Research Article

Higher Serum-Soluble α-Klotho Level Does Not Predict Longer Survival after Stroke

Table 1

Patient characteristics depending on plasma-soluble α-Klotho concentrations.

<487.7 ()487.7–813.5 ()≥813.5 ()

Soluble α-Klotho tertiles
 Soluble α-Klotho (pg/mL)336.1 (200.7–420.3)636.4 (581.2–725.6)1055.7 (915.5–1271.7)
 Age (years)
 Sex (men/women)33/3935/3931/40
 Previous stroke or transient ischemic attack ( (%))12 (16.7)16 (21.6)14 (19.7)
Concomitant diseases
 Hypertension ( (%))63 (87.5)60 (81.1)63 (88.7)
 Ischemic heart disease ( (%))16 (22.2)27 (36.5)20 (28.2)
 Atrial fibrillation ( (%))16 (22.2)23 (31.1)27 (38.0)
 Obesity ( (%))13 (18.1)9 (12.2)20 (28.2)
 Diabetes ( (%))27 (37.5)28 (37.8)24 (33.8)
 Hypercholesterolemia ( (%))35 (48.6)32 (43.2)34 (47.9)
Medications before stroke
 Aspirin ( (%))36 (50.7)36 (48.6)35 (50.0)
 Statin therapy ( (%))32 (44.4)26 (35.1)26 (36.6)
 Antithrombotic agents ( (%))8 (11.1)13 (17.6)6 (8.5)
Addictions
 Active smokers ( (%))17 (23.6)16 (21.6)12 (16.9)
 Addicted to alcohol ( (%))4 (5.6)4 (5.4)2 (2.8)
Type of stroke
 Large vessel occlusion ( (%))41 (56.9)33 (44.6)32 (45.1)
 Lacunar ( (%))20 (27.8)20 (27.0)16 (22.5)
 Embolic ( (%))11 (15.3)21 (28.4)23 (32.4)
Laboratory findings
 Total cholesterol (mmol/L)
 LDL cholesterol (mmol/L)
 HDL cholesterol (mmol/L)
 Triglycerides (mmol/L)1.46 (1.12–2.16)1.34 (0.98–1.82)1.36 (1.06–1.85)
 Creatinine (μmol/L)80.9 (69.4–92.2)83.1 (69.7–99.0)78.5 (70.0–89.3)
 Estimated glomerular filtration rate—eGFR (mL/min/1.73 m2)
 CKD ( or albuminuria) ( (%))26 (36.1)28 (37.8)26 (36.6)
 C-reactive protein (mg/dL)5.31 (1.99–13.80)2.86 (1.10–8.21)4.36 (2.44–8.43)
 Calcium (mg/dL)2.34 (2.22–2.46)2.29 (2.15–2.46)2.29 (2.20–2.44)
 Phosphorus (mg/dL)1.09 (0.97–1.26)1.11 (0.95–1.36)1.16 (1.01–1.48)
 Intact parathyroid hormone (pg/mL)42.1 (28.8–60.6)35.9 (22.0–59.6)41.7 (29.7–56.3)
 Intact fibroblast growth factor 23—iFGF23 (pg/mL)40.3 (16.6–84.3)50.2 (12.6–83.6)66.4 (34.0–92.2)
 Klotho/iFGF236.8 (2.9–21.5)13.6 (8.3–51.9)18.8 (10.1–32.7)
Overall survival (OS) and stroke-free survival (SFS)
 12-month OS ( (%))60 (83.3)55 (74.3)51 (71.8)
 24-month OS ( (%))57 (79.2)46 (62.2)47 (66.2)
 36-month OS ( (%))45 (62.5)44 (59.5)39 (54.9)
 12-month SFS ( (%))60 (83.3)55 (74.3)51 (71.8)
 24-month SFS ( (%))57 (79.2)45 (60.8)46 (64.8)
 36-month SFS ( (%))44 (61.1)43 (58.1)36 (50.7)

or median (lower quartile-upper quartile). .