Stroke after burn: Population data analysis

Abstract Purpose of the study We aimed to describe a population cohort study of burns with the prevalence of stroke, and discuss possible etiologies. Analytical methods This study uses data obtained from the Longitudinal Health Insurance Database 2005 (LHID2005). The study cohort consisted of all pa...

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Veröffentlicht in:Burns 2014-03, Vol.40 (2), p.230-234
Hauptverfasser: Chen, Chiehfeng, Huang, Chun-Yuan, Wang, Hsian-Jenn, Chen, Chin-I, Lin, Hui-Wen
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container_end_page 234
container_issue 2
container_start_page 230
container_title Burns
container_volume 40
creator Chen, Chiehfeng
Huang, Chun-Yuan
Wang, Hsian-Jenn
Chen, Chin-I
Lin, Hui-Wen
description Abstract Purpose of the study We aimed to describe a population cohort study of burns with the prevalence of stroke, and discuss possible etiologies. Analytical methods This study uses data obtained from the Longitudinal Health Insurance Database 2005 (LHID2005). The study cohort consisted of all patients who had diagnoses of burn recorded in the database (ICD-9-CM codes 948) between January 1 2004 and December 31 2008 ( N = 1549). Main findings The patients with burn and the comparison cohort are 7410 patients, 146 experienced stroke during the follow-up period of up to 5 years. In average, the burn patients suffered from stroke by 1.48 years after burn. The hazard ratio of stroke was 1.74 (95% CI, 1.15–2.63) for patients with TBSA burn
doi_str_mv 10.1016/j.burns.2013.10.002
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Analytical methods This study uses data obtained from the Longitudinal Health Insurance Database 2005 (LHID2005). The study cohort consisted of all patients who had diagnoses of burn recorded in the database (ICD-9-CM codes 948) between January 1 2004 and December 31 2008 ( N = 1549). Main findings The patients with burn and the comparison cohort are 7410 patients, 146 experienced stroke during the follow-up period of up to 5 years. In average, the burn patients suffered from stroke by 1.48 years after burn. The hazard ratio of stroke was 1.74 (95% CI, 1.15–2.63) for patients with TBSA burn &lt;20%, 3.78 (95% CI, 1.39–10.26) for patients with TBSA burn ≥20%. The adjusted hazard ratio of ischemic stroke was 1.63 for patients with TBSA burn &lt;20%, 2.96 for patients with TBSA burn ≥20%, whereas the hazard ratio of hemorrhagic stroke were not significant ( p = 0.231). Conclusions In our study, severe burned patients, more than 60 years of age, had higher risk of stroke in their recovery life. We suggest close follow up for the burn patients in high risk of stroke.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/j.burns.2013.10.002</identifier><identifier>PMID: 24280523</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Age Factors ; Aged ; Body Surface Area ; Brain Ischemia - complications ; Brain Ischemia - epidemiology ; Burn ; Burns - epidemiology ; Burns - pathology ; Case-Control Studies ; Cerebral Hemorrhage - complications ; Cerebral Hemorrhage - epidemiology ; Cohort Studies ; Critical Care ; Databases, Factual ; Female ; Follow-Up Studies ; Health Insurance Database ; Humans ; Incidence ; Male ; Middle Aged ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; Severity of Illness Index ; Stroke ; Stroke - epidemiology ; Stroke - etiology ; Taiwan - epidemiology</subject><ispartof>Burns, 2014-03, Vol.40 (2), p.230-234</ispartof><rights>2013</rights><rights>Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c364t-97b90f91b6dd87cbcda9408f90f26f740f3b7a033ff4f523db45c44e29fbdeeb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0305417913003318$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24280523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Chiehfeng</creatorcontrib><creatorcontrib>Huang, Chun-Yuan</creatorcontrib><creatorcontrib>Wang, Hsian-Jenn</creatorcontrib><creatorcontrib>Chen, Chin-I</creatorcontrib><creatorcontrib>Lin, Hui-Wen</creatorcontrib><title>Stroke after burn: Population data analysis</title><title>Burns</title><addtitle>Burns</addtitle><description>Abstract Purpose of the study We aimed to describe a population cohort study of burns with the prevalence of stroke, and discuss possible etiologies. Analytical methods This study uses data obtained from the Longitudinal Health Insurance Database 2005 (LHID2005). The study cohort consisted of all patients who had diagnoses of burn recorded in the database (ICD-9-CM codes 948) between January 1 2004 and December 31 2008 ( N = 1549). Main findings The patients with burn and the comparison cohort are 7410 patients, 146 experienced stroke during the follow-up period of up to 5 years. In average, the burn patients suffered from stroke by 1.48 years after burn. The hazard ratio of stroke was 1.74 (95% CI, 1.15–2.63) for patients with TBSA burn &lt;20%, 3.78 (95% CI, 1.39–10.26) for patients with TBSA burn ≥20%. The adjusted hazard ratio of ischemic stroke was 1.63 for patients with TBSA burn &lt;20%, 2.96 for patients with TBSA burn ≥20%, whereas the hazard ratio of hemorrhagic stroke were not significant ( p = 0.231). Conclusions In our study, severe burned patients, more than 60 years of age, had higher risk of stroke in their recovery life. We suggest close follow up for the burn patients in high risk of stroke.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Body Surface Area</subject><subject>Brain Ischemia - complications</subject><subject>Brain Ischemia - epidemiology</subject><subject>Burn</subject><subject>Burns - epidemiology</subject><subject>Burns - pathology</subject><subject>Case-Control Studies</subject><subject>Cerebral Hemorrhage - complications</subject><subject>Cerebral Hemorrhage - epidemiology</subject><subject>Cohort Studies</subject><subject>Critical Care</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Insurance Database</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Proportional Hazards Models</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Stroke</subject><subject>Stroke - epidemiology</subject><subject>Stroke - etiology</subject><subject>Taiwan - epidemiology</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkdtLHDEUxoNUdLv1LxBkHgtl1pPLXCIolKWtgqBgfQ65nEDW2Zk1mSnsf99MV_vQl-Yl8PF95_I7hJxTWFGg9eVmZabYpxUDyrOyAmBHZEHbRpZUgPxAFsChKgVt5Cn5mNIG8qtaOCGnTLAWKsYX5MvTGIcXLLQfMRZzwavicdhNnR7D0BdOj7rQve72KaRP5NjrLuHZ278kz9-__VzflvcPP-7WX-9Ly2sxlrIxErykpnaubayxTksBrc8iq30jwHPTaODce-HzEM6IygqBTHrjEA1fks-Hurs4vE6YRrUNyWLX6R6HKSkqpKR5LVZlKz9YbRxSiujVLoatjntFQc2U1Eb9oaRmSrOYKeXUxVuDyWzR_c28Y8mG64MB85q_AkaVbMDeogsR7ajcEP7T4OafvO1CH6zuXnCPaTPkRCaoqEpMgXqaDzXfiXLIXGjLfwMnuY3L</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Chen, Chiehfeng</creator><creator>Huang, Chun-Yuan</creator><creator>Wang, Hsian-Jenn</creator><creator>Chen, Chin-I</creator><creator>Lin, Hui-Wen</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Stroke after burn: Population data analysis</title><author>Chen, Chiehfeng ; Huang, Chun-Yuan ; Wang, Hsian-Jenn ; Chen, Chin-I ; Lin, Hui-Wen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-97b90f91b6dd87cbcda9408f90f26f740f3b7a033ff4f523db45c44e29fbdeeb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Body Surface Area</topic><topic>Brain Ischemia - complications</topic><topic>Brain Ischemia - epidemiology</topic><topic>Burn</topic><topic>Burns - epidemiology</topic><topic>Burns - pathology</topic><topic>Case-Control Studies</topic><topic>Cerebral Hemorrhage - complications</topic><topic>Cerebral Hemorrhage - epidemiology</topic><topic>Cohort Studies</topic><topic>Critical Care</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Insurance Database</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Proportional Hazards Models</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Stroke</topic><topic>Stroke - epidemiology</topic><topic>Stroke - etiology</topic><topic>Taiwan - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Chiehfeng</creatorcontrib><creatorcontrib>Huang, Chun-Yuan</creatorcontrib><creatorcontrib>Wang, Hsian-Jenn</creatorcontrib><creatorcontrib>Chen, Chin-I</creatorcontrib><creatorcontrib>Lin, Hui-Wen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Chiehfeng</au><au>Huang, Chun-Yuan</au><au>Wang, Hsian-Jenn</au><au>Chen, Chin-I</au><au>Lin, Hui-Wen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stroke after burn: Population data analysis</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>40</volume><issue>2</issue><spage>230</spage><epage>234</epage><pages>230-234</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><abstract>Abstract Purpose of the study We aimed to describe a population cohort study of burns with the prevalence of stroke, and discuss possible etiologies. Analytical methods This study uses data obtained from the Longitudinal Health Insurance Database 2005 (LHID2005). The study cohort consisted of all patients who had diagnoses of burn recorded in the database (ICD-9-CM codes 948) between January 1 2004 and December 31 2008 ( N = 1549). Main findings The patients with burn and the comparison cohort are 7410 patients, 146 experienced stroke during the follow-up period of up to 5 years. In average, the burn patients suffered from stroke by 1.48 years after burn. The hazard ratio of stroke was 1.74 (95% CI, 1.15–2.63) for patients with TBSA burn &lt;20%, 3.78 (95% CI, 1.39–10.26) for patients with TBSA burn ≥20%. The adjusted hazard ratio of ischemic stroke was 1.63 for patients with TBSA burn &lt;20%, 2.96 for patients with TBSA burn ≥20%, whereas the hazard ratio of hemorrhagic stroke were not significant ( p = 0.231). Conclusions In our study, severe burned patients, more than 60 years of age, had higher risk of stroke in their recovery life. We suggest close follow up for the burn patients in high risk of stroke.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>24280523</pmid><doi>10.1016/j.burns.2013.10.002</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Age Factors
Aged
Body Surface Area
Brain Ischemia - complications
Brain Ischemia - epidemiology
Burn
Burns - epidemiology
Burns - pathology
Case-Control Studies
Cerebral Hemorrhage - complications
Cerebral Hemorrhage - epidemiology
Cohort Studies
Critical Care
Databases, Factual
Female
Follow-Up Studies
Health Insurance Database
Humans
Incidence
Male
Middle Aged
Proportional Hazards Models
Retrospective Studies
Risk Factors
Severity of Illness Index
Stroke
Stroke - epidemiology
Stroke - etiology
Taiwan - epidemiology
title Stroke after burn: Population data analysis
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