Table 2

Association of categorical baseline systolic blood pressure with outcomes

SubgroupClopidogrel plus aspirin (N=1502)Aspirin alone
(N=1413)
Treatment effect metricUnadjustedAdjustedPint value
Treatment difference
(95% CI)
P valueTreatment difference
(95% CI)
P value
Primary outcome
END at 7 days*SBP<140 mm Hg17/496 (3.4)19/454 (4.2)RD†−0.8 (−3.2 to 1.7)0.54−0.8 (−3.2 to 1.7)0.540.50
SBP≥140 mm Hg55/1006 (5.5)76/959 (7.9)−2.5 (−4.7 to −0.2)0.03−2.5 (−4.1 to −1.0)<0.01
Secondary outcomes
mRS 0–1 at 90 days‡SBP<140 mm Hg395/489 (80.8)346/441 (78.5)RD†2.3 (−2.9 to 7.5)0.382.3 (−2.9 to 7.5)0.380.90
SBP≥140 mm Hg735/981 (74.9)669/920 (72.7)2.2 (−1.7 to 6.2)0.272.2 (−0.6 to 5.0)0.12
mRS at 90 days‡SBP<140 mm HgNANAOR§1.07 (0.84 to 1.36)0.591.07 (0.84 to 1.36)0.590.96
SBP≥140 mm HgNANA1.10 (0.93 to 1.29)0.281.09 (0.97 to 1.23)0.14
Change in NIHSS at 14 day¶SBP<140 mm Hg−0.69 (−1.25 to −0.34)−0.65 (−1.61 to −0.34)GMR†0.02 (−0.57 to 0.59)0.96−0.15 (−0.72 to 0.42)0.600.98
SBP≥140 mm Hg−0.51 (−0.92 to −0.22)−0.51 (-0.92 to −0.22)0.32 (−0.28 to 0.91)0.290.32 (−0.09 to 0.73)0.13
New stroke within 90 days**SBP<140 mmHg3/489 (0.6)3/441 (0.7)HR††0.90 (0.18 to 4.47)0.900.90 (0.18 to 4.47)0.900.74
SBP≥140 mm Hg9/981 (0.9)10/920 (1.1)0.85 (0.34 to 2.08)0.710.82 (0.33 to 2.04)0.65
Other vascular events or death within 90 daysSBP<140 mm Hg6/489 (1.2)2/441 (0.5)HR††2.72 (0.55 to 13.47)0.222.72 (0.55 to 13.47)0.220.39
SBP≥140 mm Hg10/981 (1.0)10/920 (1.1)0.94 (0.39 to 2.25)0.890.93 (0.39 to 2.24)0.87
Safety outcomes
Any bleeding eventsSBP<140 mm Hg6/496 (1.2)5/454 (1.1)RD†0.1 (−1.3 to 1.5)0.880.1 (−1.3 to 1.5)0.880.65
SBP≥140 mm Hg4/1006 (0.4)9/959 (0.9)−0.5 (−1.3 to 0.2)0.14−0.5 (−1.1 to 0.0)0.05
Intracranial haemorrhageSBP<140 mm Hg1/496 (0.2)1/454 (0.2)RD†0.0 (−0.6 to 0.6)0.950.0 (−0.6 to 0.6)0.950.99
SBP≥140 mm Hg0/1006 (0.0)1/959 (0.1)−0.1 (−0.3 to 0.1)0.31−0.10.14
  • The data were shown with median (IQR) for continuous characteristic or frequency (percentages) for categorical characteristic.

  • *END was defined as an increase between baseline and 7 days of ≥2 on the NIHSS score, but not as result of cerebral haemorrhage.18

  • †Calculated using the generalised liner model.

  • ‡Scores on the mRS of functional disability range from 0 (no symptoms) to 6 (death).

  • §A shift measures of function according to the full range of scores on the mRS at 90 days was analysed by ordinal logistic regression.

  • ¶Patients with NIHSS scores of 4–10 were eligible for this study; NIHSS scores range from 0 to 42, with higher scores indicating more severe neurological deficit. The log (NIHSS+1) was analysed using generalised linear model.

  • **New stroke included ischaemic stroke and haemorrhagic stroke.

  • ††Calculated using the Cox regression model.

  • END, early neurological deterioration; GMR, geometric mean ratio; mRS, modified Rankin Scale; NA, not applicable; NIHSS, National Institute of Health Stroke Scale; RD, risk difference; SBP, systolic blood pressure.