Table 5. The adjusted associations of biomarkers, ‘classic’ scores and ‘composed’ scores with unfavourable 30-day functional outcome of ischemic stroke, with model discriminatory ability and goodness of model fit, and pairwise comparison of each model.
Adjusted analysis | Model discriminatory ability | Model fit | Pairwise comparisons of the ROC curves | ||||||
Variable | OR (95% CI) | P | c-statistic (95% CI) | P | Hosmer-Lemeshow test (HL) | z-statistic | P | IDI | |
Nagelkerke R square (NR2) | P | ||||||||
0.00801 | |||||||||
1 | TnI (quartiles) | 1.8 (1.1–3.2) | 0.036 | 0.957 (0.931–0.983) | <0.001 | HL 0.036; NR2 0.786 | 2.576 (3 vs. 1) | 0.0100 | (3 vs. 4) |
2 | Fibrinogen (quartiles) | 2.2 (1.8–4.1) | 0.013 | 0.957 (0.931–0.983) | <0.001 | HL 0.036; NR2 0.786 | 2.576 (3 vs. 2) | 0.0100 | P = 0.15460 |
3 | CHA2DS2-VASc | 14.1 (3.4–59.5) | <0.001 | 0.982 (0.964–1.000) | <0.001 | HL <0.001; NR2 0.870 | 0.369 (4,5 vs. 3) | 0.7119 | 0.00172 |
4 | CHA2DS2-VASc-T | 22.5 (3.1–162.9) | 0.002 | 0.983 (0.963–1.000) | <0.001 | HL <0.001; NR2 0.877 | 2.588 (4 vs. 1,2) | 0.0097 | (3 vs. 5) |
5 | CHA2DS2-VASc-CRPFT | 7.7 (1.8–32.7) | 0.006 | 0.983 (0.963–1.000) | <0.001 | HL <0.001; NR2 0.877 | 2.588 (5 vs. 1,2) | 0.0097 | P = 0.61428 |
OR, Odds Ratio; CI, Confidence Interval; ROC, Receiver Operating Characteristic; IDI – integrated discrimination index.
Only biomarkers or scores with significant association with unfavourable 30-day functional stroke outcome following adjustment are shown.
Cardiac TnI and fibrinogen adjusted for other biomarkers (white blood cell count, haemoglobin, haematocrit, C-reactive protein, D-dimer, creatinine clearance, total cholesterol, high-density lipoprotein and low-density lipoprotein), age, gender, body mass index, smoking status, alcohol consumption, NYHA class, atrial fibrillation, history of hypertension, heart failure, diabetes mellitus, chronic kidney disease, prior stroke/TIA, left atrial volume, left ventricular ejection fraction, the presence of mitral annular calcification and symptomatic haemorrhagic transformation of ischemic stroke.
The CHA2DS2-VASc score adjusted for CHADS2 and HAS-BLED score, all biomarkers, gender, body mass index, smoking status, alcohol consumption, NYHA class, atrial fibrillation, chronic kidney disease, left atrial volume, left ventricular ejection fraction, the presence of mitral annular calcification and symptomatic haemorrhagic transformation of ischemic stroke.
The CHA2DS2-VASc-T and CHA2DS2-VASc-CRPFT scores adjusted for all blood biomarkers, gender, body mass index, smoking status, alcohol consumption, NYHA class, atrial fibrillation, chronic kidney disease, left atrial volume, left ventricular ejection fraction, the presence of mitral annulus calcification and symptomatic haemorrhagic transformation of ischemic stroke.