Baseline characteristics and univariate analysis of unfavorable outcome in patients with anterior circulation stroke with available mRS at discharge
Parameter | Value (N=290) |
Demographics | |
Age (years) | 78.0 (66.3–85.0) |
Sex (male) | 119 (41.0%) |
Medical history | |
Arterial hypertension | 229 (79.0%) |
Atrial fibrillation | 138 (47.6%) |
Diabetes | 68 (23.4%) |
Dyslipidemia | 116 (40.0%) |
Smoking | 87 (30.0%) |
Stroke characteristics | |
Pre-stroke mRS (0–2) | 270 (93.1%) |
Baseline NIHSS | 10 (10–19) |
NIHSS discharge | 7 (2-18) |
mRS discharge | 4 (2-5) |
Baseline ASPECTS | 10 (9–10) |
ASPECTS 24 hours | 8 (5-9) |
Wake-up stroke | 62 (21.4%) |
Intravenous thrombolysis | 160 (55.2%) |
Onset to groin (min) | 145 (111–207) |
Groin to recanalization (min) | 43.5 (27–69.5) |
Site of occlusion | |
Distal ICA | 77 (26.6%) |
MCA M1 | 124 (42.8%) |
MCA M2 | 69 (23.8%) |
MCA M3 | 9 (3.1%) |
A1 | 3 (1.0%) |
A2 | 2 (0.7%) |
Multiple locations AC | 6 (2.1%) |
TOAST | |
Large Artery Sclerosis | 85 (29.3%) |
Cardioembolic | 140 (48.3%) |
Small vessel occlusion | 1 (0.3%) |
Other/undetermined | 64 (22.1%) |
Tandem occlusion | 25 (8.6%) |
Final TICI | |
2b-3 | 259 (89.3%) |
2 c-3 | 186 (64.1%) |
3 | 156 (53.8%) |
Number of maneuvers | 2 (1-3) |
Number of stent retriever maneuvers | 1 (1-2) |
First-pass technique | |
Aspiration | 80 (27.6%) |
Stent retriever+aspiration | 202 (69.7%) |
Missing data | 8 (2.8%) |
Overall hemorrhagic complications | 39 (13.4%) |
SAH | 25 (8.6%) |
sICH | 14 (4.8%) |
Outcome | |
mRS discharge (0–2) | 84/275 (30.5%) |
mRS 6 | 82/275 (29.8%) |
Missing data | 15/290 (5.2%) |
BCA Parameter | |
Bone sum | 940 (795–1130) |
Muscle sum | 1902 (1520–2454) |
TAT sum | 2065 (1395–3082) |
IMAT sum | 915 (633–1181) |
Muscle/bone sum | 2.1 (1.7–2.5) |
TAT/bone sum | 2.2 (1.6–3.0) |
IMAT/TAT sum | 43.3 (36.6–51.9) |
Favorable outcome, mRS 0–2 (N=84) | Unfavorable outcome, mRS 3–6 (N=191) | P value | |
Demographics | |||
Age (years) | 71.0 (60.8–83.0) | 79.0 (70.0–85.0) | 0.006 |
Sex (male) | 36 (42.9%) | 74 (38.7%) | 0.521 |
Medical history | |||
Arterial hypertension | 61 (72.6%) | 158 (82.7%) | 0.055 |
Atrial fibrillation | 38 (45.2%) | 94 (49.2%) | 0.543 |
Diabetes | 16 (19.0%) | 50 (26.2%) | 0.202 |
Dyslipidemia | 37 (44.0%) | 77 (40.3%) | 0.563 |
Smoking | 26 (31.0%) | 61 (31.9%) | 0.872 |
Stroke characteristics | |||
mRS pre-treatment | 0 (0–0) | 1 (0–2) | <0.001 |
Baseline NIHSS | 11 (6.8–15.3) | 15 (12–20) | <0.001 |
NIHSS discharge | 1 (0–2) | 13.5 (7-42) | <0.001 |
mRS discharge | 1 (0.8–2) | 5 (4-6) | <0.001 |
Baseline ASPECTS | 10 (9–10) | 10 (8–10) | 0.030 |
ASPECTS 24 hours | 9 (8-10) | 7 (4-8) | <0.001 |
Wake-up stroke | 15 (17.9%) | 44 (23.0%) | 0.335 |
Intravenous thrombolysis | 53 (63.1%) | 100 (52.4%) | 0.099 |
Onset to groin (min) | 140 (115–230) | 140 (107–203) | 0.771 |
Groin to recanalization (min) | 38.0 (25.5–49.5) | 52 (32–87) | <0.001 |
Site of occlusion | |||
Distal ICA | 14 (16.7%) | 61 (31.9%) | 0.009 |
MCA M1 | 39 (46.4%) | 76 (39.8%) | 0.304 |
MCA M2 | 26 (31.0%) | 40 (20.9%) | 0.073 |
MCA M3 | 4 (4.8%) | 5 (2.6%) | 0.462 |
A1 | 0 (0%) | 3 (1.6%) | 0.555 |
A2 | 1 (1.2%) | 1 (0.5%) | 0.518 |
Multiple locations | 0 (0%) | 5 (2.6%) | 0.327 |
TOAST | |||
Large artery sclerosis | 24 (28.6%) | 54 (28.3%) | 0.960 |
Cardioembolic | 30 (35.7%) | 94 (49.2%) | 0.670 |
Small vessel occlusion | 1 (1.2%) | 0 (0%) | 0.305 |
Other/undetermined | 20 (23.8%) | 43 (22.5%) | 0.129 |
Tandem occlusion | 11 (13.1%) | 13 (6.8%) | 0.089 |
Final TICI | |||
2b-3 | 81 (96.4%) | 164 (85.9%) | 0.011 |
2 c-3 | 65 (77.4%) | 109 (57.1%) | 0.001 |
3 | 56 (66.7%) | 89 (46.6%) | 0.002 |
Number of maneuvers | 1 (1-2) | 2 (1-3) | <0.001 |
Number of stent retriever maneuvers | 1 (0–2) | 1 (1-2) | 0.002 |
First-pass technique | 0.358 | ||
Aspiration | 26/81 (32.1%) | 50/188 (26.6%) | |
Stent retriever+aspiration | 55/81 (67.9%) | 138/188 (73.4%) | |
Missing data | 3/84 (3.6%) | 3/191 (1.6%) | |
Overall complications | 6 (7.1%) | 32 (16.8%) | 0.033 |
SAH | 6 (7.1%) | 18 (9.4%) | 0.537 |
sICH | 0 (0%) | 14 (7.3%) | 0.007 |
BCA parameter | |||
Bone sum | 940 (795–1104) | 944 (807–1140) | 0.681 |
Muscle sum | 2061 (1628–2756) | 188 (1528–2377) | 0.169 |
TAT sum | 2007 (1277–3176) | 2166 (1471–3121) | 0.699 |
IMAT sum | 929 (604–1151) | 903 (672–1212) | 0.514 |
Muscle/bone sum | 2.2 (1.8–2.5) | 2.0 (1.7–2.4) | 0.007 |
TAT/bone sum | 2.2 (1.6–3.3) | 2.2 (1.6–3.1) | 0.726 |
IMAT/TAT sum | 44.6 (36.4–52.1) | 42.9 (36.7–51.4) | 0.799 |
Data are presented as numbers and percentages or as medians with IQR.
AC, anterior circulation; ASPECTS, Alberta Stroke Program Early CT Score; h, hours; ICA, internal carotid artery; IMAT, intra-/intermuscular adipose tissue; MCA, middle cerebral artery; min, minutes; mRS, modified Rankin Scale; NIHSS, National Institutes of Health Stroke Scale; SAH, subarachnoid hemorrhage; sICH, symptomatic intracranial hemorrhage; TAT, total adipose tissue; TICI, thrombolysis in cerebral infarction; TOAST, Trial of ORG 10172 in Acute Stroke Treatment .