Table 4. Crude associations of the CHA2DS2-VASc score and combinations of the score plus C-reactive protein, fibrinogen or TnI, or the CHA2DS2-VASc score plus all three biomarkers with unfavourable 30-day functional outcome of ischemic stroke and pairwise comparisons of the scores.
Score | OR | 95%CI | P | c-statistic | 95%CI | P | z-statistic | P | |
1 | CHA2DS2-VASc | 7.9 | 4.6–13.4 | <0.001 | 0.932 | 0.892–0.960 | <0.001 | 2.268 (2 vs. 1) | 0.0233 |
2 | CHA2DS2-VASc-CRP | 5.9 | 3.8–9.3 | <0.001 | 0.948 | 0.911–0.972 | <0.001 | 2.020 (3 vs. 1) | 0.0434 |
3 | CHA2DS2-VASc-F | 6.0 | 3.8–9.5 | <0.001 | 0.946 | 0.909–0.971 | <0.001 | 3.274 (4 vs. 1) | 0.0011 |
4 | CHA2DS2-VASc-T | 10.0 | 5.3–18.9 | <0.001 | 0.955 | 0.921–0.978 | <0.001 | 1.947 (5 vs. 1) | 0.0515 |
5 | CHA2DS2-VASc-CRFT | 3.6 | 2.6–4.8 | <0.001 | 0.953 | 0.917–0.976 | <0.001 | 1.514 (3 vs. 2) | 0.1299 |
1.242 (4 vs. 2) | 0.2144 | ||||||||
0.995 (5 vs. 2) | 0.3195 | ||||||||
1.433 (4 vs. 3) | 0.1517 | ||||||||
1.267 (5 vs. 3) | 0.2053 | ||||||||
0.427 (5 vs. 4) | 0.6692 |
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); CHA2DS2-VASc-CRP, 1 additional point if C-reactive protein was >4 mg/L; CHA2DS2-VASc-F, 1 additional point if fibrinogen was >3.7 g/L; CHA2DS2-VASc-T, 1 additional point if TnI was >0.09µg/L; CHA2DS2-VASc-CRPFT, 1 additional point for each of three biomarkers if above the correspondent cut-off level.