Research Article

Outcome Predictors in First-Ever Ischemic Stroke Patients: A Population-Based Study

Table 1

Selected characteristics in the acute phase of 1057 patients with first-ever ischemic stroke.

NIH 0–4NIH 5–15NIH ≥16Total

Number of patients 4264691621057
Gender female199 (46.7%)240 (51.2%)105 (64.8%)544 (51.5%)0.0001
Mean body mass index25.5 (25.4-25.5)25.22 (25.1-25.2)24.3 (24.2-24.3)25.2 (24.9–25.5)0.0004
Median age (interquartile range)74.12 (64.6–80.4)79.3 (72.3–85.3)83.5 (74.2–89.9)77.5 (69–84.4)<0.0001
Life conditions
 Lives with other (family)330 (77.4%)320 (68.2%)105 (64.8%)755 (71.4%)0.002
 Lives alone86 (71.4%)118 (25.1%)38 (8.1%)242 (22.9%)0.38
 Lives in community7 (5.7%)27 (5.7%)16 (3.4%)50 (4.7%)<0.0001
 Missing3 (2.5%)4 (1%)3 (0.7%)10 (1%)
Vascular risk factors
 Arterial hypertension 322 (75.6%)362 (77.2%)118 (72.8%)802 (75.9%)0.49
 Diabetes mellitus74 (33.1%)103 (21.9%)23 (14.2%)200 (18.9%)0.35
 Hypercholesterolemia170 (39.9%)147 (31.3%)34 (21%)351 (33.2%)<0.0001
 Previous TIA25 (5.8%)27 (5.7%)9 (5.5%)61 (5.8%)0.88
 Current or former smoker89 (20.9%)59 (12.6%)19 (11.7%)167 (15.8%)0.011
 Ischaemic heart disease50 (11.7%)63 (13.4%)21 (13%)134 (12.7%)0.68
 Atrial fibrillation56 (13.1%)127 (27.1%)77 (47.5%)260 (24.6%)<0.0001
 Low ejection fraction (<35%)21 (4.9%)45 (9.6%)20 (12.3%)86 (8.1%)0.002
CHADS2 score
 0-168 (16%)35 (7.5%)20 (12.4%)123 (11.6%)0.3
 ≥2358 (84%)434 (92.5%)142 (87.6%)934 (88.4%)0.2
Charlson Index score
 0-1336 (78.8%)345 (73.5%)128 (79%)809 (76.5%)0.9
 ≥258 (13.6%)98 (20.9%)24 (14.8%)180 (17%)0.7
 Missing32 (7.6%)26 (5.6%)10 (6.2%)68 (6.5%)0.57
Prestroke disability (measured with mRS)
 0–2404 (94.8%)369 (78.7%)117 (72.3%)890 (84.2%)<0.0001
 3–518 (4.2%)93 (19.8%)42 (25.9%)153 (14.6%)<0.0001
 Missing4 (1%)7 (1.5%)3 (1.8%)14 (1.2%)0.36
Home therapy
 Treated with antithrombotic agents123 (28.8%)135 (28.8%)49 (30.2%)307 (29%)0.74
 Nontreated with antithrombotic agents303 (71.2%)334 (71.2%)113 (69.7%)750 (71%)0.74
 Statins38 (8.9%)20 (4.3%)4 (2.5%)62 (5.9%)0.76
 Antihypertensive242 (56.8%)258 (55%)85 (52.5%)585 (55.4%)0.34
Stroke onset during sleep 71 (16.6%)109 (23.2%)39 (24.1%)219 (20.7%)0.04
Metabolic values at admission
 Glucose (mg/dL)114.2 (40.1)125 (54.7)126.4 (50.4)120.9 (48.9)0.0012
 LDL cholesterol (mg/dL)117.3 (37.6)112.6 (36.2)102.1 (41.8)113.4 (37.7)<0.0001
 Systolic blood pressure (mmHg)152.4 (24.3)150.3 (24.1)149.6 (24.6)151 (24.5)0.11
 Diastolic blood pressure (mmHg)87.3 (12.1)86 (11.6)85.4 (12.4)86.43 (11.9)0.044
TOAST classification of subtypes
 Large-artery atherosclerosis 66 (15.5%)73 (15.5%)14 (8.6%)153 (14.5%)0.032
 Cardioembolism65 (15.2%)122 (26%)79 (48.8%)266 (25%)<0.0001
 Small-vessel occlusion lacun109 (25.6%)97 (20.7%)4 (2.5%)210 (20%)<0.0001
 Stroke of undetermined etiology175 (41.1%)173 (36.9%)64 (39.5%)412 (39%)0.7

Data are shown as number of patients (%) or mean (SD); TIA: transient ischaemic attack; mRS: modified Rankin scale; NIHSS: National Institute of Health Stroke Scale. CHADS2: Congestive heart failure, hypertension, age, diabetes mellitus, TIA, or thromboembolism. statistical analysis was performed on the NIHSS 0–4 and the NIHSS ≥16 groups. Variables included in the multivariate logistic regression analysis.