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. 2014 Sep 3;9(9):e106439. doi: 10.1371/journal.pone.0106439

Table 3. Crude associations of biomarkers and the CHADS2, CHA2DS2-VASc and HAS-BLED score with unfavourable 30-day outcome of ischemic stroke, predictive ability of each biomarker or score, and pairwise comparisons of each biomarker and stroke risk score predictive ability.

Predictive ability Pairwise comparison
OR 95%CI P c-statistic 95%CI P z-statistic P
Biomarker
1 CRP 3.9 2.9–5.3 <0.001 0.853 0.802–0.895 <0.001 0.335 (1 vs. 2) 0.7390
quartiles 5.8 3.5–9.5 <0.001 0.795 0.738–0.844 <0.001 1.678 (1 vs. 3) 0.0934
4.616 (1 vs. 4) <0.001
5.641 (1 vs. 5) <0.001
6.081 (1 vs. 6) <0.001
2 Fibrinogen 61.7 21.1–180.7 <0.001 0.848 0.796–0.891 <0.001 1.536 (2 vs. 3) 0.1246
quartiles 4.2 1.9–6.0) <0.001 0.835 0.781–0.879 <0.001 4.312 (2 vs. 4) <0.001
5.530 (2 vs. 5) <0.001
5.549 (2 vs. 6) <0.001
3 TnI 3.2 2.3–4.4 <0.001 0.792 0.736–0.842 <0.001 3.249 (3 vs. 4) 0.0012
quartiles 2.7 2.0–3.7 <0.001 0.767 0.705–0.830 <0.001 3.441 (3 vs. 5) 0.0006
3.847 (3 vs. 6) 0.0001
4 D-dimer 1.9 1.4–2.5 <0.001 0.642 0.578–0.703 <0.001 0.371 (4 vs. 5) 0.7109
quartiles 1.6 1.2–2.0 <0.001 0.636 0.572–0.697 <0.001 0.626 (4 vs. 6) 0.5313
5 WBC 1.2 1.1–1.5 0.010 0.622 0.558–0.684 0.001 0.236 (5 vs. 6) 0.8134
quartiles 1.3 1.1–1.7 <0.001 0.593 0.528–0.656 0.009
6 CrCl 0.09 0.04–0.59 0.012 0.610 0.545–0.672 0.004
quartiles 0.7 0.5–0.7 0.007 0.601 0.536–0.664 0.006
Stroke risk score
7 CHA2DS2-VASc 7.9 4.6–13.4 <0.001 0.932 0.892–0.960 <0.001 4.265 (7 vs. 8) <0.001
8 CHADS2 10.8 5.6–21.0 <0.001 0.872 0.823–0.912 <0.001 3.834 (8 vs. 9) <0.001
9 HAS-BLED 2.8 2.0–3.8 <0.001 0.750 0.690–0.804 <0.001 5.674 (7 vs. 9) <0.001
z-statistic P
CHA2DS2- CHA2DS2-VASc vs. CRP 2.963 0.0030
VASc score vs. biomarkers CHA2DS2-VASc vs. Fibrinogen 2.961 0.0031
CHA2DS2-VASc vs. TnI 3.977 0.0001

OR, Odds Ratio; CI, Confidence Interval.

Only biomarkers with p<0.01 regarding unfavourable 30-day functional stroke outcome are shown.

CRP, C-reactive protein; WBC, white blood cell count; CrCl, creatinine clearance; CHA2DS2-VASc, congestive heart failure or left ventricular ejection fraction ≤40%, hypertension, age ≥75 years, diabetes mellitus, prior stroke or TIA, vascular disease (including myocardial infarction and peripheral artery disease), age >65 years, female gender (1 point each, age ≥75 years and prior stroke/TIA 2 points each); CHADS2, congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, prior stroke or TIA (1 point each, prior stroke/TIA 2 points); HAS-BLED, hypertension, abnormal renal or liver function, prior stroke, labile INRs (International Normalized Ratio), elderly (>65 years), concomitant drugs or alcohol use.