دورية أكاديمية

The potential impact of primary headache disorders on stroke risk.

التفاصيل البيبلوغرافية
العنوان: The potential impact of primary headache disorders on stroke risk.
المؤلفون: Tsai, Chia-Lin, Chou, Chung-Hsing, Lee, Pei-Jung, Yin, Jiu-Haw, Chen, Shao-Yuan, Lin, Chun-Chieh, Sung, Yueh-Feng, Yang, Fu-Chi, Chung, Chi-Hsiang, Chien, Wu-Chien, Tsai, Chia-Kuang, Lee, Jiunn-Tay
المصدر: Journal of Headache & Pain; 12/1/2016, Vol. 17 Issue 1, p1-7, 7p
مصطلحات موضوعية: STROKE risk factors, CHI-squared test, CONFIDENCE intervals, HEADACHE, PROBABILITY theory, RESEARCH funding, STATISTICAL sampling, COMORBIDITY, DISEASE incidence, PROPORTIONAL hazards models, RETROSPECTIVE studies, CASE-control method, DATA analysis software, KAPLAN-Meier estimator, DISEASE complications
مصطلحات جغرافية: TAIWAN
مستخلص: Background: Headache such as migraine is associated with stroke. Studies focused on primary headache disorders (PHDs) as a risk factor for stroke are limited. The purpose of this population-based cohort study was to explore whether patients with PHDs were at a high risk for developing stroke. Methods: A total of 1346 patients with PHDs were enrolled and compared with 5384 age-, gender- and co-morbidity-matched control cohorts. International Classification of Diseases, Clinical Modification codes were administered for the definition of PHDs, stroke, and stroke risk factors. Cox proportional-hazards regressions were performed for investigating hazard ratios (HR). Results: PHDs patients exhibited a 1.49 times (95% CI :1.15-1.98, p < 0.01) higher risk for developing ischaemic stroke compared with that of control cohorts. Both migraine (HR = 1.22, 95% CI :1.13-1.97, p < 0.05) and tension-type headache (HR = 2.29, 95% CI :1.22-2.80, p < 0.01) were associated with an increased risk of ischemic stroke. Females with PHDs were at greater risk of developing ischaemic stroke (HR = 1.49, 95% CI :1.13-1.90, p < 0.01) than those without PHDs. PHDs patient aged 45 to 64 years displayed significantly higher risk to develop ischaemic stroke (HR = 1.50, 95% CI: 1.11-2.10, p < 0.05) than the matched controls. The impact of PHDs on ischaemic stroke risk became gradually apparent by different following time intervals beyond 2 years after first diagnosis. Conclusion: PHDs is suggestive of an incremental risk for ischaemic stroke with gender-dependent, age-specific and time-dependent characteristics. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:11292369
DOI:10.1186/s10194-016-0701-2