Clinical Study

Prognostic Value of Inflammatory Mediators in 1-Year Outcome of Acute Ischemic Stroke with Middle Cerebral Artery Stenosis

Table 3

Univariate and multivariate analysis in patients’ 1-year outcome.

one-year mRS valueOR (95% CI)Multivariate value
0–2 (favorable), 3–6 (poor),

Age, years#59.16 ± 11.0262.23 ± 11.570.00021.022 (1.006–1.039)0.0080
Male526 (74.72)173 (69.76)0.1285
Duration between symptom onset to blood tests&, day3 (1–5)3 (1–5)0.1990
Duration between symptom onset to MRI procedure&, day6 (4, 8)6 (4, 8)0.1969
Previous mRS score0.0002
 0588 (83.52)178 (71.77)
 192 (13.07)51 (20.56)
 224 (3.41)19 (7.66)
History of, yes ( , %)
 Previous cerebral ischemia, TIA, ICH, or SAH181 (25.71)81 (32.66)0.0351
 Hypertension561 (79.69)207 (83.47)0.1780
 Diabetes mellitus303 (43.04)99 (39.92)0.3922
 Hyperlipidemia589 (83.66)193 (77.82)0.0389
 Current smoking355 (50.43)116 (46.77)0.3226
 Heavy-to-severe drinking 155 (22.02)57 (22.98)0.7530
 Ischemic heart disease81 (11.51)20 (8.06)0.1302
NIHSS score on admission&3 (1, 6)7 (3, 11)<0.00011.063 (1.003–1.127)0.0397
NIHSS score at discharge&2 (0, 3)5 (2, 9)<0.00011.123 (1.045–1.208)0.0017
MCA stenoocclusion<0.0001
 None or <50%471 (66.90)124 (50)
 50–69%173 (24.57)90 (36.29)1.708 (1.028–2.840)0.0389
 70%–99% 49 (6.96)31 (12.50)2.073 (1.107–3.882)0.0228
 100%11 (1.56)3 (1.21)1.660 (1.066–2.585)0.0249
Peripheral level of inflammatory mediators
 WBC#, ×109/L 6.74 ± 1.877.38 ± 2.15<0.0001
 HCY#, μmol/L17.45 ± 7.2918.59 ± 7.390.0398
 hs-CRP&, mg/L2.0 (0.8, 5.75)6.45 (1.9, 12.3)<0.00011.060 (1.027–1.093)0.0003
Other laboratory findings on admission
 Hgb#, g/L 142.58 ± 17.36140.69 ± 17.690.1450
 PLT#, ×109/L 210.62 ± 55.36218.53 ± 57.830.05771.004 (1.001–1.007)0.0100
 FBG#, mmol/L 5.91 ± 2.256.10 ± 2.130.2457
 Cr#, μmol/L79.43 ± 31.6776.25 ± 23.180.0960
 INR#0.97 ± 0.070.99 ± 0.240.1911
 HDL#, mmol/L1.13 ± 0.281.11 ± 0.280.4684
 LDL#, mmol/L2.76 ± 0.852.77 ± 0.780.9366

#Continuous variables with normal distribution expressed as mean ± standard deviation.
&Continuous variables with nonnormal distribution expressed as interquartile range (IQR).
Other values were expressed as (%).
SAH: subarachnoid hemorrhage; ICH: intracerebral hemorrhage; NIHSS: National Institute of Health Stroke Scale; WBC: white blood cell; Hgb: hemoglobin; PLT: platelet; FBG: free blood glycemia; Cr: creatinine; INR: international normalized ratio; HCY: homocysteine; hs-CRP: high sensitivity C-reactive protein; HDL: high-density lipoprotein; and LDL: low-density lipoprotein.