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Table 3 Logistic regression analysis and additional predictive value of the model including neutrophil elastase (NE) and proteinase 3 (PR3) concentrations for unfavorable outcome (mRS > 2) at 3 months in patients received IV recombinant tissue plasminogen activator (rtPA) treatment (n = 119)

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)

0.249

0.346

 Age

OR = 0.994 (0.939–1.053), p = 0.843

OR = 1.018 (0.959–1.080), p = 0.558

 Sex (male)

OR = 2.382 (0.513–11.053), p = 0.268

OR = 3.200 (0.588–17.425), p = 0.179

 Onset-to-treatment time

OR = 0.706 (0.447 -1.116), p = 0.137

OR = 0.656 (0.373–1.154), p = 0.144

 Admission NIHSS score

OR = 1.208 (1.064–1.371), p = 0.004†

OR = 1.313 (1.108–1.556), p = 0.002†

 Atrial fibrillation

OR = 11.771 (1.981–69.947), p = 0.007†

OR = 18.824 (2.537–139.662), p = 0.004†

 Serum glucose

OR = 1.159 (1.015–1.324), p = 0.030†

OR = 1.227 (1.049–1.435), p = 0.010†

 Neutrophil-to-lymphocyte ratio

OR = 1.097 (0.891–1.349), p = 0.384

OR = 1.118 (0.896–1.395), p = 0.324

 Neutrophil elastase > 177.22 ng/mL

Ref.

OR = 8.931 (2.330–34.238), p = 0.001†

 Proteinase 3 > 388.77 ng/mL

Ref.

OR = 4.275 (1.045–17.491), p = 0.043†

ROC curve

 AUC, %

84.6

89.9

 p value

Ref.

0.082

IDI index, %

 Total IDI

–

18.1 (7.7, 28.5)

 p value

Ref.

< 0.001

NRI index, %

 Categorical NRI

–

30.1 (5.3, 55.0)

 p value

Ref.

0.017

 Continuous NRI

–

91.8 (51.1, 132.6)

 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
  2. †p < 0.05
  3. aThe unfavorable outcome was defined as an mRS score > 2
  4. bThe clinical model for the subgroup of patients received rtPA treatment