Prediction of transient ischemic attack and minor stroke in people with type 2 diabetes mellitus.

作者: Deanna J.M. Isaman , William H. Herman , Wen Ye

DOI: 10.1016/J.JDIACOMP.2021.107911

关键词: Type 2 diabetesInternal medicineProportional hazards modelBody mass indexBlood pressureHazard ratioHeart failureType 2 Diabetes MellitusDiabetes mellitusMedicineCardiology

摘要: Abstract Aims People with type 2 diabetes (T2DM) have an increased risk of transient ischemic attack and minor stroke (TIA) which are frequently followed by stroke. We aimed to develop a predictive model for incident TIA in people T2DM. Methods pooled data from two longitudinal cohort studies, Atherosclerosis Risk Communities (ARIC) the Cardiovascular Health Study (CHS), using two-stage approach. First, we used random effects interpolate factors individuals between follow-up exams. Second, forward selection proportional hazards time TIA. internally validated our 10-fold cross-validation. Results Among 3,575 participants T2DM, mean (SD) age was 60 (10) years body mass index 30 (6) kg/m2. Sixty-nine TIAs occurred during 38,364 person-years follow-up. The multivariable included at diagnosis (hazard ratio 1.13 (95% confidence interval: 1.05,1.21) per year), systolic blood pressure (1.25 (1.04,1.49) 10 mmHg), quadratic function diastolic pressure, history congestive heart failure (2.08 (1.26, 3.42)). median cross-validated Harrell’s C-index 0.80. Conclusion Blood earliest stages cerebrovascular disease.

参考文章(37)
Yoshihiro Kokubo, Epidemiology of transient ischemic attack. Frontiers of neurology and neuroscience. ,vol. 33, pp. 69- 81 ,(2014) , 10.1159/000351892
Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. The New England Journal of Medicine. ,vol. 358, pp. 2560- 2572 ,(2008) , 10.1056/NEJMOA0802987
Dawn Kleindorfer, Peter Panagos, Arthur Pancioli, Jane Khoury, Brett Kissela, Daniel Woo, Alexander Schneider, Kathleen Alwell, Edward Jauch, Rosie Miller, Charles Moomaw, Rakesh Shukla, Joseph P. Broderick, Incidence and Short-Term Prognosis of Transient Ischemic Attack in a Population-Based Study Stroke. ,vol. 36, pp. 720- 723 ,(2005) , 10.1161/01.STR.0000158917.59233.B7
Paul P. Maglio, Martin-J. Sepulveda, Patricia L. Mabry, Mainstreaming modeling and simulation to accelerate public health innovation. American Journal of Public Health. ,vol. 104, pp. 1181- 1186 ,(2014) , 10.2105/AJPH.2014.301873
Paul H. C. Eilers, Brian D. Marx, Flexible smoothing with B-splines and penalties Statistical Science. ,vol. 11, pp. 89- 121 ,(1996) , 10.1214/SS/1038425655
Bruce Ovbiagele, Chelsea S. Kidwell, Jeffrey L. Saver, Epidemiological Impact in the United States of a Tissue-Based Definition of Transient Ischemic Attack Stroke. ,vol. 34, pp. 919- 924 ,(2003) , 10.1161/01.STR.0000064323.65539.A7
William B. Kannel, Ralph B. D’Agostino, Halit Silbershatz, Blood pressure and cardiovascular morbidity and mortality rates in the elderly. American Heart Journal. ,vol. 134, pp. 758- 763 ,(1997) , 10.1016/S0002-8703(97)70061-9
Anne B. Newman, Lynn Shemanski, Teri A. Manolio, Mary Cushman, Maurice Mittelmark, Joseph F. Polak, Neil R. Powe, David Siscovick, Ankle-Arm Index as a Predictor of Cardiovascular Disease and Mortality in the Cardiovascular Health Study Arteriosclerosis, Thrombosis, and Vascular Biology. ,vol. 19, pp. 538- 545 ,(1999) , 10.1161/01.ATV.19.3.538
Marc R. Mayberg, Endarterectomy for Asymptomatic Carotid Artery Stenosis JAMA. ,vol. 273, pp. 1459- 1461 ,(1995) , 10.1001/JAMA.1995.03520420075042
James F. Toole, Lloyd E. Chambless, Gerardo Heiss, Herman A. Tyroler, Catherine C. Paton, Prevalence of stroke and transient ischemic attacks in the Atherosclerosis Risk in Communities (ARIC) study. Annals of Epidemiology. ,vol. 3, pp. 500- 503 ,(1993) , 10.1016/1047-2797(93)90104-C