Research Article

Metabolic Syndrome Augments the Risk of Early Neurological Deterioration in Acute Ischemic Stroke Patients Independent of Inflammatory Mediators: A Hospital-Based Prospective Study

Table 1

Comparison of clinical characteristics between patients with and without END.

CharacteristicsWith END ()Without END () value

Age, year68.7 ± 9.865.6 ± 8.90.040
Male (%)32 (65.3)108 (67.9)0.733
Prehistory
 Smoking (%)14 (28.6)52 (32.7)0.587
 Drinking habits (%)15 (30.6)43 (27.0)0.626
 Hypertension (%)31 (63.3)120 (75.5)0.101
 Diabetes (%)23 (46.9)41 (25.8)0.005
 Hyperlipidemia (%)10 (20.4)28 (17.6)0.658
 Atrial fibrillation (%)6 (12.2)12 (7.5)0.307
 Coronary heart disease (%)6 (12.2)16 (10.1)0.664
Previous antiplatelet (%)4 (8.2)17 (10.7)0.607
Previous stain (%)3 (6.1)15 (9.4)0.471
SBP, mmHg150.2 ± 17.1148.7 ± 17.80.603
DBP, mmHg85.0 ± 10.685.1 ± 11.60.971
BMI, kg/m225.5 ± 1.625.8 ± 1.70.242
NIHSS, score3 (2, 5)3 (2, 4)0.193
Time from onset to admission, h24 (12, 24)24 (8, 24)0.970
Length of stay, day18 (15.5, 21.5)13 (11, 14)0.001
MetS (%)29 (59.2)58 (36.5)0.005
Number of metabolic factors 0.026
 0-15 (10.2)40 (25.2)
 215 (30.6)61 (38.4)
 322 (44.8)46 (28.9)
 4-57 (14.3)12 (7.5)
Stroke subtype (TOAST)0.864
 LAA28 (57.1)90 (56.6)
 CE5 (10.2)11 (6.9)
 SVO14 (28.6)52 (32.7)
 Others2 (4.1)6 (3.8)
Laboratory data
 Leukocyte count, 109/L7.5 ± 1.56.9 ± 1.80.038
 Platelet count, 109/L186 (156, 228)190 (145, 210)0.817
 Fibrinogen, mg/dL307.8 ± 98.7286.6 ± 66.80.088
 hsCRP, mg/L 6.0 (2.0, 11.5)2.0 (0.9, 5.0)0.001
 Homocysteine, umol/L14.4 (12.0, 21.7)11.1 (13.0, 18.0)0.049
 Fasting plasma glucose, mmol/L8.0 (5.9, 9.9)5.4 (5.0, 6.1)0.001
 TC, mmol/L4.8 ± 1.34.5 ± 1.00.194
 TG, mmol/L1.3 (1.0, 2.2)1.3 (1.0, 1.7)0.307
 HDL, mmol/L1.4 (1.1, 1.6)1.3 (1.1, 1.5)0.192
 LDL, mmol/L2.3 (1.7, 2.9)2.3 (1.9, 2.9)0.750

MetS, metabolic syndrome; END, early neurological deterioration; SBP, systolic blood pressure; DBP, diastolic blood pressure; TC, total cholesterol; TG, triglyceride; HDL, high-density lipoprotein; LDL, low-density lipoprotein; hsCRP, high-sensitivity C-reactive protein; LAA, large artery atherosclerosis; SVO, small vessel occlusion; CE, cardioembolism.