Platelet to high-density lipoprotein cholesterol ratio predicts clinical outcomes after acute ischemic stroke: a prospective cohort study - Scorecard - MDSpire

Platelet to high-density lipoprotein cholesterol ratio predicts clinical outcomes after acute ischemic stroke: a prospective cohort study

  • By

  • Xuan Sun

  • Haochen Sun

  • Zhijia Tang

  • Xinyang Qi

  • Xian Wang

  • Xiaoyin Wang

  • June 30, 2026

  • 0 min

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Clinical Scorecard: The Ratio of Platelets to High-Density Lipoprotein Cholesterol as a Predictor of Clinical Outcomes Following Acute Ischemic Stroke: Results from a Prospective Cohort Study

At a Glance

CategoryDetail
ConditionAcute Ischemic Stroke (AIS)
Key MechanismsPlatelet/high-density lipoprotein cholesterol ratio (PHR) as a marker of hypercoagulable states and disordered lipid metabolism.
Target PopulationPatients with acute ischemic stroke.
Care SettingProspective observational study in a hospital setting.

Key Highlights

  • Higher PHR levels are associated with increased risk of all-cause death and stroke recurrence.
  • Tertile 3 of PHR shows the highest risk for poor functional outcomes at 3, 6, and 12 months.
  • Continuous PHR demonstrates a positive dose–response relationship with clinical outcomes.

Guideline-Based Recommendations

Diagnosis

  • Assess PHR at admission for patients with AIS.

Management

  • Consider PHR as a predictive biomarker for clinical outcomes in AIS.

Monitoring & Follow-up

  • Monitor PHR levels and associated clinical outcomes at 3, 6, and 12 months.

Risks

  • Higher PHR is linked to increased mortality and poor functional outcomes.

Patient & Prescribing Data

820 patients with acute ischemic stroke.

PHR may help identify high-risk patients for targeted interventions.

Clinical Best Practices

  • Utilize PHR as a simple and effective tool for predicting clinical outcomes in AIS.

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