Association between uric acid to lymphocyte ratio and poor functional outcomes in acute ischemic stroke patients - Summary - MDSpire

Association between uric acid to lymphocyte ratio and poor functional outcomes in acute ischemic stroke patients

  • By

  • Xu Zhu

  • Yijun Zhang

  • Guoyuan Yu

  • Anxin Wang

  • Xiaoli Zhang

  • Shifeng Xiang

  • Xia Meng

  • Yiping Wu

  • May 28, 2026

  • 0 min

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Objective:

To assess the associations between uric acid to lymphocyte ratio (ULR) and poor functional prognosis and all-cause mortality in patients with acute ischemic stroke (AIS), highlighting its significance in clinical outcomes.

Key Findings:
  • Patients in the highest ULR quartile had higher mRS scores of 2–6 (OR, 1.33; 95% CI, 1.15–1.53) and 3–6 (OR, 1.35; 95% CI, 1.16–1.57) at 3 months, based on a total of 8,241 patients.
  • The highest ULR quartile was associated with increased risk of all-cause mortality at 3 months (HR, 1.97; 95% CI, 1.22–3.18), with similar results observed at the 1-year follow-up.
Interpretation:

Elevated ULR is linked to poorer functional outcomes and increased all-cause mortality in AIS patients.

Limitations:
  • Potential unmeasured confounders may affect the validity of the findings.
  • Selection bias could limit the generalizability of the results.
  • Residual confounding may still exist despite adjustments.
  • Findings may not be applicable to populations outside the study sample.
Conclusion:

Elevated ULR increases risks of poorer functional outcomes and all-cause mortality in AIS patients.

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