Research Article

New Thrombotic Events in Ischemic Stroke Patients with Elevated Factor VIII

Table 1

Baseline characteristics of patients with and without elevated FVIII.

Normal Factor VIII
(0.50–1.50 IU/mL)
( = 95)
Elevated Factor VIII
(>1.50 IU/mL)
( = 203)
value

Age, median (range)52 (26–85)54 (19–90)0.2908
Gender, % female 43 (45.3%)108 (53.2%)0.2015
Black race, %54 (56.8%)161 (79.3%)<0.0001
Past medical history, %
 Coronary artery disease18 (18.9%)46 (22.7%)0.4670
 Diabetes16 (17%)83 (41.3%)<0.0001
 Hypertension68 (72.3%)152 (75.3%)0.5940
 Dyslipidemia25 (26.6%)76 (37.6%)0.0625
 Atrial fibrillation2 (2.1%)7 (3.5%)0.5284
 Prior stroke event32 (33.7%)88 (43.3%)0.2129
 Cancer8 (8.4%)11 (5.5%)0.3284
Baseline NIHSS, median (range)5 (0–24)5 (0–33)0.1666
Baseline laboratory values
 Glucose, median mmol/L (range)5.94 (4.16–18.20)6.72 (3.22–46.12)0.0033
 INR, median (range)1 (0.7–3.8)1 (0.8–3.1)0.3625
IV tPA, %47 (49.5%)59 (29.1%)0.0006
Active smoker, %43 (46.2%)69 (34.5%)0.0543
Home medications, %
 Any antithrombotic33 (34.7%)74 (36.5%)0.7735
 Any antiplatelet32 (33.7%)69 (34.7%)0.8673
 Any anticoagulant1 (1.1%)8 (4.2%)0.1275
TOAST 0.0007
 Cardioembolic 11 (11.6%)39 (19.3%)
 Large vessel disease 14 (14.7%)34 (16.8%)
 Small vessel disease 14 (14.7%)21 (10.4%)
 Cryptogenic (>1 cause)3 (3.2%)16 (7.9%)
 Cryptogenic (no cause found) 40 (42.1%)44 (21.8%)
 Other 9 (9.9%)45 (22.6%)
Hospital medications, %
 Any inpatient antiplatelet85 (89.5%)189 (93.1%)0.2833
 Chemical DVT ppx75 (78.9%)159 (78.7%)0.9632
 Any full-dose anticoagulant15 (15.9%)57 (28.2%)0.0221

NIHSS indicates National Institutes of Health Stroke Scale; IQR, interquartile range; INR, international normalized ratio; IV tPA, intravenous tissue plasminogen activator; TOAST, trial of ORG 10172 in Acute Stroke Treatment; DVT ppx, deep vein thrombosis prophylaxis. Prior stroke event was confirmed by either patient report or neuroimaging.