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Leonardo Roever: Can a Simple Cholesterol Ratio Predict Post-Stroke Depression?
Jun 6, 2026, 16:53

Leonardo Roever: Can a Simple Cholesterol Ratio Predict Post-Stroke Depression?

Leonardo Roever, CEO of Brazilian Evidence-Based Health Network, shared on LinkedIn about a recent article by Xiangqi Kong et al, published in Lipids in Health and Disease, adding:

”The ratio between total cholesterol and HDL cholesterol predicts post-stroke depression: linear association and individualized risk nomogram.

Post-stroke depression (PCD) is a common and impactful complication of stroke; however, clinically applicable early prediction tools are still limited.

The ratio between total cholesterol and HDL cholesterol (TC/HDL) integrates atherogenic burden and neuroprotective reserve, making it a promising candidate for PCD risk stratification.

However, its association with PCD at 90 days and its usefulness in predictive models remain uncertain.

The TC/HDL ratio at admission is an independent prognostic marker of PCD at 90 days, with a linear dose-response relationship.

The internally validated nomogram can assist in risk estimation.

However, its clinical applicability still needs to be established and requires external validation.

Considering that the CT/HDL ratio is a simple, widely available, and low-cost biomarker, these findings may support early risk stratification and preventive psychological care in the routine management of stroke, particularly in clinical settings with limited resources.”

Title: The total cholesterol to high-density lipoprotein cholesterol ratio predicts post-stroke depression: linear association and individualized risk nomogram

Authors: Xiangqi Kong, Haobo Wang, Xinyue Yuan, Mina Zhao, Wei Jing

Leonardo Roever: Can a Simple Cholesterol Ratio Predict Post-Stroke Depression?

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