Correlation between Zhejiang University index and progressive stroke in the elderly
YU Xiao
SUN Yazhao
HUANG Jie
YANG Xiaodong
Abstract：Objective To evaluate the correlation between Zhejiang University(ZJU)index levels at admission and progressive stroke(PS)in elderly patients.Methods A retrospective study was conducted on 7549 patients diagnosed with cerebral infarction who were consecutively admitted to Cangzhou People's Hospital between January 2019 and December 2024.According to the inclusion and exclusion criteria,1349 patients were finally enrolled in this study.According to the presence or absence of PS,they were divided into a PS group(351 cases)and a non-PS group(998 cases).Multivariate logistic regression analysis was used to assess the relationship between the ZJU index and PS,and receiver operating characteristic(ROC)curves were plotted to analyze the predictive performance of the ZJU index for PS risk.Results During hospitalization,351 patients developed PS.The ZJU index was significantly higher in the PS group than the non-PS group(P＜0.01).Multivariate logistic regression analysis revealed that the ZJU index was an independent risk factor for PS(OR=1.145,95％CI:1.117～1.174,P＜0.01).The area under the curve(AUC)of the ZJU index in predicting PS among older adult patients was 0.667(95％CI:0.642～0.692,P＜0.01),indicating a certain predictive capacity.Conclusion ZJU index is an independent risk factor for PS in elderly patients.The index at admission demonstrates important reference value for predicting PS.
Keywords：strokeinsulin resistanceZhejiang University index
Publication Date：2026-03-15
Online Publishing Date：2026-03-31(First online date of this platform, not the publication date of the document)
Pages：4( 334-337 )