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. 2019 Oct 4;10:1032. doi: 10.3389/fneur.2019.01032

Table 4.

Subgroup analyses of the associations between NLR and mortality in hemorrhagic stroke.

Stratified analyses No. of patients No. of studies Model Pooled HR (95%CI) P-value PD-value Heterogeneity
I2 PH-value
Assessment time 0.005
  In-hospital mortality 1,129 2 Random 1.002 (0.933–1.076) 0.961 88.3% 0.003
  30-day mortality 613 3 Random 1.384 (0.985–1.945) 0.061 85.4% 0.001
  90-day mortality 1,720 4 Random 1.489 (1.068–2.075) 0.019 92.2% <0.001
  One-year mortality 593 2 Random 1.196 (0.817–1.750) 0.358 73.9% 0.050
Clinical characteristic
 Hemorrhagic stroke subtypes 0.005
  ICH 1,997 6 Random 1.090 (1.004–1.182) 0.039 85.7% <0.001
  SAH 929 3 Random 1.125 (1.002–1.263) 0.046 90.4% <0.001
 Hematoma size 0.005
  <14 ml 737 3 Random 1.348 (1.067–1.702) 0.012 66.3% 0.052
  ≥14 ml 1,596 4 Random 1.061 (0.958–1.174) 0.255 90.5% <0.001
 Presence of IVH 0.024
  <25% 389 2 Random 2.027 (0.857–4.798) 0.108 63.8% 0.096
  ≥25% 1,191 2 Random 1.025 (0.916–1.146) 0.670 93.3% <0.001
Demographic factors
 Age 0.011
  <65 962 3 Random 1.112 (0.989–1.250) 0.076 90.1% <0.001
  ≥65 1,645 5 Random 1.080 (0.997–1.170) 0.059 87.1% <0.001
 Gender distribution 0.005
  Male dominant 1,301 5 Random 1.944 (1.281–2.951) 0.002 89.6% <0.001
  Balanced 855 1 Random 0.970 (0.950–0.991) 0.006 - -
  Female dominant 770 3 Random 1.051 (1.005–1.100) 0.030 55.8% 0.079
 Country 0.005
  Eastern 1,367 5 Random 1.115 (1.011–1.229) 0.029 86.5% <0.001
  Western 1,559 4 Random 1.083 (0.993–1.181) 0.072 87.5% <0.001
Vascular risk factors
 Presence of hypertension 0.005
  <55% 274 1 Fixed 1.033 (1.012–1.054) 0.002 0.0% 0.678
  ≥55% and <65% 655 2 Random 2.743 (0.849–8.863) 0.092 90.6% 0.001
  ≥65% and <75% 609 3 Random 1.214 (1.035–1.425) 0.017 78.1% 0.010
  ≥75% 1,388 3 Random 0.978 (0.923–1.037) 0.458 68.3% 0.024
 Presence of diabetes mellitus 0.011
  <25% 1,752 7 Random 1.177 (1.072–1.291) 0.001 87.1% <0.001
  ≥25% 855 1 Fixed 0.970 (0.950–0.991) 0.006 0.0% 0.740
 Presence of hyperlipidemia 0.161
  <25% 177 1 Random 1.160 (1.016–1.325) 0.028
  ≥25% 1,063 2 Random 1.034 (0.949–1.126) 0.449 90.4% <0.001
 Presence of current smoking 0.011
  <35% 1,928 5 Random 1.158 (1.033–1.297) 0.011 91.6% <0.001
Methodological factors
 Sample time& 0.002
  On admission 1,398 3 Random 1.003 (0.950–1.059) 0.916 74.7% 0.008
  Within 24 h 1,254 5 Random 1.965 (1.313–2.941) 0.001 86.4% <0.001
 Cutoff value 0.026
  <4 855 1 Fixed 0.970 (0.950–0.991) 0.006 0.0% 0.740
  ≥4 1,589 6 Random 1.626 (1.221–2.166) 0.001 85.2% <0.001
 Definition of cutoff value 0.005
  ROC curve analysis 1,445 6 Random 1.547 (1.205–1.987) 0.001 87.0% <0.001
  4th quartile 1,207 2 Random 0.972 (0.940–1.005) 0.091 41.8% 0.179
  Continuous variable 274 1 Fixed 1.033 (1.012–1.054) 0.002 0.0% 0.678
 HR calculation 0.011
  Multivariate 2,607 8 Random 1.080 (1.018–1.146) 0.011 88.7% <0.001

ICH, intracerebral hemorrhage; SAH, subarachnoid hemorrhage; IVH, intraventricular hemorrhage.

#Onset time was defined as time from stroke onset to recruitment/admission/diagnosis.

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Sample time was defined as time from stroke onset to take blood sample.

HRs were extracted from multivariate Cox proportional hazards models, univariate Cox proportional hazards models, or survival curve analysis.