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 |
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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 <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 <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 <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 <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 <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 <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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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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