Table 3

Associations between change in systolic BP from baseline to day 2 and clinical outcomes

Overall>15% decrease5%–15% decrease5% decrease to 5% increase>5% increase
cOR/OR/HR/MD (95% CI)P valuecOR/OR/HR/MD (95% CI)P value(Reference)cOR/OR/HR/MD (95% CI)P value
N (%)994601401230
Baseline systolic BP, mm Hg, mean (SD)188.1 (24.6)167.8 (20.5)157.8 (20.2)143.5 (19.9)
Haematoma
 Change in volume from baseline to 24 hours*, mL−0.58 (-3.07, 1.92)1.00−0.27 (-2.73, 2.19)1.000−0.73 (-2.46, 3.92)1.00
 Haematoma expansion (%)0.95 (0.69, 1.29)0.720.83 (0.61, 1.13)0.2311.04 (0.71, 1.54)0.83
Day 2
 Death (%)0.58 (0.24, 1.42)0.240.48 (0.18, 1.25)0.1311.54 (0.60, 3.94)0.37
 SAEs (%)1.22 (0.91, 1.64)0.180.97 (0.72, 1.30)0.8311.34 (0.93, 1.93)0.12
Day 7
 Death (%)0.71 (0.42, 1.19)0.190.43 (0.24, 0.76)0.00311.78 (1.02, 3.12)0.044
 SAEs (%)1.26 (0.95, 1.68)0.111.05 (0.79, 1.40)0.7211.55 (1.08, 2.22)0.018
Day 90
 Primary outcome
 mRS [/6]1.07 (0.84, 1.35)0.591.00 (0.79, 1.27)0.9711.34 (0.99, 1.81)0.063
 Death (%)0.79 (0.59, 1.06)0.110.83 (0.62, 1.11)0.2111.08 (0.77, 1.53)0.66
 SAEs (%)1.21 (0.91, 1.62)0.191.03 (0.78, 1.37)0.8211.35 (0.94, 1.95)0.11
Tranexamic acid,
N (%)
491293210122
 Baseline systolic BP, mm Hg, mean (SD)187.6 (24.8)166.6 (20.5)158 (21.7)142.2 (19.2)
Haematoma
 Change in volume from baseline to 24 hours*, mL−1.81 (-5.21, 1.58)0.95−2.15 (-5.51, 1.21)0.550−0.22 (-4.48, 4.03)1.00
 Haematoma expansion (%)0.99 (0.63, 1.55)0.950.91 (0.58, 1.43)0.6811.01 (0.58, 1.77)0.97
Day 2
 Death (%)0.32 (0.09, 1.08)0.070.35 (0.09, 1.46)0.1512.13 (0.62, 7.31)0.23
 SAEs (%)1.24 (0.82, 1.87)0.320.97 (0.64, 1.47)0.8811.13 (0.67, 1.89)0.65
Day 7
 Death (%)0.41 (0.20, 0.85)0.0170.37 (0.16, 0.82)0.01511.87 (0.85, 4.12)0.12
 SAEs (%)1.19 (0.80, 1.77)0.400.83 (0.56, 1.24)0.3711.18 (0.72, 1.94)0.52
 Day 90
Primary outcome
 mRS [/6]0.95 (0.68, 1.32)0.761.08 (0.78, 1.50)0.6411.35 (0.89, 2.06)0.16
 Death (%)0.62 (0.42, 0.93)0.0220.75 (0.49, 1.13)0.1710.99 (0.61, 1.60)0.97
 SAEs (%)1.09 (0.73, 1.63)0.670.84 (0.56, 1.24)0.3710.89 (0.54, 1.46)0.64
 Placebo, N (%)503308191108
 Baseline systolic BP, mm Hg, mean (SD)188.6 (24.3)168.9 (20.5)157.7 (18.4)144.9 (20.7)
Haematoma
 Change in volume from baseline to 24 hours*, mL0.60 (-3.07, 4.28)1.001.42 (-2.19, 5.03)1.0001.49 (-3.33, 6.32)1.00
 Haematoma expansion (%)0.92 (0.59, 1.42)0.690.76 (0.49, 1.16)0.2011.05 (0.60, 1.83)0.87
Day 2
 Death (%)1.35 (0.34, 5.30)0.670.66 (0.16, 2.77)0.5711.04 (0.21, 5.22)0.96
 SAEs (%)1.21 (0.79, 1.84)0.380.97 (0.64, 1.46)0.8711.54 (0.91, 2.61)0.11
Day 7
 Death (%)1.21 (0.57, 2.58)0.620.52 (0.23, 1.18)0.1211.78 (0.78, 4.06)0.17
 SAEs (%)1.36 (0.90, 2.06)0.151.33 (0.88, 2.00)0.1711.99 (1.17, 3.39)0.011
 Day 90
Primary outcome
 mRS [/6]1.18 (0.84, 1.65)0.350.91 (0.65, 1.27)0.5611.32 (0.85, 2.07)0.22
 Death (%)0.98 (0.64, 1.52)0.940.81 (0.52, 1.26)0.3410.98 (0.58, 1.64)0.93
 SAEs (%)1.37 (0.90, 2.08)0.141.28 (0.85, 1.93)0.2412.14 (1.24, 3.70)0.007
  • Ordinal, binary, multiple linear or Cox regression with adjustment for baseline prognostic factors. The 5% decrease to 5% increase group is the reference group for comparisons.

  • Bold p-values indicate <0.05

  • *Adjusted for baseline haematoma volume.

  • BP, blood pressure; cOR, common OR; MD, mean difference; mRS, modified Rankin Scale; NIHSS, National Institutes of Health Stroke Scale; SAEs, serious adverse events.