在社区获得的细菌病后心肌梗塞和中风的风险:为期20年的基于人口的队列研究
Michael Dalager-Pedersen1, Mette Søgaard, Henrik Carl Schønheyder
1Department of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark (M.D.-P., H.N.); Department of Clinical Epidemiology, Institute of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark (M.D.-P., M.S., R.W.T.); and Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark (H.C.S.).
Circulation
|February 14, 2014
概括
社区获得的细菌性血显著增加了心肌梗塞和中风的短期风险. 这种增加的心血管事件风险在感染后30天内最为明显.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 感染可以加速急性心血管事件.
- 在社区获得的细菌病后,心肌梗塞和中风的特定风险在很大程度上是未知的.
研究的目的:
- 为了评估急性心肌梗塞和缺血性中风的风险,在社区获得的细菌病后一年内.
主要方法:
- 在丹麦北部进行的一项基于人口的队列研究,涉及4389名患有细菌病的住院患者.
- 将细菌病患者与一般人群和住院的非细菌病对照进行匹配.
- 通过365天的医疗保健数据库确定心肌梗塞和中风事件.
- 多变量回归分析以确定相对风险和危险比率.
主要成果:
- 在细菌病的30天内观察到心肌梗塞或中风的风险大幅增加 (调整后的相对风险为20.86与人口对照).
- 与人群对照相比,风险的适度增加持续了31至180天 (调整后的危险比率为1.64).
- 六个月后,无论对照组如何,都没有发现显著的心血管风险差异.
结论:
- 社区获得的细菌血症与心肌梗塞和中风的短期风险增加有关.
- 这些发现强调了监测细菌性病后患者心血管健康的重要性.
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