eprintid: 9143 rev_number: 10 eprint_status: archive userid: 2098 dir: disk0/00/00/91/43 datestamp: 2024-09-12 05:16:16 lastmod: 2024-09-12 05:16:16 status_changed: 2024-09-12 05:16:16 type: article metadata_visibility: show contact_email: repository@staff.ukdw.ac.id creators_name: , Rizaldy Taslim Pinzon creators_id: 0517057601 title: THE ROLE OF HOMOCYSTEINE LEVELS AS A RISK FACTOR OF ISCHEMIC STROKE EVENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS ispublished: pub subjects: RC0321 divisions: fak_kedokteran full_text_status: public keywords: homocysteine, ischemic stroke, risk factor, systematic review, meta-analysis abstract: Introduction: Among numerous risk factors, homocysteine (Hcy) has been linked to cerebral infarction; however, results have been inconsistent. This review aimed to conduct a meta-analysis of published studies to investigate the relationship between plasma Hcy levels and the risk of ischemic stroke. Methods: A systematic literature search was conducted until November 2022 to obtain articles reporting Hcy levels in ischemic stroke patients. Review Manager software was used to perform all statistical analyses (version 5.3). Results: Initial investigation yielded 283 articles. The final evaluation included 21 articles, including two prospective studies, one retrospective cohort, and 18 case-control studies. These studies included 9888 participants, of which 5031 were admitted patients with ischemic stroke. An integrated analysis revealed that ischemic stroke patients had significantly higher levels of Hcy than controls (mean difference (MD) = +3.70, 95% confidence interval (CI) = 2.42-5.81, p < 0.001). Conclusion: This meta-analysis and systematic review indicate that ischemic stroke patients have significantly higher homocysteine levels than controls. Detecting hyperhomocysteinemia and reducing homocysteine levels should be explored among individuals at increased risk for ischemic stroke. date: 2023-05 publication: Frontiers in Neurology volume: 10 publisher: Frontiers Media S.A. pagerange: 1-10 id_number: doi:10.3389/fneur.2023.1144584 refereed: TRUE issn: 1664-2295 official_url: https://doi.org/10.3389/fneur.2023.1144584 funders: drpinzon17@gmail.com citation: Rizaldy Taslim Pinzon (2023) THE ROLE OF HOMOCYSTEINE LEVELS AS A RISK FACTOR OF ISCHEMIC STROKE EVENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. Frontiers in Neurology, 10. pp. 1-10. ISSN 1664-2295 document_url: https://katalog.ukdw.ac.id/9143/1/The%20Role%20of%20Homocysteine%20Levels%20Risk%20Factor%20of%20Ischemic%20Stroke.pdf