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Table 1 Characteristics of the included studies

From: Circulating level of growth-differentiation factor 15 and the functional outcome after acute ischemic stroke: a systematic review and meta-analysis

Study

Country

Design

Sample size

Mean age (years)

Men (%)

Timing of GDF-15 measurement

Methods of GDF-15 measurement

Methods for determining GDF-15 cutoff

Cutoff of GDF-15

Follow-up duration (months)

Definition of poor functional outcome

No. of patients with poor functional outcome

Variables adjusted

Worthmann [14]

Germany

PC

57

74

47

At admission

IRMA

ROC curve analysis

1630 ng/l

3

mRS: 2–6

19

Age and sex

Groschel [15]

Germany

PC

264

70.3

55.3

At admission

ECLIA

Median

1191 ng/l

3

mRS: 2–6

113

Age, sex, NIHSS at admission, TOAST classification, SBP, DM, CAD, HDL-C, and thrombolysis

Geng [16]

China

RC

102

71.3

58.8

At admission

RIA

Median

1580 ng/l

3

mRS: 2–6

29

None

Lu [17]

China

RC

120

67.8

60.8

Within 24 h of stroke onset

ELISA

Median

1594 ng/l

3

mRS: 2–6

65

None

Yin 2019

China

Post-hoc analysis

3066

62.3

64.1

Within 24 h of admission

ELISA

UL of healthy individual in previous studies

1200 ng/l

3

mRS: 3–6

762

Age, sex, current smoking, alcohol consumption, and NIHSS at admission

Breniere [18]

France

PC

173

74.6

51

At admission

ELISA

T3 versus T1-2

2088 ng/l

3

mRS: 3–6

92

None

Dong [19]

China

PC

83

62.4

63.9

At admission

ELISA

Median

864 ng/l

3

mRS: 3–6

42

Age, sex, comorbidities, and NIHSS at admission

Jeong [22]

Korea

RC

62

66.2

39

Within 24 h of admission

ELISA

Median

493 ng/l

3

mRS: 3–6

20

Age, sex, comorbidities, eGFR, and timing of recanalization

Cai [21]

China

RC

148

58.4

62.2

Within 24 h of admission

ELISA

ROC curve analysis

826.5 ng/l

3

mRS: 3–6

61

None

Li [23]

China

RC

156

58.4

55

Within 24 h of stroke onset

ELISA

ROC curve analysis

802.1 ng/l

3

mRS: 3–6

64

None

  1. GDF-15, growth differentiation factor 15; PC, prospective cohort; RC, retrospective cohort; IRMA, immunoradiometric assay; ECLIA, electrochemiluminescence immunoassay; ELISA, enzyme-linked immunosorbent assay; ROC, Receiver operating characteristic; UL, upper limit; T, tertile; mRS, modified Rankin Score; NIHSS, National institutes of health stroke scale; TOAST, Trial of ORG 10,172 in Acute Stroke Therapy; SBP, systolic blood pressure; CAD, coronary artery disease; DM, diabetes mellitus; HDL-C, high-density lipoprotein cholesterol; eGFR, estimated glomerular filtrating rate; RIA, radioimmunoassay