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Table 1 Characteristics of the four groups (N = 1219, 1055 ischemic and 164 hemorrhagic strokes)

From: Prognostic significance of diabetes and stress hyperglycemia in acute stroke patients

 

Group

P value

0 (N = 884)

1 (N = 73)

2 (N = 101)

3 (N = 161)

General characteristics

 Blood glucose (mmol/l)

4.89 [4.39–5.50]

7.44 [7.17–8.00]

5.83 [5.11–6.33]d0

9.44 [8.11–11.67]d1

 In-hospital insulin treatment

17 (1.9)

7 (9.6)d0

58 (57.4)d0d1

131 (81.4)d0d1d2

< 0.0001

 HbA1c (%)

5.9 [5.6–6.2]

6.8 [6.3–7.4]

7.6 [6.9–8.5]d2

 Age (years)

73.7 ± 13.7

73.2 ± 12.8

74.2 ± 10.6

73.5 ± 10.7

0.97

 Male sex

427 (48.3)

41 (56.2)

57 (56.4)

99 (61.5)b0

0.009

 Hypertension

730 (82.6)

64 (87.7)

94 (93.1)b0

147 (91.3)b0

0.002

 Hypercholesterolemia

567 (64.1)

40 (54.8)

66 (65.3)

98 (60.9)

0.37

 Hypertriglyceridemia

60 (6.8)

9 (12.3)

14 (13.9)b0

36 (22.4)d0

< 0.0001

 HDL Hypocholesterolemia

113 (12.8)

13 (17.8)

20 (19.8)a0

40 (24.8)d0

0.0005

 Ever smoker

365 (41.3)

31 (42.5)

49 (48.5)

71 (44.1)

0.54

 Alcohol drinker

155 (17.5)

14 (19.2)

14 (13.9)

21 (13.0)

0.41

 Carotid stenosis ≥ 50%*

232 (30.6)

26 (43.3)

45 (48.9)c0a3

48 (33.3)

0.002

 Atrial fibrillation

277 (31.3)

31 (42.5)a0a3

36 (35.6)

45 (28.0)

0.13

 Chronic kidney disease

79 (8.9)

8 (11.0)

14 (13.9)

30 (18.6)c0

0.002

 Previous myocardial infarction

95 (10.7)

12 (16.4)

26 (25.7)d0

36 (22.4)d0

< 0.0001

 Previous stroke

112 (12.7)

14 (19.2)a3

23 (22.8)b0b3

15 (9.3)

0.006

 Peripheral artery disease

39 (4.4)

4 (5.5)

14 (13.9)d0

15 (9.3)b0

0.0004

 Previous arterial revascularizations

65 (7.4)

12 (16.4)b0

19 (18.8)d0

23 (14.3)b0

< 0.0001

 TOAST classification*

  Large artery

125 (16.5)

10 (16.7)

22 (23.9)

25 (17.4)

0.36

  Cardioembolism

228 (30.0)

22 (36.7)

26 (28.3)

40 (27.8)

0.63

  Small artery

136 (17.9)a1

4 (6.7)

15 (16.3)

44 (30.6)c0c1b2

0.0002

  Other determined

22 (2.9)

3 (5.0)

4 (4.3)

2 (1.4)

0.43

  Undetermined

248 (32.7)

21 (35.0)

25 (27.2)

33 (22.9)

0.09

  i.v. Thrombolysis*

135 (17.8)

9 (15.0)

14 (15.2)

14 (9.7)a0

0.11

Stroke severity indicators

 NIHSS score

7 [3–14]

12 [6–18]d0c2a3

6 [3–14]

8 [4–14]a0

< 0.0001

 Cerebral lesion diameter (cm)

2.7 [1.1–4.7]

4.2 [1.8–6.7]d0c2a3

2.3 [0.9–4.6]

2.4 [0.9–4.9]

0.005

 OCSP classification*

  LACS

171 (22.5)

4 (6.7)a0b2b3

24 (26.1)

37 (25.7)

0.02

  PACS

305 (40.2)

27 (45.0)

36 (39.1)

44 (30.6)

0.13

  TACS

163 (21.5)

22 (36.6)b0

22 (23.9)

35 (24.3)

0.06

  POCS

120 (15.8)

7 (11.7)

10 (10.9)

28 (19.4)

0.27

 Hemorrhagic stroke

125 (14.1)

13 (17.8)

9 (8.9)

17 (10.6)

0.21

  “Typical” deep location

81 (64.8)

6 (46.2)

6 (66.7)

13 (76.5)

0.39

  “Atypical” lobar location

44 (35.2)

7 (53.8)

3 (33.3)

4 (23.5)

0.39

Acute phase markers

 Leukocytes (109/l)

8.26 [6.77–10.16]

9.95 [8.11–12.71]d0c2a3

8.43 [6.88–10.31]

9.43 [7.46–11.16]c0

< 0.0001

 C-reactive protein (mg/dl)

0.77 [0.29–2.52]

1.72 [0.65–4.51]c0c2c3

0.63 [0.32–2.22]

0.82 [0.35–2.35]

0.002

 Fever

250 (28.3)

35 (47.9)c0a2a3

32 (31.7)

59 (36.6)

0.002

Outcomes

 Modified Rankin scale ≥ 3

624 (70.6)

62 (84.9)b0b2

69 (68.3)

131 (81.4)b0a2

0.002

 Death

48 (5.4)

10 (13.7)b0

8 (7.9)

25 (15.5)d0

< 0.0001

 Cerebral edema

317 (35.9)

42 (57.5)c0d2c3

29 (28.7)

61 (37.9)

0.0008

 Hemorrhagic transformation*

139 (18.3)

25 (41.7)d0b2c3

18 (19.6)

26 (18.1)

0.0002

 Fever

250 (28.3)

35 (47.9)c0a2a3

32 (31.7)

59 (36.6)

0.002

 Oxygen administration

187 (21.2)

30 (41.1)d0b2

23 (22.8)

53 (32.9)c0

< 0.0001

 Pneumonia

41 (4.6)

8 (11.0)a0

6 (5.9)

7 (4.3)

0.12

 Sepsis

26 (2.9)

5 (6.8)

5 (5.0)

7 (4.3)

0.24

 Urinary infection

82 (9.3)

6 (8.2)

8 (7.9)

8 (5.0)

0.35

 Heart failure

48 (5.4)

8 (11.0)a0

7 (6.9)

11 (6.8)

0.26

  1. Values are mean ± SD or median [25th–75th percentile] or number (percentage)
  2. a = P < 0.05, b = P ≤ 0.01, c = P ≤ 0.001, d = P ≤ 0.0001 (number after symbol indicates reference group)
  3. Groups: 0 = nondiabetic nonhyperglycemic, 1 = nondiabetic hyperglycemic, 2 = diabetic nonhyperglycemic, 3 = diabetic hyperglycemic
  4. HbA1c Glycated hemoglobin, HDL high density lipoprotein, LACS lacunar syndrome, NIHSS National Institutes of Health Stroke Scale, OCSP Oxfordshire Community Stroke Project, PACS partial anterior circulation syndrome, POCS posterior circulation syndrome, TACS total anterior circulation syndrome, TOAST Trial of Org 10172 in Acute Stroke Treatment
  5. *Percentages referred to ischemic strokes only