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Table 3 Ischemic stroke incidence rate ratios by severity and subtype associated with increases in outdoor NO 2 concentration in the South London Stroke Register study area, 1995-2007

From: Outdoor air pollution, subtypes and severity of ischemic stroke – a small-area level ecological study

Stroke category

n

Rate ratio (95% CI)

   

Category by tertile

  

Per IQR (3.2ug/m3) increase

Low

Intermediate

High

Oxford classification

     

TACI

473

1.03 (0.93-1.14)

1

1.10 (0.88-1.38)

1.06 (0.84-1.34)

PACI

762

1.01 (0.93-1.09)

1

1.04 (0.87-1.24)

1.07 (0.90-1.28)

POCI

362

1.01 (0.90-1.13)

1

1.07 (0.82-1.39)

1.07 (0.83-1.39)

LACI

860

0.98 (0.91-1.06)

1

1.06 (0.89-1.25)

1.07 (0.91-1.27)

TOAST classification*

     

Large artery atherosclerosis

136

1.07 (0.90-1.28)

1

0.96 (0.63-1.46)

1.03 (0.68-1.56)

Cardioembolism

371

1.05 (0.94-1.17)

1

1.08 (0.83-1.40)

1.16 (0.90-1.50)

Small vessel occlusion

376

0.95 (0.84-1.07)

1

1.21 (0.94-1.56)

1.09 (0.84-1.42)

NIHSS severity**

     

NIHSS = <6

541

0.96 (0.87-1.06)

1

1.12 (0.91-1.38)

1.06 (0.86-1.32)

NIHSS >6

510

1.05 (0.95-1.15)

1

1.07 (0.86-1.34)

1.14 (0.91-1.42)

Clinical severity

     

Mild

1285

1.06 (1.00-1.12)

1

1.10 (0.96-1.26)

1.22 (1.06-1.40)

Severe

1207

0.95 (0.89-1.01)

1

1.04 (0.91-1.20)

0.94 (0.81-1.09)

  1. TACI - total anterior circulation infarct; PACI - partial anterior circulation infarct; POCI - posterior circulation infarct; LACI - lacunar infarct.
  2. TOAST - Trial of Org 10172 in Acute Stroke Treatment etiological classification.
  3. NIHSS - National Institutes of Health Stroke Scale.
  4. *TOAST from 2000; **NIHSS from 2001.