Prognostic value of systemic inflammation response index in successfully recanalized acute large vessel occlusion stroke patients: a retrospective study - Summary - MDSpire

Prognostic value of systemic inflammation response index in successfully recanalized acute large vessel occlusion stroke patients: a retrospective study

  • By

  • Wangyu Zhang

  • Congcong Zhou

  • Xuan Xu

  • Guomei Du

  • Shuqin Liang

  • Tong Xu

  • Han Zhao

  • Jiaou Chen

  • May 28, 2026

  • 0 min

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Objective:

To investigate the relationship between baseline Systemic Inflammation Response Index (SIRI) and 90-day functional outcomes as well as hemorrhagic transformation in successfully recanalized ALVOS patients undergoing EVT.

Key Findings:
  • Mean SIRI level was significantly lower in the good outcome group (1.26 ± 1.10) compared to the poor outcome group (2.22 ± 2.42, p < 0.001).
  • AUC for SIRI predicting a poor outcome was 0.63 (95% CI: 0.56–0.69, P<0.001).
  • Incorporating SIRI into the age + NIHSS model improved prognostic accuracy (AUC increase from 0.76 to 0.79, p = 0.023).
  • No significant association found between SIRI levels and hemorrhagic transformation or symptomatic intracranial hemorrhage.
Interpretation:

Remove this section as it contains unsupported conclusions.

Limitations:
  • Retrospective design may introduce selection bias.
  • Single-center data may limit generalizability.
Conclusion:

Revise to eliminate unsupported claims about SIRI's role as a biomarker.

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