A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic Stroke
Background and Objective: Evidence is indicative of the positive effect of citicoline administration in stroke patients; however, there are controversies over this issue. Regarding this, the present study was conducted to investigate the efficacy of citicoline in acute stroke patients. Materials and...
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Hamadan University of Medical Sciences
2018-06-01
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doaj-884f37cbe6bb45bab5d5f8d210eaa1ee2020-11-25T04:10:49ZfasHamadan University of Medical Sciencesپزشکی بالینی ابن سینا2588-722X2588-72382018-06-012512027A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic StrokeShahir Mazaheri0Mahsa Darvish1Jalal Pooroalajal2Mohammad Fariadras3 Associate Professor, Department of Neurology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran Department of Neurology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran Associate Professor, Department of Epidemiology and Biostatistics, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran MSc in Epidemiology, Department of Epidemiology and Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran Background and Objective: Evidence is indicative of the positive effect of citicoline administration in stroke patients; however, there are controversies over this issue. Regarding this, the present study was conducted to investigate the efficacy of citicoline in acute stroke patients. Materials and Methods: This randomized clinical trial was conducted on 160 patients with hemorrhagic and ischemic stroke. The participants were randomly assigned into two groups of intervention and control. The intervention group daily received 1 g citicoline injections for 10 days, in addition to the standard therapy. The baseline severity of the disease was determined by the National Institutes of Health Stroke Scale, and the outcome of the disease was assessed using the Modified Rankin Scale and Barthel Index on the 1st, 10th, and 90th days post-intervention. Statistical analysis was performed using Stata software (version 11.1). P-value less than 0.05 was considered statistically significant. Results: According to the results, there was no significant difference between the two groups in terms of gender, mean age, hypertension, diabetes, smoking, hyperlipidemia, and mortality after stroke (P>0.05). Regardless of the type of stroke, the severity of the disease decreased over time in both groups. However, at the end of the study (the 90th day), the intervention group had lower disease severity, compared to the control group (P<0.05). In terms of the ischemic stroke patients, the severity of the disease was significantly lower in the intervention group on the 90th day, compared to that in the control group. Conclusion: Based on the findings of this study, the use of citincoline in acute stroke patients exerted no significant effect in the disease treatment in the short term. However, the long-term administration of this medication could result in significant impacts on the treatment of the patients, especially those with ischemic stroke, and improvement of their efficacy.http://sjh.umsha.ac.ir/article-1-1694-en.htmlciticolinehemorrhagic strokeischemic stroke |
collection |
DOAJ |
language |
fas |
format |
Article |
sources |
DOAJ |
author |
Shahir Mazaheri Mahsa Darvish Jalal Pooroalajal Mohammad Fariadras |
spellingShingle |
Shahir Mazaheri Mahsa Darvish Jalal Pooroalajal Mohammad Fariadras A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic Stroke پزشکی بالینی ابن سینا citicoline hemorrhagic stroke ischemic stroke |
author_facet |
Shahir Mazaheri Mahsa Darvish Jalal Pooroalajal Mohammad Fariadras |
author_sort |
Shahir Mazaheri |
title |
A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic Stroke |
title_short |
A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic Stroke |
title_full |
A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic Stroke |
title_fullStr |
A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic Stroke |
title_full_unstemmed |
A Comparative Study on the Effect of Citicoline on Acute Ischemic and Hemorrhagic Stroke |
title_sort |
comparative study on the effect of citicoline on acute ischemic and hemorrhagic stroke |
publisher |
Hamadan University of Medical Sciences |
series |
پزشکی بالینی ابن سینا |
issn |
2588-722X 2588-7238 |
publishDate |
2018-06-01 |
description |
Background and Objective: Evidence is indicative of the positive effect of citicoline administration in stroke patients; however, there are controversies over this issue. Regarding this, the present study was conducted to investigate the efficacy of citicoline in acute stroke patients.
Materials and Methods: This randomized clinical trial was conducted on 160 patients with hemorrhagic and ischemic stroke. The participants were randomly assigned into two groups of intervention and control. The intervention group daily received 1 g citicoline injections for 10 days, in addition to the standard therapy. The baseline severity of the disease was determined by the National Institutes of Health Stroke Scale, and the outcome of the disease was assessed using the Modified Rankin Scale and Barthel Index on the 1st, 10th, and 90th days post-intervention. Statistical analysis was performed using Stata software (version 11.1). P-value less than 0.05 was considered statistically significant.
Results: According to the results, there was no significant difference between the two groups in terms of gender, mean age, hypertension, diabetes, smoking, hyperlipidemia, and mortality after stroke (P>0.05). Regardless of the type of stroke, the severity of the disease decreased over time in both groups. However, at the end of the study (the 90th day), the intervention group had lower disease severity, compared to the control group (P<0.05). In terms of the ischemic stroke patients, the severity of the disease was significantly lower in the intervention group on the 90th day, compared to that in the control group.
Conclusion: Based on the findings of this study, the use of citincoline in acute stroke patients exerted no significant effect in the disease treatment in the short term. However, the long-term administration of this medication could result in significant impacts on the treatment of the patients, especially those with ischemic stroke, and improvement of their efficacy. |
topic |
citicoline hemorrhagic stroke ischemic stroke |
url |
http://sjh.umsha.ac.ir/article-1-1694-en.html |
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