Wednesday, 18 March 2015

WBC, neutrophil counts predict stroke risk in older Asian men




WBC, neutrophil counts predict stroke risk in older asian men


(HealthDay)—Higher total white blood cell (WBC) and neutrophil counts are independent predictors of stroke in older Japanese-American men, according to a study published online March 4 in the Journal of the American Geriatrics Society.


Ji Young Huh, M.D., from the University of Hawaii in Honolulu, and colleagues examined the correlation between total and differential WBC count and incident stroke in a prospective population-based study. Data were included for 3,342 Japanese-American men, aged 71 to 93 years, who were free from stroke and had baseline WBC counts measured in 1991 to 1993. Participants were followed for eight years.


The researchers found that with increasing WBC quartile, the age-adjusted incident stroke rates increased (quartile 1 [Q1], 7.68; Q2, 9.04; Q3, 9.26; Q4, 14.10 per 1,000 person-years of follow-up; P = 0.001). Using the lowest quartile as a reference group, the hazard ratios were 1.62 in the highest quartile of total WBC and 2.19 in the highest quartile of neutrophil counts, after full adjustment, including age, cardiovascular risk factors, fibrinogen, prevalent coronary heart disease, cancer, chronic obstructive pulmonary disease, and nonsteroidal anti-inflammatory drug use. There were also significant correlations seen for thromboembolic, but not hemorrhagic, strokes. Lymphocyte or monocyte counts were not associated with incident stroke or subtypes.


"In elderly Japanese-American , higher total WBC and neutrophil counts were independent predictors of overall stroke, as well as thromboembolic ," the authors write.



More information: Abstract

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WBC, neutrophil counts predict stroke risk in older asian men


(HealthDay)—Higher total white blood cell (WBC) and neutrophil counts are independent predictors of stroke in older Japanese-American men, according to a study published online March 4 in the Journal of the American Geriatrics Society.


Ji Young Huh, M.D., from the University of Hawaii in Honolulu, and colleagues examined the correlation between total and differential WBC count and incident stroke in a prospective population-based study. Data were included for 3,342 Japanese-American men, aged 71 to 93 years, who were free from stroke and had baseline WBC counts measured in 1991 to 1993. Participants were followed for eight years.


The researchers found that with increasing WBC quartile, the age-adjusted incident stroke rates increased (quartile 1 [Q1], 7.68; Q2, 9.04; Q3, 9.26; Q4, 14.10 per 1,000 person-years of follow-up; P = 0.001). Using the lowest quartile as a reference group, the hazard ratios were 1.62 in the highest quartile of total WBC and 2.19 in the highest quartile of neutrophil counts, after full adjustment, including age, cardiovascular risk factors, fibrinogen, prevalent coronary heart disease, cancer, chronic obstructive pulmonary disease, and nonsteroidal anti-inflammatory drug use. There were also significant correlations seen for thromboembolic, but not hemorrhagic, strokes. Lymphocyte or monocyte counts were not associated with incident stroke or subtypes.


"In elderly Japanese-American , higher total WBC and neutrophil counts were independent predictors of overall stroke, as well as thromboembolic ," the authors write.



More information: Abstract

Full Text (subscription or payment may be required)


Copyright © 2015 HealthDay. All rights reserved.


Medical Xpress on facebook

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Jan 09, 2014



(HealthDay)—Reducing the threshold of leukocytosis as a criterion for appendicitis to 8,000 to 9,000 white blood cells (WBCs) per µL reduces the rates of negative appendectomy, according to a study published ...



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Jan 10, 2013



A study released today from the upcoming issue of the Journal of the Pediatric Infectious Diseases Society (JPIDS) found that taking early and repeated white blood cell counts (WBC) is critical in determining whether infant ...



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Feb 20, 2015



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Anemia linked to adverse outcomes in atrial fibrillation


Mar 04, 2015



(HealthDay)—For patients with atrial fibrillation receiving anticoagulant treatment, the presence of anemia is associated with increased risk of thromboembolic events, bleeding complications, and mortality, ...



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Aug 23, 2013



(HealthDay)—For American Indians, leukocyte telomere length is associated with the risk of incident diabetes, with an almost two-fold increased risk for those with the shortest versus the longest length, ...



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10 minutes ago



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2 hours ago



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4 hours ago



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