Table 4 Comparison of Post-Stroke Outcomes in Different HDL Quartiles, previously published studies.

From: Association between HDL levels and stroke outcomes in the Arab population

Study

Study type, sample size, ethnicity

Follow-up duration

HDL quartiles (mmol/L)

Post-stroke outcomes (MT rate, post-stroke mortality, stroke recurrence, post-stroke MACE)

Our study 2023

Retrospective analysis of prospectively collected data

N = 2089

Arab

1 year

L: M ≤ 0.80, F ≤ 1.00

1-year stroke recurrence:

aOR 2.24 95% CI 1.07–4.73, p = 0.034*

1-year mortality:

aOR 2.27, 95% CI 1.03–5.12, p = 0.049*

1-year post-stroke MACE:

aOR 1.99, 95% CI1.19–3.31,

p = 0.009*

lower HDL-C was associated with higher MT rates

5.2% vs. 2.8%; p = 0.026*

LN:

M: 0.80–1.00,

F: 1.00–1.30

HN:

M: 1.00–1.12

F: 1.30–1.60

H:

M: > 1.12 (Ref.)

F: > 1.60 (Ref.)

Mei et al. 2014

Prospective

N = 1059

Chinese

4 years

H: ≥ 1.55

Moderate:1.04–1.54

L : < 1.04

Stroke recurrence:

HDL-C ≤ 1.0 (HR = 1.944, 95% CI:1.033- 3.659, P = 0.039*)

HDL-C 1.01—1.19 (HR = 2.027, 95% CI:1.116–3.682, P = 0.020*)

Kuwashiro et al. 2012

Prospective

N = 260

Japanese

1 year

H: > 40 mg/dl

L: < 40 mg/dl

Stroke recurrence:

OR 2.73; 95% CI: 1.01–7.38; p = .048*

C.-W. Liou et al. 2008

Prospective

N = 1062

Vietnamese

1 year

L:

M: < 40 mg/dl

F: < 50 mg/dl

Stroke recurrence:

Low HDL (OR, 1.43; 95% CI: 1.08– 1.88, p = 0.011*)

Amarenco et al. 2008

Randomized controlled trial

N = 4731

USA

4.9 years

1st tertile: 0.23–1.09

2nd tertile: 1.11–1.37

3rd tertile: 1.39–3.21

Stroke recurrence:

By 1 s.d HDL increment (HR = 0.90, 95% CI: 0.82–0.99, p = 0.03*)

MACE:

By 1 s.d HDL increment (HR = 0.91, 95% CI: 0.83–0.99, p = 0.021*)

Park et al. 2014

Analysis of Randomzied controlled trial data

N = 3680

USA, Canada, Scotland

2 years

Data not shown

lowest HDL-C quintile was not associated with Recurrent stroke or MACE after multivariable Cox analyses

Data not shown

Vitturi et al. 2021

Prospective

N = 588

Brazilian

2 years

L:

M: < 40 mg/dl

F: < 50 mg/dl

Stroke recurrence:

OR 0.76, C.I 0.41–1.39, p = 0.47

MACE:

OR 5.96, C.I 1.66–21.39, p = 0.005*

Schwedhelm et al. 2022

Prospective

N = 681

German

1 year

H: > 49 mg/dl

L: < 49 mg/dl

MACE

HR = 0.71, 95% CI 0.30–1.71, p = 0.446

Pedrovic et al. 2016

Prospective

N = 110

Croatian

11 Days

Data not shown

Low HDL at discharge was associated with Barthel Index† < 60

OR 0.049, CI 0.003–0.704, p = 0.038*

Tian et al

2013

Cross-sectional

N = 1568

Chinese

Hospital discharge

H: > 1.04 mmol/L

L: < 1.04 mmol/L

Low HDL was associated with NIHSS > 10 at discharge or death

OR 0.482, CI 0.235–0.946

Bravi et al. 2023

Retrospective

N = 1639

Italian

5 years

Data not shown

MT patients showed lower levels of Non-HDL-C

117 mg/dl [IQR; 94–145] vs. 127 mg/dl [IQR; 103–154], P < 0.001*

  1. MT mechanical thrombectomy, MACE major adverse cardiovascular events, CHD coronary heart disease, MI myocardial infarction, HDL-C high density lipoprotein cholesterol, C.I confidence interval, S.D standard deviation, H high, LN low-normal, L low, M male, F female.
  2. Barthel Index = Marker of patient disability.