLUSION: Elevated homocysteine level in the acute stage of ischemic stroke may be an independent predictor of PSD. |
format | Online Article Text |
id | pubmed-9968726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99687262023-02-28 Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis Liang, Yanling Shi, Xiangqun Chen, Lue Li, Yongxin Zhong, Jianping Front Psychiatry Psychiatry BACKGROUND: Studies on the association of homocysteine level with poststroke depression (PSD) have yielded conflicting results. This systematic review and meta-analysis aimed to evaluate the elevated homocysteine level at the acute stage of ischemic stroke in predicting PSD. METHODS: Two authors systematically searched articles indexed in PubMed and Embase databases up to 31 January 2022. Studies evaluating the association of homocysteine level with the development of PSD in patients with acute ischemic stroke were selected. RESULTS: A total of 10 studies involving 2,907 patients were identified. The pooled adjusted odds ratio (OR) of PSD was 3.72 [95% confidence intervals (CI) 2.03–6.81] for the top vs. bottom homocysteine level. The value of elevated homocysteine level in predicting PSD was stronger in ≥6-month follow-up (OR 4.81; 95% CI 3.12–7.43) than those in ≤ 3-month follow-up subgroup (OR 3.20; 95% CI 1.29–7.91). Moreover, a per unit increase in homocysteine level conferred a 7% higher risk of PSD. CONCLUSION: Elevated homocysteine level in the acute stage of ischemic stroke may be an independent predictor of PSD. Frontiers Media S.A. 2023-02-13 /pmc/articles/PMC9968726/ /pubmed/36860702 http://dx.doi.org/10.3389/fpsyt.2022.1016700 Text en Copyright © 2023 Liang, Shi, Chen, Li and Zhong. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Liang, Yanling Shi, Xiangqun Chen, Lue Li, Yongxin Zhong, Jianping Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis |
title | Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis |
title_full | Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis |
title_fullStr | Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis |
title_full_unstemmed | Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis |
title_short | Homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: A systematic review and meta-analysis |
title_sort | homocysteine level at the acute stage of ischemic stroke as a biomarker of poststroke depression: a systematic review and meta-analysis |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968726/ https://www.ncbi.nlm.nih.gov/pubmed/36860702 http://dx.doi.org/10.3389/fpsyt.2022.1016700 |
work_keys_str_mv | AT liangyanling homocysteinelevelattheacutestageofischemicstrokeasabiomarkerofpoststrokedepressionasystematicreviewandmetaanalysis AT shixiangqun homocysteinelevelattheacutestageofischemicstrokeasabiomarkerofpoststrokedepressionasystematicreviewandmetaanalysis AT chenlue homocysteinelevelattheacutestageofischemicstrokeasabiomarkerofpoststrokedepressionasystematicreviewandmetaanalysis AT liyongxin homocysteinelevelattheacutestageofischemicstrokeasabiomarkerofpoststrokedepressionasystematicreviewandmetaanalysis AT zhongjianping homocysteinelevelattheacutestageofischemicstrokeasabiomarkerofpoststrokedepressionasystematicreviewandmetaanalysis |