Derivation Sample (N = 5250) | Validation Sample (N = 4248) | P-Value | |
---|---|---|---|
Patient Characteristics | |||
Index Event | |||
Index Event | 0.404 | ||
Emergency Department-Only | 32.4 (1702) | 31.6 (1343) | |
Admitted | 67.6 (3548) | 68.4 (2905) | |
Weekday presentation | 79.9 (4196) | 79.8 (3388) | 0.839 |
Left Against Medical Advice (AMA) | 4.5 (235) | 5.0 (214) | 0.200 |
Demographics | |||
Age (years): mean ± standard deviation | 70.41 (11.27) | 70.46 (11.31) | 0.811 |
Median (IQR)* | 70.0 (64.0–78.0) | 70.0 (64.0–78.0) | 0.958 |
Male Gender | 94.9 (4983) | 94.8 (4028) | 0.838 |
Race | 0.960 | ||
White | 75.7 (3972) | 75.8 (3221) | |
Black | 19.7 (1034) | 19.7 (837) | |
Asian | 0.5 (26) | 0.6 (24) | |
Other | 0.7 (36) | 0.6 (26) | |
Unknown | 3.5 (182) | 3.3 (140) | |
Hispanic ethnicity | 7.2 (380) | 7.3 (311) | |
Past Medical History | |||
Transient Ischemic Attack (TIA) in prior 30 days | 4.4 (230) | 3.6 (155) | 0.072 |
Stroke in prior 30 days | 5.8 (302) | 5.7 (243) | 0.947 |
Diabetes mellitus | 42.4 (2226) | 43.1 (1832) | 0.477 |
Atrial fibrillation | 16.8 (883) | 17.0 (724) | 0.772 |
Myocardial infarction | 6.9 (362) | 7.7 (328) | 0.123 |
Congestive heart failure | 15.0 (789) | 15.4 (655) | 0.598 |
Carotid endarterectomy or stent | 1.0 (50) | 0.8 (36) | 0.591 |
Chronic obstructive pulmonary disease (COPD) | 21.8 (1147) | 22.2 (942) | 0.702 |
Peripheral arterial disease | 14.2 (745) | 14.7 (625) | 0.471 |
Dementia | 8.0 (418) | 7.3 (309) | 0.210 |
Chronic kidney disease | 17.4 (916) | 18.4 (781) | 0.236 |
Past Medical History | |||
Dialysis | 1.5 (78) | 1.3 (57) | 0.556 |
Cancer | 11.3 (592) | 11.7 (499) | 0.475 |
Hypertension | 75.8 (3982) | 77.5 (3292) | 0.059 |
Hyperlipidemia | 61.3 (3218) | 63.0 (2678) | 0.081 |
Speech deficit | 4.6 (239) | 5.1 (217) | 0.208 |
Motor deficit, hemiplegia | 14.6 (766) | 16.3 (692) | 0.022 |
Sleep apnea | 19.3 (1015) | 19.1 (812) | 0.788 |
Alcohol dependence | 7.4 (388) | 8.2 (350) | 0.125 |
Depression | 22.9 (1200) | 23.8 (1012) | 0.268 |
History of venous thromboembolism (deep vein thrombosis or pulmonary embolism) | 3.4 (177) | 3.2 (136) | 0.645 |
Intracranial hemorrhage | 5.0 (263) | 5.4 (229) | 0.405 |
Gastrointestinal bleeding | 0.7 (37) | 0.6 (26) | 0.580 |
Migraine | 3.2 (169) | 3.6 (151) | 0.368 |
Medications prior to index event | |||
Antihypertensives | 85.6 (4493) | 86.0 (3653) | 0.567 |
Statin | 80.9 (4247) | 82.6 (3509) | 0.032 |
Aspirin | 75.0 (3940) | 74.7 (3173) | 0.693 |
Warfarin | 11.7 (613) | 10.3 (439) | 0.038 |
Comorbidity | |||
CHA2DS2−VASc* | 3.21 (1.45) | 3.21 (1.43) | 0.937 |
HASBLED* | 2.22 (1.06) | 2.22 (1.04) | 0.993 |
Charlson: mean ± standard deviation | 2.83 (2.64) | 2.92 (2.70) | 0.081 |
Median (IQR) | 2.0 (1.0–4.0) | 2.0 (1.0–4.0) | 0.111 |
Smoker | 28.4 (1493) | 29.5 (1253) | 0.258 |
Palliative care, hospice | 3.0 (160) | 2.6 (112) | 0.232 |
Present on Admission | |||
Concomitant Myocardial Infarction (MI) | 2.0 (105) | 2.4 (101) | 0.209 |
Concomitant Congestive Heart Failure (CHF) | 1.9 (100) | 1.7 (74) | 0.556 |
Laboratory and Vital Signs | |||
APACHE:* mean ± standard deviation | 9.83 (6.75) | 10.14 (6.70) | 0.026 |
Median (IQR) | 9.0 (4.0–14.0) | 9.0 (5.0–14.0) | 0.007 |
First Systolic blood pressure (mm Hg): | |||
Mean Systolic (SD) | 147.41 (25.38) | 146.78 (25.05) | 0.226 |
Median Systolic (IQR) | 146.0 (130.0–164.0) | 146.0 (130.0–163.0) | 0.320 |
First Diastolic blood pressure (mm Hg): | |||
Mean Diastolic (SD) | 81.25 (14.20) | 81.31 (14.09) | 0.846 |
Median Diastolic (IQR) | 80.0 (72.0–90.0) | 81.0 (72.0–90.0) | 0.721 |
Average Systolic blood pressure 90 days post discharge (mm Hg): | |||
Mean Systolic (SD) | 131.10 (15.35) | 130.59 (15.63) | 0.144 |
Median Systolic (IQR) | 131.0 (121.0–140.0) | 130.0 (120.0–139.5) | 0.132 |
Average Diastolic blood pressure 90 days post discharge (mm Hg): | |||
Mean Diastolic (SD) | 74.42 (9.84) | 74.21 (9.78) | 0.334 |
Median Diastolic (IQR) | 74.6 (68.0–81.0) | 74.0 (68.0–80.5) | 0.309 |
Outcomes | |||
Death 90-days | 2.2 (116) | 2.1 (88) | 0.645 |
Death 1-year | 7.7 (405) | 7.1 (303) | 0.283 |
Stroke 90-days | 3.2 (164) | 3.2 (134) | 0.943 |
Stroke 1-year | 5.3 (257) | 5.6 (224) | 0.444 |
Stroke or Death 90-days | 5.2 (272) | 5.1 (215) | 0.793 |
Stroke or Death 1-year | 12.0 (629) | 11.8 (500) | 0.752 |