Clinical Study

Remote Assessment of Platelet Function in Patients with Acute Stroke or Transient Ischaemic Attack

Table 1

Characteristics of patients at baseline/prerandomisation who have P-selectin data and were on antiplatelet therapy either taken before stroke or given acutely after stroke. Data are number (%), median [interquartile range], or mean (standard deviation). Comparison across all antiplatelet groups by Chi-square test, Kruskal-Wallis test, or one-way analysis of variance.

Whole trialWith P-selectinAspirinAsp/DipAsp/ClopClopidogrelNone

Number3096689430504254111
Age (years)69.0 (10.1)68.6 (10.4)68.9 (10.3)70.3 (10.7)70.5 (9.7)68.9 (11.4)66.3 (9.9)0.078
Sex, male (%)1945 (62.8)450 (65.3)277 (64.4)33 (66.0)26 (61.9)35 (64.8)78 (70.3)0.81
History (%)
 Hypertension1827 (59.0)400 (58.1)276 (64.2)27 (54.0)28 (66.7)28 (51.9)41 (36.9)<0.001
 Hyperlipidaemia1317 (42.5)278 (40.3)181 (42.1)24 (48.0)20 (47.6)21 (38.9)31 (27.9)0.24
 Diabetes590 (19.1)144 (20.9)101 (23.5)6 (12.0)13 (31.0)8 (14.8)16 (14.4)0.03
 Previous stroke349 (11.3)67 (9.7)32 (7.4)15 (30.0)10 (23.8)7 (13.0)3 (2.7)<0.001
 Previous TIA337 (10.9)68 (9.9)36 (8.4)17 (34.0)4 (9.5)10 (18.5)1 (0.9)<0.001
 Ischaemic heart disease403 (13.0)71 (10.3)51 (11.9)7 (14.0)5 (11.9)4 (7.4)3 (2.7)0.05
 Peripheral vascular disease70 (2.3)8 (1.2)4 (0.9)2 (4.0)1 (2.4)0 (0.0)1 (0.9)0.46
Smoking
 Current (%)784 (25.7)172 (25.4)111 (26.1)9 (18.4)10 (23.8)9 (17.0)32 (30.2)0.32
 Past (%)1160 (38.0)244 (36.0)162 (38.0)22 (44.9)11 (26.2)15 (28.3)33 (31.1)0.16
 Never (%)1108 (36.3)262 (38.6)153 (35.9)18 (36.7)21 (50.0)29 (54.7)41 (38.7)0.051
Alcohol
 High > 21 upw (%)291 (9.7)82 (12.3)50 (11.9)8 (17.0)4 (10.0)6 (11.8)14 (13.5)0.85
 Moderate 1–21 upw (%)1696 (56.5)385 (57.9)242 (57.5)24 (51.1)23 (57.5)32 (62.7)62 (59.6)0.82
 None (%)1014 (33.8)198 (29.8)129 (30.6)15 (31.9)13 (32.5)13 (25.5)28 (26.9)0.87
Index event (%)
 Ischaemic stroke2143 (69.2)517 (75.0)315 (73.3)36 (72.0)32 (76.2)43 (79.6)90 (81.1)0.44
 TIA953 (30.8)172 (25.0)115 (26.7)14 (28.0)10 (23.8)11 (20.4)21 (18.9)0.44
Stroke
 NIHSS (/42)3.0 [2.0, 5.0]3.0 [2.0, 5.0]3.0 [2.0, 5.0]3.0 [1.5, 4.0]3.0 [2.0, 4.5]3.0 [2.0, 5.0]3.0 [1.0, 5.0]0.95
 Alteplase (%)336 (15.7)94 (18.2)44 (14.0)6 (16.7)6 (18.8)11 (25.6)27 (30.0)0.0078
TIA
 ABCD2 (/7)5.0 [5.0, 6.0]5.0 [5.0, 6.0]5.0 [5.0, 6.0]5.5 [5.0, 6.0]6.0 [5.0, 7.0]5.0 [5.0, 6.0]6.0 [5.0, 6.0]0.18
 ≥TIA in previous week (%)183 (19.2)27 (15.7)15 (13.0)4 (28.6)4 (40.0)2 (18.2)2 (9.5)0.11
TOAST (%)
 Cardioembolic133 (4.3)29 (4.3)20 (4.7)0 (0.0)3 (7.3)1 (1.9)5 (4.5)0.39
 Large artery1225 (40.1)256 (37.6)178 (42.0)13 (26.0)10 (24.4)16 (30.2)39 (35.5)0.029
 Lacunar490 (16.0)130 (19.1)68 (16.0)15 (30.0)9 (22.0)16 (30.2)21 (19.1)0.028
 Mixed22 (0.7)4 (0.6)2 (0.5)1 (2.0)0 (0.0)0 (0.0)1 (0.9)0.64
 Unknown1181 (38.6)261 (38.4)156 (36.8)21 (42.0)19 (46.3)20 (37.7)44 (40.0)0.74
Systolic BP (mmHg)143.5 (18.2)141.8 (18.2)142.3 (18.6)138.4 (18.0)139.8 (18.5)143.7 (16.6)141.8 (17.0)0.52
Onset to randomisation [hrs]29.3 29.8 29.7 30.5 32.5 30.0 29.2 0.23
Drug history (%)
 In hospital
  Aspirin 2197 (71.0)463 (67.2)398 (92.6)40 (80.0)25 (59.5)0 (0.0)0 (0.0)<0.001
  Clopidogrel 208 (6.7)78 (11.3)0 (0.0)0 (0.0)30 (71.4)47 (87.0)0 (0.0)<0.001
  Dipyridamole 154 (5.0)36 (5.2)0 (0.0)35 (70.0)0 (0.0)0 (0.0)0 (0.0)<0.001
 Antihypertensives1742 (56.3)383 (55.6)262 (60.9)28 (56.0)29 (69.0)26 (48.1)37 (33.3)<0.001
 Lipid lowering1387 (44.8)301 (43.7)196 (45.6)22 (44.0)28 (66.7)25 (46.3)29 (26.1)<0.001
 Diabetes medication485 (15.7)116 (16.8)85 (19.8)6 (12.0)11 (26.2)6 (11.1)8 (7.2)0.0054
 Gastroprotection medication1343 (43.4)257 (37.3)165 (38.4)19 (38.0)15 (35.7)22 (40.7)36 (32.4)0.80

One patient on triple antiplatelet therapy and one patient on dipyridamole alone (protocol violations) are excluded.
Protocol violation [34]; Minimisation factor used during randomisation; number (%) of those given the drug following stroke/TIA and prior to randomisation. Asp: aspirin; BP: blood pressure; Clop: clopidogrel; Dip: dipyridamole; PACS: partial anterior circulation syndrome; TACS: total anterior circulation syndrome.