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Table 1 Characteristics of AIS patients undergoing MT based on the GAR

From: Stress hyperglycemia increases short-term mortality in acute ischemic stroke patients after mechanical thrombectomy

 

Group 1

Group 2

Group 3

Group 4

P

 

(n = 136)

(n = 141)

(n = 139)

(n = 137)

 

General data

 Age, Median, (IQR)

61 (52–71)

62 (54–71)

67 (60–77)

69 (61–79)

 < 0.001

 Male, n (%)

106 (77.9%)

100 (70.9%)

77 (55.4%)

85 (62.0%)

 < 0.001

 Smoking, n (%)

73 (53.7%)

57 (40.4%)

43 (30.9%)

35 (25.5%)

 < 0.001

Medical history, n (%)

 Atrial fibrillation, n (%)

15 (11.0%)

18 (12.8%)

37 (26.6%)

31 (22.6%)

0.001

 Previous TIA/stroke, n (%)

12 (8.82%)

27 (19.1%)

26 (18.7%)

46 (33.6%)

 < 0.001

 Cardiovascular disease, n (%)

11 (8.09%)

22 (15.6%)

19 (13.7%)

23 (16.8%)

0.158

 Diabetes mellitus, n (%)

26 (19.1%)

32 (22.7%)

26 (18.7%)

52 (38.0%)

 < 0.001

 Hypertensive disease, n (%)

66 (48.5%)

63 (44.7%)

75 (54.0%)

90 (65.7%)

0.003

Clinical characteristics

 Systolic pressure, Median, (IQR)

130 (117–142)

134 (119–147)

136 (120–149)

140 (129–157)

0.001

 Diastolic pressure, Mean ± SD

75 ± 13

77 ± 15

77 ± 17

79 ± 15

0.150

 Median NIHSS score at admission (IQR)

12 (8–17)

15 (10–19)

16 (12–20)

17 (12–21)

 < 0.001

 Median NIHSS score at discharge (IQR)

6 (3–12)

7 (3–15)

6 (2–13)

8 (3–13)

0.550

 Median Pre-stroke mRS (range)

0 (0–3)

0 (0–3)

0 (0–3)

0 (0–3)

0.168

 Median Onset-to-reperfusion time, (min), (IQR)

481(277–741)

395 (303–629)

354 (274–520)

369 (268–585)

0.013

Stroke subtypes based on TOAST classification

    

0.362

 Atherosclerosis n (%)

79 (58.1)

85 (60.3)

70 (50.4)

89 (65.0)

 

 Cardioembolism, n (%)

48 (35.3)

45 (31.9)

55 (39.6)

41 (29.9)

 

 Other determined etiology, n (%)

5 (3.7)

7 (3.7)

5 (3.6)

3 (2.2)

 

 Undetermined etiology, n (%)

4 (2.9)

4 (2.9)

9 (6.5)

4 (2.9)

 

 Baseline ASPECTS of anterior circulation strokes, Median, (IQR)

8 (6–10)

9 (7–10)

8 (6–10)

8 (7–10)

0.519

 Baseline ASPECTS of posterior circulation strokes, Median, (IQR)

7 (4–9)

8 (6–10)

8 (6–9)

7 (5–10)

0.604

Laboratory data

 Fasting plasma -glucose, mmol/l

4.97 (4.42–5.46)

6.20 (5.75–6.82)

7.27 (6.82–8.01)

11.11 (8.98–14.42)

 < 0.001

 Glycated hemoglobin, %

5.8 (5.5–6.4)

6.0 (5.6–6.5)

5.8 (5.5–6.3)

6.2 (5.6–7.6)

0.007

 Hemoglobin, g/l

135 (121–146)

132 (119–144)

131 (115–143)

131 (119–143)

0.308

 GAR index

0.85 (0.76–0.90)

1.03 (0.98–1.08)

1.25 (1.18–1.32)

1.65 (1.50–1.94)

 < 0.001

 HDL cholesterol, mmol/l

0.95 (0.80–1.09)

0.98 (0.85–1.12)

0.98 (0.82–1.17)

1.03 (0.83–1.17)

0.199

 LDL cholesterol, mmol/l

2.57 (1.99–3.23)

2.73 (2.16–3.34)

2.59 (1.98–3.13)

2.59 (1.91–3.34)

0.428

 Triglycerides, mmol/l

1.23 (0.88–1.70)

1.20 (0.86–1.68)

1.19 (0.78–1.58)

1.11 (0.76–1.72)

0.418

 Total cholesterol, mmol/l

4.47 ± 1.14

4.61 ± 1.14

4.36 ± 1.10

4.45 ± 1.22

0.339

 Homocysteine, umol/l

9.10 (7.10–11.68)

8.30 (6.25–10.40)

8.50 (6.20–10.50)

7.65 (6.20–10.30)

0.005

 Serum creatinine, umol/l

78.2 (63.8–90.9)

72.0 (61.0–89.0)

75.0 (62.0–91.2)

73.5 (62.0–91.3)

0.427

 hsCRP, mg/l

3.78 (1.29–13.62)

3.80 (1.13–14.72)

5.60 (1.12–22.62)

9.72 (1.45–33.42)

0.016

 INR

1.06 (1.01–1.12)

1.11 (1.03–1.19)

1.12 (1.05–1.24)

1.11 (1.03–1.20)

 < 0.001

 IVT, n (%)

25 (18.4%)

46 (32.6%)

46 (33.1%)

28 (20.4%)

0.004

  1. AIS acute ischemic stroke, MT mechanical thrombectomy, GAR Glucose-to-glycated hemoglobin ratio; Group 1 first Glucose-to-glycated hemoglobin ratio quartile, Group 2 second Glucose-to-glycated hemoglobin ratio quartile, Group 3 third Glucose-to-glycated hemoglobin ratio quartile, Group 4 fourth Glucose-to-glycated hemoglobin ratio quartile, IQR interquartile range, SD standard deviation, TIA transient ischemic attack, NIHSS National Institutes of Health Stroke Scale, mRS modified Rankin Scale, TOAST Trial of ORG 10172 in Acute Stroke Treatment, ASPECTS Alberta Stroke Program Early CT Score, HDL high-density lipoprotein, LDL low-density lipoprotein, hsCRP high-sensitive C-reactive protein, INR international normalized ratio, IVT intravenous thrombolysis