From: Sex differences in clinical risk factors in obese ischemic stroke patients with a history of smoking
 | Smoking + Obesity |  | Smoking |  |  | Obesity |  |  | |||
---|---|---|---|---|---|---|---|---|---|---|---|
Characteristic | Male | Female | Â | Male | Female | Â | Male | Female | Â | Â | |
Number of patients | 354 | 254 | P-value | 883 | 603 | p-value | Â | 1148 | 1163 | p-value | Â |
Age Group: No. (%) | |||||||||||
< 50 years | 75 (21.2) | 67 (26.4) | 0.600 | 160 (18.1) | 148 (24.5) | 0.006* a |  | 151 (13.2) | 185 (15.9) | < 0.001* a | |
50–59 | 140 (39.5) | 95 (37.4) |  | 313 (35.4) | 179 (29.7) |  |  | 294 (25.6) | 203 (17.5) |  | |
60–69 | 102 (28.8) | 64 (25.2) |  | 286 (32.4) | 173 (28.7) |  |  | 313 (27.3) | 265 (22.8) |  | |
70–79 | 32 (9.0) | 25 (9.8) |  | 100 (11.3) | 84 (13.9) |  |  | 249 (21.7) | 256 (22.0) |  | |
>=80 | 5 (1.4) | 3 (1.2) | Â | 24 (2.7) | 19 (3.2) | Â | Â | 141 (12.3) | 254 (21.8) | Â | |
Age Mean ± SD | 57.02 ± 10.348 | 65.80 ± 12.333 | 0.199 | 58.51 ± 10.888 | 57.80 ± 12.839 | 0.267 |  | 63.68 ± 13.139 | 66.07 ± 15.412 | < 0.001* b | |
Race: No (%) | |||||||||||
White | 255 (72.0) | 188 (74.0) | 0.196 | 633 (71.7) | 448 (74.3) | 0.540 | Â | 905 (78.8) | 887 (76.3) | 0.023*a | |
Black | 97 (27.4) | 61 (24.0) | Â | 214 (24.2) | 113 (22.1) | Â | Â | 234 (20.4) | 252 (21.7) | Â | |
Other | 2 (0.6) | 5 (2.0) | Â | 36 (4.1) | 22Â (3.6) | Â | Â | 9 (0.8) | 24 (2.1) | Â | |
Hispanic Ethnicity: No. (%) | 1 (0.3) | 3 (1.2) | 0.176 | 8 (0.9) | 5 (0.8) | 0.876 | Â | 18 (1.6) | 26 (2.2) | 0.240 | |
BMI: Mean ± SD | 32.1718 ± 7.10477 | 30.8865 ± 5.17968 | 0.613 | 27.3098 ± 5.9962 | 27.8316 ± 7.49845 | 0.157 |  | 30.9605 ± 5.135 | 32.7794 ± 7.00792 | < 0.001* b | |
Medical History: No. (%) | |||||||||||
Atrial Fib | 22 (6.2) | 11 (4.3) | 0.206 | 49 (5.5) | 36 (6.0) | 0.732 | Â | 166 (14.5) | 171 (14.7) | 0.868 | |
Coronary Artery Disease | 100 (28.2) | 57 (22.4) | 0.029* a | 230 (26.0) | 121 (20.1) | 0.008* a |  | 398 (34.7) | 304 (26.1) | < 0.001*a | |
Carotid Artery Stenosis | 17 (4.8) | 20 (7.9) | 0.229 | 62 (7.0) | 42 (7.0) | 0.967 | Â | 70 (6.1) | 59 (5.1) | 0.283 | |
Depression | 56 (15.8) | 68 (26.8) | < 0.001* a | 78 (8.8) | 102 (16.9) | < 0.001* a |  | 187 (16.3) | 311 (26.7) | < 0.001*a | |
Diabetes | 112 (31.6) | 94 (37.0) | 0.278 | 224 (25.4) | 184 (30.5) | 0.029 * a | Â | 484 (42.2) | 502 (43.2) | 0.626 | |
Drugs or Alcohol | 85 (24.0) | 29 (11.4) | 0.015* a | 161 (18.2) | 60 (10.0) | < 0.001* a |  | 145 (12.6) | 39 (3.4) | < 0.001*a | |
Dyslipidemia | 162 (45.8) | 122 (48.0) | 0.145 | 350 (39.6) | 263 (43.6) | 0.126 | Â | 645 (56.2) | 632 (54.3) | 0.373 | |
Stroke Family History | 52 (14.7) | 42 (16.5) | 0.291 | 82 (9.3) | 68 (11.3) | 0.211 | Â | 151 (13.2) | 174 (15.0) | 0.211 | |
Heart Failure | 30 (8.5) | 20 (7.9) | 0.623 | 62 (7.0) | 44 (7.3) | 0.840 | Â | 103 (9.0) | 145 (12.5) | 0.007 | |
Hypertension | 267 (75.4) | 200 (78.7) | 0.826 | 639 (72.4) | 443 (73.5) | 0.640 | Â | 925 (80.6) | 959 (82.5) | 0.243 | |
Migraine | 9 (2.5) | 16 (6.3) | 0.003* a | 12 (1.4) | 27 (4.5) | < 0.001* a |  | 22 (1.9) | 75 (6.4) | < 0.001*a | |
Obesity | 354 (100) | 254 (100) | Â | 354 (40.1) | 254 (42.1) | 0.434 | Â | 1148 (100) | 1163 (100) | Â | |
Previous Stroke | 95 (26.8) | 58 (22.8) | 0.323 | 235 (26.6) | 161 (26.7) | 0.971 | Â | 283 (24.7) | 305 (26.2) | 0.385 | |
Previous TIA (> 24 h) | 19 (5.4) | 29 (11.4) | 0.051 | 48 (5.4) | 60 (10.0) | < 0.001* a |  | 92 (8.0) | 100 (8.6) | 0.611 | |
Prosthetic Heart Valve | 6 (1.7) | 2 (0.8) | 0.149 | 5 (0.8) | 7 (0.8) | 0.939 | Â | 20 (1.7) | 14 (1.2) | 0.282 | |
Peripheral Vascular Disease | 33 (9.3) | 29 (11.4) | 0.979 | 59 (6.7) | 46 (7.6) | 0.484 | Â | 95 (8.3) | 101 (8.7) | 0.724 | |
Chronic Renal Disease | 37 (10.5) | 18 (7.1) | 0.708 | 61 (6.9) | 32 (5.3) | 0.211 | Â | 146 (12.7) | 144 (12.4) | 0.807 | |
Smoker | 354 (100) | 254 (100) |  | 883 (100) | 603 (100) |  |  | 354 (30.8) | 254 (21.8) | < 0.001* | |
Medication History: No (%) | |||||||||||
HTN medication | 214 (60.5) | 161 (63.4) | 0.053 | 488 (55.3) | 365 (60.5) | 0.044 | Â | 794 (69.2) | 856 (73.6) | 0.018*a | |
Cholesterol Reducer | 132 (37.3) | 106 (41.7) | 0.668 | 308 (34.9) | 227 (37.6) | 0.276 | Â | 571 (49.7) | 557 (47.9) | 0.375 | |
Diabetic Medication | 86 (24.3) | 79 (31.1) | 0.005* a | 152 (17.2) | 147 (24.4) | < 0.001* a |  | 381 (33.2) | 401 (34.5) | 0.512 | |
Antidepressant | 47 (13.3) | 58 (22.8) | < 0.001* a | 62 (7.0) | 88 (14.6) | < 0.001* a |  | 175 (15.2) | 330 (28.4) | < 0.001*a | |
Lab values: Mean ± SD | |||||||||||
Total cholesterol | 181.53 ± 76.327 | 187.11 ± 51.082 | 0.004* b | 174.22 ± 60.033 | 183.32 ± 54.599 | 0.005* b |  | 171.37 ± 59.334 | 181.46 ± 50.294 | < 0.001*b | |
Triglycerides | 177.2 ± 115.08 | 192.64 ± 164.952 | 0.237 | 151.77 ± 111.341 | 164.73 ± 138.961 | 0.062 |  | 159.68 ± 108.100 | 155.09 ± 107.128 | 0.337 | |
HDL | 34.17 ± 10.417 | 39.04 ± 12.102 | 0.001* b | 37.88 ± 13.541 | 41.73 ± 13.162 | < 0.001* b |  | 35.80 ± 10.721 | 42.39 ± 12.633 | < 0.001*b | |
LDL | 115.0 ± 38.650 | 116.47 ± 42.469 | 0.143 | 108.66 ± 38.973 | 112.14 ± 43.503 | 0.133 |  | 107.51 ± 40.631 | 111.55 ± 41.945 | 0.027*b | |
Lipids | 6.489 ± 1.878 | 6.5703 ± 1.938 | 0.100 | 6.3014 ± 1.74380 | 6.6422 ± 4.132567 | 0.080 |  | 6.7168 ± 1.94715 | 6.7079 ± 1.96249 | 0.919 | |
Blood Glucose | 146.3 ± 81.823 | 150.45 ± 94.296 | 0.116 | 137.34 ± 73.964 | 144.53 ± 92.177 | 0.113 |  | 155.25 ± 85.430 | 157.26 ± 93.153 | 0.589 | |
Serum Creatinine | 1.325 ± 0.99341 | 1.0706 ± 0.63563 | < 0.001* b | 1.2878 ± 0.96504 | 1.0387 ± 0.86639 | < 0.001* b |  | 1.4087 ± 1.8028 | 1.2303 ± 1.10884 | < 0.001*b | |
INR | 1.063 ± 0.16202 | 1.0318 ± 0.11814 | 0.095 | 1.0930 ± 0.40391 | 1.0466 ± 0.19582 | 0.021 |  | 1.1190 ± 0.28165 | 1.1021 ± 0.35308 | 0.254 | |
Vital Signs: Mean ± SD | |||||||||||
Heart Rate | 82.97 ± 18.333 | 83.44 ± 16.055 | 0.179 | 81.42 ± 18.212 | 82.65 ± 17.310 | 0.190 |  | 81.06 ± 18.099 | 83.96 ± 17.866 | < 0.001*b | |
Blood Pressure Systolic | 153.1 ± 30.340 | 148.54 ± 29.401 | 0.036*a | 152.96 ± 30.223 | 148.49 ± 30.081 | 0.005*a |  | 152.12 ± 28.638 | 151.28 ± 29.457 | 0.451 | |
Blood Pressure Diastolic | 89.11 ± 20.691 | 81.80 ± 18.692 | < 0.001*a | 87.93 ± 19.254 | 81.47 ± 18.845 | < 0.001*a |  | 84.80 ± 18.256 | 80.54 ± 19.602 | < 0.001*b | |
Ambulation Status Prior to Event: No. (%) | |||||||||||
Ambulate Independently | 340 (96) | 244 (96.1) | 0.589 | 836 (94.7) | 568 (4.2) | 0.690 |  | 1078 (93.9) | 1049 (90.2) | < 0.001*a | |
Ambulate with Assistance | 5 (1.4) | 1 (0.4) | 0.875 | 18 (2.0) | 9 (1.5) | 0.439 | Â | 25 (2.2) | 28 (2.4) | 0.712 | |
Unable to Ambulate | 4 (1.1) | 3 (1.2) | 0.231 | 14 (1.6) | 14 (2.3) | 0.305 | Â | 25 (2.2) | 47 (4.0) | 0.010*a | |
Not Documented | 5 (1.4) | 6 (2.4) | 0.853 | 15 (1.7) | 12 (2.0) | 0.680 | Â | 20 (1.7) | 38 (3.3) | 0.019*a | |
Ambulation Status on Admission: No. (%) | |||||||||||
Ambulate Independently | 129 (36.4) | 81 (31.9) | 0.757 | 268 (30.4) | 176 (29.2) | 0.630 | Â | 379 (33.0) | 306 (26.3) | 0.001*a | |
Ambulate with Assistance | 80 (22.6) | 66 (26.0) | 0.689 | 255 (28.9) | 186 (30.8) | 0.415 | Â | 281 (24.5) | 291 (25.0) | 0.762 | |
Unable to Ambulate | 84 (23.7) | 65 (25.6) | 0.927 | 225 (25.5) | 159 (26.4) | 0.701 | Â | 287 (25.0) | 361 (31.0) | 0.001*a | |
Not Documented | 61 (17.2) | 42 (16.5) | 0.276 | 135 (15.3) | 82 (13.6) | 0.365 | Â | 201 (17.5) | 205 (17.6) | 0.941 | |
Ambulation Status on Discharge: No. (%) | |||||||||||
Ambulate Independently | 219 (61.9) | 128 (50.4) | 0.739 | 460 (52.1) | 283 (46.9) | 0.051 |  | 610 (53.1) | 509 (43.8) | < 0.001*a | |
Ambulate with Assistance | 82 (23.2) | 76 (29.9) | 0.491 | 264 (29.9) | 204 (33.8) | 0.109 | Â | 296 (25.8) | 362 (31.1) | 0.004*a | |
Unable to Ambulate | 40 (11.3) | 40 (15.7) | 0.697 | 105 (11.9) | 86 (14.3) | 0.180 | Â | 172 (15.0) | 234 (20.1) | 0.001*a | |
Not Documented | 13 (3.7) | 10 (3.9) | 0.249 | 54 (6.1) | 30 (5.0) | 0.350 | Â | 70 (6.1) | 58 (5.0) | 0.243 | |
rtPA Administration | 112 (31.6) | 75 (29.5) | 0.883 | 234 (26.5) | 154 (25.5) | 0.679 | Â | 341 (29.7) | 337 (29.0) | 0.701 | |
First Care Received: No. (%) | |||||||||||
Emergency Department | 279 (78.8) | 185 (72.8) | 0.428 | 684 (77.5) | 444 (73.6) | 0.090 | Â | 937 (81.6) | 918 (78.9) | 0.105 | |
Direct Admission | 38 (10.7) | 35 (13.8) | 0.107 | 61 (6.9) | 49Â (8.1) | 0.401 | Â | 106 (9.2) | 136 (11.7) | 0.052 | |
Improved Ambulation: No (%) | 147 (43.0) | 85 (34.8) | 0.198 | 341 (41.0) | 201 (35.0) | 0.024*a | Â | 436 (40.2) | 424 (38.2) | 0.340 |