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Table 2 Logistic regression analysis and additional predictive value of the model including neutrophil elastase (NE) and proteinase 3 (PR3) concentrations for patients with unfavorable outcome (mRS > 2) at 3 months in the whole study population (n = 342)

From: Association of admission neutrophil serine proteinases levels with the outcomes of acute ischemic stroke: a prospective cohort study

 

Unfavorable outcomea

Clinical modelb

Clinical modelb + NE + PR3

Logistic regression

 R2 (Cox & snell)

0.326

0.385

 Age

OR = 1.002 (0.978–1.026), p = 0.893

OR = 1.005 (0.980–1.031), p = 0.686

 Sex (male)

OR = 1.495 (0.752–2.973), p = 0.252

OR = 1.789 (0.848–3.775), p = 0.127

 Onset-to-treatment time

OR = 1.007 (0.976–1.038), p = 0.678

OR = 1.006 (0.964–1.049), p = 0.795

 Admission NIHSS score

OR = 1.252 (1.177–1.331), p < 0.001†

OR = 1.279 (1.196–1.368), p < 0.001†

 Atrial fibrillation

OR = 0.916 (0.327–2.568), p = 0.868

OR = 0.873 (0.272–2.809), p = 0.820

 Intravenous thrombolysis

OR = 0.416 (0.210–0.825), p = 0.012†

OR = 0.393 (0.190–0.814), p = 0.012†

 Endovascular treatment

OR = 0.368 (0.155–0.877), p = 0.024†

OR = 0.303 (0.118–0.779), p = 0.013†

 SVO stroke

OR = 2.184 (0.618–7.718), p = 0.225

OR = 2.145 (0.538–8.554), p = 0.280

 Serum glucose

OR = 1.074 (0.989–1.167), p = 0.090

OR = 1.074 (0.979–1.178), p = 0.129

 Triglyceride

OR = 1.176 (0.984–1.404), p = 0.074

OR = 1.133 (0.920–1.397), p = 0.241

 Neutrophil-to-lymphocyte ratio

OR = 1.080 (1.006–1.160), p = 0.034†

OR = 1.072 (0.991–1.159), p = 0.084

 Neutrophil elastase > 229.56 ng/mL

–

OR = 4.478 (2.344–8.554), p < 0.001†

 Proteinase 3 > 388.77 ng/mL

–

OR = 2.805 (1.504–5.231), p = 0.001†

ROC curve

 AUC, %

86.5

88.9

 p Value

Ref.

0.070

IDI index, %

 Total IDI

−

8.2 (5.2, 11.2)

 p value

Ref.

< 0.001

NRI index, %

 Categorical NRI

–

12.8 (3.1, 22.6)

 p value

Ref.

0.009

 Continuous NRI

–

100.0 (80.6, 119.4)

 p value

Ref.

< 0.001

  1. AUC area under the curve, IDI integrated discrimination improvement, mRS modified Rankin Scale, NE neutrophil elastase, NIHSS NIH Stroke Scale, NRI net reclassification improvement, PR3 proteinase 3, ROC receiver operating characteristic curve, SVO small vessel occlusion
  2. †p < 0.05
  3. aThe unfavorable outcome was defined as an mRS score > 2
  4. bThe clinical model with neutrophil-to-lymphocyte ratio for all patients with acute ischemic stroke