Ischemic Stroke in Patients with Cancer: A Retrospective Cross-Sectional Study
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29 janv. 2021
À propos de cet article
Catégorie d'article: Research Article
Publié en ligne: 29 janv. 2021
Pages: 54 - 61
Reçu: 21 sept. 2020
Accepté: 05 janv. 2021
DOI: https://doi.org/10.2478/jccm-2021-0002
Mots clés
© 2021 Anca Motataianu, Smaranda Maier, Sebastian Andone, Laura Barcutean, Georgiana Serban, Zoltan Bajko, Adrian Balasa, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Multivariate logistic regression analysis
| p-value | 95%C.I.for EXP(B) | ||
|---|---|---|---|
| Lower | Upper | ||
| Cholesterol | 0.000 | 1.002 | 1.008 |
| Triglycerides | 0.819 | 0.997 | 1.002 |
| Thrombocytes | 0.184 | 1.000 | 1.000 |
| Diabetes mellitus | 0.001 | 1.357 | 3.563 |
| Hypertension history | 0.000 | 0.026 | 0.057 |
| Smoking history | 0.006 | 0.216 | 0.777 |
| Alcohol history | 0.193 | 0.395 | 1.207 |
| AF | 0.149 | 0.873 | 2.444 |
Characteristics of the study patients according to the cardiovascular risk factors, stroke aetiology based on TOAST classification and cerebral territory involved based on the OCSP criteria_
| SAC (N=249) | SWC (N=1563) | P-value | |
|---|---|---|---|
| Hypertension history (Y: N) | 196:53 | 1464:99 | <0.01 |
| Smoking history (Y: N) | 48:177 | 376:1187 | 0.36 |
| Alcohol consumption history (Y: N) | 46:176 | 394:1169 | 0.14 |
| Diabetes mellitus (Y:N) | 48:201 | 242:1321 | <0.01 |
| AF (Y: N) | 60:189 | 257:1306 | <0.01 |
| Seizures (Y: N) | 11:238 | 38:1525 | 0.07 |
| Large artery atherosclerosis | 70 | 669 | <0.01 |
| Small vessel disease | 41 | 224 | 0.92 |
| Cardioembolic | 60 | 306 | 0.01 |
| Other known cause | 6 | 48 | 0.56 |
| Cryptogenic cause | 72 | 143 | <0.01 |
| OCSP classification | |||
| TACI | 40 | 300 | 0.04 |
| PACI | 135 | 691 | 0.23 |
| POCI | 58 | 298 | 0.55 |
| LACI | 6 | 33 | 1.00 |
Primary cancer location in stroke patients
| Affected organ | Nr. | % |
|---|---|---|
| Colon | 23 | 9.24% |
| Haematological | 20 | 8.03% |
| Breast | 21 | 8.43% |
| Urinary bladder | 22 | 8.84% |
| Prostate | 23 | 9.24% |
| Lung | 48 | 19.28% |
| Pancreas | 11 | 4.42% |
| Skin | 7 | 2.81% |
| Gynaecological-related | 20 | 8.03% |
| Gastric | 13 | 5.22% |
| Ear-nose-throat-related | 18 | 7.23% |
| Renal | 9 | 3.61% |
| Thyroid | 6 | 2.41% |
| Other organs | 8 | 3.21% |
Demographical, clinical and laboratory characteristics of stroke patients with cancer and without cancer
| SAC (N=249) | SWC (N=1563) | P-value | |
|---|---|---|---|
| Age | 71.70(9.98) | 70.24(12.473) | 0.08 |
| Gender (M: F) | 155:94 | 807:756 | <0.01 |
| Hospitalization days | 10.07(5.219) | 10.72(7.497) | 0.19 |
| NIHSS on admission | 6.41(5.274) | 4.93(5.398) | <0.01 |
| GCS on admission | 14.73(1.143) | 14.64(1.593) | 0.48 |
| mRS at discharge | 2.66(1.492) | 2.21(2.299) | <0.01 |
| SBP on admission | 159.86(29.756) | 148.63(32.376) | <0.01 |
| DBP on admission | 89.35(17.805) | 85.44(16.395) | <0.01 |
| Cholesterol | 173.21(46.327) | 184.22(47.852) | <0.01 |
| Triglycerides | 127.87(66.191) | 145.96(108.627) | 0.03 |
| Thrombocytes | 255431(116888) | 239133(110479) | 0.03 |
| Haemoglobin | 12.78(2.309) | 13.7851(1.87791) | <0.01 |
| Glycemia | 122.48(41.718) | 129.63(49.251) | 0.03 |
| ESR | 30.00(28.901) | 18.70(18.255) | <0.01 |