Research Article

High Neutrophil-to-Lymphocyte Ratio Predicts Hemorrhagic Transformation in Acute Ischemic Stroke Patients Treated with Intravenous Thrombolysis

Table 1

Demographic and clinical characteristics of the study sample.

CharacteristicsMean (SD)/median (IQR)/n (%)
(n = 285)

Age (years)62.3 ± 12.0
Men (n, %)201 (70.5%)
Hypertension (n, %)211 (74.0%)
Diabetes mellitus (n, %)79 (27.7%)
Smokers/ex-smokers (n, %)102 (35.8%)
Atrial fibrillation (n, %)67 (23.5%)
Previous stroke (n, %)52 (18.2%)
PAT (n, %)23 (8.1%)
POAT (n, %)8 (2.8%)
Time of poststroke antiplatelet therapy
 Before MRI scan (n, %)212 (74.4%)
 After MRI scan (n, %)66 (23.2%)
 No antiplatelet therapy7 (2.4%)
OTT (minutes)200.4 ± 55.9
NIHSS score on admission7 (4–10)
Platelet counts (109/L)214.0 ± 55.9
WBC counts (109/L)8.4 ± 2.9
Neutrophil counts (109/L)5.8 ± 2.8
Lymphocyte counts (109/L)1.9 ± 0.9
NLR2.7 (1.8–4.3)
High NLR (n, %)71 (24.9%)
Uric acid (mmol/L)390.1 ± 108.6
BG on admission (mmol/L)7.5 ± 3.2
SBP on admission (mmHg)157.4 ± 24.8
DUB on admission (mmHg)91.4 ± 16.5
SVD burden1 (0–2)
Hemorrhagic transformation (n, %)72 (25.3%)
 HI144 (15.4%)
 HI221 (7.4%)
 PH14 (1.4)
 PH23 (1.1%)
sHT (n, %)3 (1.1%)

BG = blood glucose; DBP = diastolic blood pressure; HI = hemorrhagic infarct; NIHSS=National Institutes of Health Stroke Scale; NLR=neutrophil-to-lymphocyte ratio; OTT = onset-to-treatment time; PAT = previous antiplatelet therapy; PH = parenchymatous hemorrhage; POAT = previous oral anticoagulant therapy; SBP = systolic blood pressure; sHT = symptomatic hemorrhagic transformation; SVD = small vessel disease; WBC = white blood cell median (25Q–75Q).