Research Article

Predicting Independence 6 and 18 Months after Ischemic Stroke Considering Differences in 12 Countries: A Secondary Analysis of the IST-3 Trial

Table 2

Predictors for independence at 6 and 18 months poststroke, with OR and 95% CI.

Independence at 6 monthsIndependence at 18 months
Crude OR
(95% CI)
Crude OR
(95% CI)

Age (reference class: >91)<0.01<0.01
 18-507.35 (4.06–14.00)<0.015.49 (2.51-12.02)<0.01
 51-605.71 (3.34-9.77)<0.015.10 (2.47-10.53)<0.01
 61-704.22 (2.56-6.94)<0.013.52 (1.78-6.97)<0.01
 71-802.76 (1.72-4.44)<0.012.07 (1.07-4.01)0.03
 81-902.11 (1.33-3.35)<0.011.83 (0.95 – 3.51)0.07
Gender (reference class: female)
 Male1.55 (1.31-1.83)<0.011.72 (1.40-2.13)<0.01
NHISS (reference class: severe (21–42))<0.01<0.01
 Mild (1–4)34.46 (20.46-58.03)<0.0121.93 (11.51-41.80)<0.01
 Moderate (5–14)7.02 (4.55-11.40)<0.016.32 (3.52-11.35)<0.01
 Moderate to severe (15–20)2.00 (1.18-3.35)0.091.50 (0.77-2.92)0.23
Previous TIA/stroke history (reference class: yes)
 No1.28 (1.05-1.57)0.021.41 (1.14-1.75)<0.01
Stroke subtype (reference class: TACI)<0.01<0.01
 PACI3.62 (2.94-4.45)<0.013.09 (2.4-4.00)<0.01
 LACI5.41 (4.06-7.20)<0.015.64 (3.96-8.02)<0.01
 POCI6.12 (4.38-8.55)<0.015.16 (3.38-7.87)<0.01
 Other4.12 (0.68-24.81)0.123.40 (0.562-20.59)0.18
Lived alone before the stroke (reference class: no)
 Yes1.02 (0.86-1.22)0.800.94 (0.76-1.17)0.60
Intervention with rt-PA (reference class: no)
 Yes1.09 (0.92-1.28)0.331.25 (1.01-1.54)0.04
Atrial fibrillation (reference class: yes)
 No1.80 (1.48-2.19)<0.011.92 (1.49-2.47)<0.01
Able to lift both upper limbs (reference class: no)
 Yes4.52 (3.78-5.41)<0.014.15 (3.32-5.17)<0.01
Able to walk without help (reference class: no)
 Yes5.21 (4.08-6.65)<0.014.06 (3.04-5.43)<0.01
Country (Reference class: UK)
 Australia1.14 (0.79-1.65)0.480.97 (0.65-1.46)0.88
 Belgium1.42 (0.81-2.48)0.221.74 (0.92-3.28)0.08
 Italy0.99 (0.75-1.31)0.950.78 (0.54-1.11)0.17
 Norway1.38 (0.99-1.94)0.061.49 (1.02-2.17)0.04
 Others2.18 (1.26-3.81)<0.011.14 (0.55-2.37)0.73
 Poland3.05 (2.28-4.08)<0.012.92 (2.04-4.16)<0.01
 Portugal0.71 (0.41-1.24)0.230.57 (0.14-2.30)0.43
 Sweden1.66 (1.25-2.20)<0.011.51 (1.10-2.08)0.01

NHISS: National Institutes of Health Stroke Scale; TACI: strokes of the anterior total circulation; PACI: infarctions of anterior partial circulation; LACI: lacunar infarcts; POCI: posterior circulation strokes; TIA/AVC: transient ischemic attack/stroke; rt-PA: recombinant intravenous tissue plasminogen activator. Others—including Austria, Canada, Mexico, and Switzerland.