Risk of Intracranial Hemorrhage From Statin Use in Asians A Nationwide Cohort Study

作者: Chia-Hsuin Chang , Chin-Hsien Lin , James L. Caffrey , Yen-Chieh Lee , Ying-Chun Liu

DOI: 10.1161/CIRCULATIONAHA.114.013046

关键词:

摘要: Background—Reports of statin usage and increased risk intracranial hemorrhage (ICH) have been inconsistent. This study examined potential associations between the ICH in subjects without a previous history stroke. Methods Results—Patients initiating therapy 2005 2009 ischemic or hemorrhagic stroke were identified from Taiwan’s National Health Insurance database. Participants stratified by advanced age (≥70 years), sex, diagnosed hypertension. The outcome interest was hospital admission for (International Classification Diseases, Ninth Revision, Clinical Modification codes 430, 431, 432). Cox regression models applied to estimate hazard ratio ICH. cumulative dosage quartile adjusted baseline disease score served as primary variable using lowest reference. There 1 096 547 initiators with an average foll...

参考文章(47)
Stephen D Wiviott, Christopher P Cannon, David A Morrow, Kausik K Ray, Marc A Pfeffer, Eugene Braunwald, PROVE IT-TIMI 22 Investigators, None, Can low-density lipoprotein be too low? The safety and efficacy of achieving very low low-density lipoprotein with intensive statin therapy: a PROVE IT-TIMI 22 substudy. Journal of the American College of Cardiology. ,vol. 46, pp. 1411- 1416 ,(2005) , 10.1016/J.JACC.2005.04.064
Susan E. Andrade, Leslie R. Harrold, Jennifer Tjia, Sarah L. Cutrona, Jane S. Saczynski, Katherine S. Dodd, Robert J. Goldberg, Jerry H. Gurwitz, A systematic review of validated methods for identifying cerebrovascular accident or transient ischemic attack using administrative data. Pharmacoepidemiology and Drug Safety. ,vol. 21, pp. 100- 128 ,(2012) , 10.1002/PDS.2312
Terry M. Therneau, Patricia M. Grambsch, Modeling Survival Data: Extending the Cox Model ,(2000)
Robert J. Glynn, Joshua J. Gagne, Sebastian Schneeweiss, Role of disease risk scores in comparative effectiveness research with emerging therapies. Pharmacoepidemiology and Drug Safety. ,vol. 21, pp. 138- 147 ,(2012) , 10.1002/PDS.3231
DL Tirschwell, NL Smith, SR Heckbert, RN Lemaitre, WT Longstreth, BM Psaty, None, Association of cholesterol with stroke risk varies in stroke subtypes and patient subgroups Neurology. ,vol. 63, pp. 1868- 1875 ,(2004) , 10.1212/01.WNL.0000144282.42222.DA
Hiroyuki Noda, Hiroyasu Iso, Fujiko Irie, Toshimi Sairenchi, Emiko Ohtaka, Mikio Doi, Yoko Izumi, Hitoshi Ohta, Low-Density Lipoprotein Cholesterol Concentrations and Death Due to Intraparenchymal Hemorrhage The Ibaraki Prefectural Health Study Circulation. ,vol. 119, pp. 2136- 2145 ,(2009) , 10.1161/CIRCULATIONAHA.108.795666