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Table 1 Demographic and baseline characteristics

From: Association of high-density lipoprotein cholesterol with reduced intracranial haemorrhage and favourable functional outcome after thrombectomy for ischaemic stroke: a propensity-matched analysis

 

Patients receiving thrombectomy (n = 807)

Low HDL-C (< 1.15mmol/L) (n = 386)

High HDL-C (≥ 1.15 mmol/L) (n = 369)

p-value

Demographic Characteristics

Age, years (median [IQR])

77 [66, 84]

75 [64, 83]

78 [69, 84]

0.018

Sex, female (n, %)

420, 52.00

155, 40.16

235, 63.69

0.000

Premorbid condition

   

0.885

Independent (n, %)

587, 72.73

283, 73.32

269, 72.90

 

Needs assistance (n, %)

224, 27.76

103, 26.68

100, 27.10

 

Chronic disease (n, %)

   

0.104

No organ system

501, 62.08

230, 59.59

238, 64.50

 

1 Organ system

220, 27.26

107, 27.72

100, 27.10

 

2 Organ systems

80, 9.91

42, 10.88

30, 8.13

 

3 Organ systems

9, 1.12

7, 1.81

1, 0.27

 

Cardiovascular Risk Factors

Arterial hypertension (n, %)

720, 89.22

347, 89.90

323, 87.53

0.164

Diabetes mellitus (n, %)

232, 28.75

137, 35.49

80, 21.68

0.000

HbA1c, % (median [IQR])

5.8 [5.4, 6.3]

5.9 [5.5, 6.4]

5.7 [5.4, 6.1]

0.000

LDL, mg/dl (median [IQR])

2.28 [1.71, 2.99]

2.17 [1.64, 2.88]

2.41 [1.81, 3.04]

0.004

HDL, mg/dl (median [IQR])

1.15 [0.93, 1.43]

0.93 [0.78, 1.05]

1.41 [1.27, 1.58]

 

Preventive Pharmacological Treatment

Statin (n, %)

262, 32.47

136, 35.23

114, 30.89

0.112

Antiplatelet therapy (n, %)

205, 25.40

105, 27.20

90, 24.39

0.194

Dual Antiplatelet therapy (n, %)

7, 0.87

3, 0.78

3, 0.81

 

Aspirin monotherapy (n, %)

191, 23.67

96, 24.87

87, 23.58

 

Clopidogrel monotherapy (n, %)

7, 0.87

6, 1.55

0,0

 

Stroke Characteristics

Wake-up

163, 20.20

72, 18.65

80, 21.68

0.179

NIHSS at baseline (median, [IQR])

15 [10, 19]

15 [11, 19]

15 [10, 18]

0.043

mRS at baseline (median [IQR])

5 [4, 5]

5 [4, 5]

5 [4, 5]

0.088

ASPECTS (median [IQR])

7 [6, 9]

7 [6, 9]

8 [6, 9]

0.401

Occlusion side, left (n, %)

410, 50.81

205, 53.11

172, 46.61

0.068

Occlusion site (n, %)

   

0.008

ICA intracranial

9, 1.12

6, 1.55

3, 0.81

 

Carotid L or isolated M1

662, 82.03

326, 84.46

290, 78.59

 

M1/2-junction or isolated M2

139, 17.14

53, 13.73

76, 20.60

 

Carotid T

80, 9.91

39, 10.10

31, 8,40

 

Tandem

105, 13.01

62, 16.06

33, .8.94

 

Leptomeningeal collaterals on DSA (n, %)

673, 83.40

312, 80.83

313, 84.82

0.052

TOAST Classification (n, %)

   

0.001

Large artery atherosclerosis

150, 18.59

87, 22.54

53, 14.36

 

Cardioembolism

474, 58.74

220, 56.99

220, 59.62

 

Small vessel occlusion

0, 0.00

0, 0.00

0, 0.00

 

Stroke of other determined aetiology

23, 2.85

9, 2.33

10, 2.71

 

Stroke of undetermined aetiology

161, 19.95

67, 17.36

86, 23.30

 

Interventions (n, %)

Intravenous thrombolysis with rtPA

403, 49.94

194, 50.26

187, 50.68

0.498

Drip and ship

529, 65.55

265, 68.65

227, 61.52

0.024

Carotid stent (emergency)

87, 10.78

54, 13.99

27, 7.32

0.002

Sedative Regimen (n, %)

   

0.004

Conscious sedation

232, 28.75

95, 24.61

123, 33.33

 

General anaesthesia

562, 69.64

284, 73.58

238, 64.50

 

Procedural Times, min (median [IQR])

Onset unclear (n, %)

123, 15.24

53, 13.73

58, 15.72

0.397

Onset-to-needle

105 [80, 135]

109.5 [85, 138]

105 [79, 134]

0.470

Onset-to-groin

240 [173, 298]

242.2 [174, 298]

235 [171, 300]

0.967

Onset-to-recanalization

302 [234, 364]

301 [239, 367]

297 [228, 360]

0.318

  1. Abbreviations: ASPECTS, Alberta Stroke Program Early CT score ICA; carotid L occlusion, occlusion of distal intracranial ICA and proximal M1 segment; carotid T occlusion, combined distal intracranial ICA occlusion and ipsilateral proximal M1 and A1 occlusion; DSA, digital subtraction angiography; HbA1C, haemoglobin A1c; internal carotid artery; HDL-C, high-density lipoprotein cholesterol; IVT, intravenous thrombolysis; IQR, interquartile range; LDL-C, low-density lipoprotein cholesterol; mRS, modified Rankin scale; MT, mechanical thrombectomy; SD standard deviation; NIHSS, National Institutes of Health Stroke Scale; tandem occlusion, extracranial ICA occlusion or high-grade stenosis (at least 70% stenosis on the North American Symptomatic Carotid Endarterectomy Trial scale, NASCET) preceding ipsilateral acLVO. The high HDL-C and low HDL-C groups only include cases with available serum HDL-C concentrations, as detailed in Fig. 1