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. 2023 May 24;8(3):692–702. doi: 10.1177/23969873231174942

Table 2.

Regression analysis of stroke severity and follow-up outcomes according to pre-stroke antithrombotic therapy in overall study cohort and in the subpopulation with a history of ischaemic stroke or transient ischaemic attack.

Characteristic No ATT APT p AC p APT + AC p N
Stroke severity at admission ref. β (95% CI) β (95% CI) β (95% CI)
NIHSS at admission a 1.00 −0.31 (−0.47 to −0.15) <0.001 −0.81 (−1.05 to −0.58) <0.001 −1.10 (−1.61 to −0.59) <0.001 34,483
n = 18,096 n = 11,187 n = 4574 n = 626
 History of AIS/TIA 1.00 −0.74 (−1.11 to −0.37) <0.001 −1.12 (−1.59 to −0.66) <0.001 −1.20 (−1.99 to −0.41) 0.003 7892
n = 1568 n = 4334 n = 1693 n = 297
3 month follow-up outcomes ref. aOR (95% CI) aOR (95% CI) aOR (95% CI)
Functional outcome (mRS > 3) b 1.00 1.06 (0.98–1.14) 0.135 1.28 (1.15–1.42) <0.001 1.40 (1.11–1.75) 0.003 28,464
n = 14,912 n = 9226 n = 3808 n = 518
 History of AIS/TIA 1.00 0.90 (0.75–1.07) 0.239 1.01 (0.81–1.26) 0.939 1.15 (0.81–1.63) 0.447 6424
n = 1217 n = 3562 n = 1399 n = 246
Recurrent ischaemic stroke c 1.00 1.26 (1.11–1.44) <0.001 1.54 (1.29–1.83) <0.001 1.09 (0.75–1.59) 0.650 29,503
n = 15,616 n = 9554 n = 3790 n = 543
 History of AIS/TIA 1.00 1.01 (0.79–1.30) 0.923 1.23 (0.91–1.66) 0.186 0.89 (0.53–1.51) 0.673 6671
n = 1250 n = 3749 n = 1404 n = 268
ICH d 1.00 1.27 (1.05–1.53) 0.013 0.98 (0.74–1.29) 0.867 0.79 (0.40–1.58) 0.512 29,640
n = 15,689 n = 9629 n = 3784 n = 538
 History of AIS/TIA 1.00 1.09 (0.67–1.77) 0.718 1.14 (0.63–2.03) 0.670 0.59 (0.17–2.03) 0.402 6698
n = 1247 n = 3777 n = 1410 n = 264
Deathe 1.00 1.10 (0.99–1.21) 0.059 1.60 (1.41–1.80) <0.001 1.69 (1.29–2.21) <0.001 28,524
n = 14,939 n = 9252 n = 3814 n = 519
 History of AIS/TIA 1.00 0.71 (0.57–0.88) 0.002 0.99 (0.77–1.27) 0.940 0.89 (0.57–1.39) 0.620 6442
n = 1218 n = 3577 n = 1401 n = 246

AC: anticoagulation; AIS: acute ischaemic stroke; aOR: adjusted odds ratio; APT: antiplatelet therapy; ATT: antithrombotic therapy; ICH: intracerebral haemorrhage; mRS: modified Rankin scale; N: number of patients; NIHSS: National Institutes of Health Stroke Scale; ref.: reference; TIA: transient ischaemic attack; 95% CI: 95% confidence interval.

Adjusted beta-coefficients and odds ratios of outcome events in the respective antithrombotic therapy group as compared to no antithrombotic therapy (reference beta coefficient/odds ratio of 1.00). Comparisons of stroke severities were calculated using a quantile regression model, the comparisons of the 3-months follow-up outcomes using binomial logistic regression models. The analyses were adjusted for the following covariates.

Covariates included in all analyses: age (continuous), sex (categorical), serum glucose on admission (continuous), systolic blood pressure on admission (continuous), time between stroke onset and admission (continuous), history of ischaemic stroke, intracranial haemorrhage, hypertension, diabetes, atrial fibrillation (categorical variables).

Additional covariates for each analysis:

a

Premorbid mRS (ordinal).

b,e

Premorbid mRS (ordinal), intravenous thrombolysis (categorical), endovascular treatment (categorical), NIHSS on admission (continuous).

c

Intravenous thrombolysis (categorical), endovascular treatment (categorical), NIHSS on admission (continuous), modified TOAST aetiology (categorical).

d

Intravenous thrombolysis (categorical), endovascular treatment (categorical), NIHSS on admission (continuous).