Research Article

Plasma Neurofilament Light Chain Is Associated with Cognitive Impairment after Posterior Circulation Stroke

Table 1

Baseline characteristics of the participants.

FactorsTotalPSCINon-PSCI

Overall rate, n (%)264 (100)101(38.30)163 (61.70)
Sex, male, n (%)157 (59.47)55 (54.46)102 (62.60)0.191
Age (y), median(IQR)65 (51–73)68 (56.50–76.50)62 (49–71)0.005
Education level, <6 years, n (%)76 (28.78)27 (26.73)49 (30.06)0.562
Vascular risk factors, n (%)
 Hypertension144 (54.54)61 (60.39)83 (50.92)0.133
 Diabetes mellitus73 (27.65)29 (28.71)44 (26.99)0.762
 Hyperlipidemia52 (19.70)27 ( 26.73)25 (15.34)0.024
 Atrial fibrillation32 (12.12)12 (11.88)20 (12.27)0.925
 Smoking97 (36.74)33 (32.67)64 (39.26)0.280
 Drinking62 (23.48)19 (18.81)43 (26.38)0.159
 NIHSS, median (IQR)5 (3–8)7 (3–10)4 (2–7)0.001
 Infarct volume (ml), median (IQR)12.87 (7.76–19.19)18.06 (12.56–24.14)11.05 (3.30–15.35)<0.001
TOAST classification, n (%)0.192
 Large-artery atherosclerosis151 (57.20)64 (63.37)87 (53.37)
 Cardioembolism44 (16.67)16 (15.84)28 (17.18)
 Small vessel occlusion23 (8.71)9 (8.91)14 (8.59)
 Other cause18 (6.82)7 (6.93)11 (6.75)
 Undetermined28 (10.61)5 (4.95)23 (14.11)
 Blood sampling time (h), median (IQR)26.00 (15.00–37.00)28.00 (19.50–40.00)25.00 (14.00–36.00)0.103
 Plasma NfL (pg/mL), median (IQR)38.68 (24.61–53.85)49.54 (40.00–78.59)30.12 (19.88–43.61)<0.001
 HbA1c (%), median (IQR)5.90 (5.5–7.30)5.90 (5.60–7.55)5.90 (5.40–7.00)0.259
 Hs-CRP (mg/L), median (IQR)3.33 (2.16–4.78)3.20 (2.56–4.72)3.48 (2.12–4.84)0.871
 Homocysteine (umol/L), median (IQR)15.54 (11.32–21.76)16.45 (12.32–22.91)15.14 (10.13–21.70)0.042
 MOCA, median (IQR)26.00 (23.25–27.00)22.00 (19.00–24.00)26.00 (26.00–28.00)<0.001

PSCI, poststroke cognitive impairment; IQR, interquartile range; NIHSS, National Institutes of Health Stroke Scale; TOAST, Trial of ORG 10172 in Acute Stroke Treatment; Hs-CRP, high-sensitivity C-reactive protein; MOCA, Montreal Cognitive Assessment.