在急性缺血性中风后,吸烟习惯的变化与意外骨折之间的关联
Jeen Hwa Lee1, Kyung-Do Han2, Dae Young Cheon1
1Division of Cardiology, Department of Internal Medicine Hallym University Dongtan Sacred Heart Hospital Hwaseong Korea.
Journal of the American Heart Association
|May 28, 2024
概括
在中风后继续吸烟的中风幸存者面临更高的骨折风险,包括脊椎和部骨折. 新吸烟者也表现出更高的风险,强调需要在中风后提供戒烟支持.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 卒中幸存者,尤其是老年人,容易摔倒和骨折.
- 吸烟是骨折的一个已知的危险因素.
- 在中风前和后改变吸烟习惯对骨折风险的影响尚不清楚.
研究的目的:
- 研究吸烟习惯的变化与缺血性中风幸存者的骨折风险之间的关联.
- 为了确定增加中风后骨折风险的特定吸烟模式.
主要方法:
- 分析了来自韩国国家健康保险计划的缺血性中风患者队列 (2010-2016).
- 根据吸烟状况对患者进行分类:从未吸烟者,以前吸烟者,戒烟者,新吸烟者和持续吸烟者.
- 使用多变量Cox比例危险回归来评估骨折风险,以从未吸烟者为参考组.
主要成果:
- 持续吸烟者对任何脊椎和部骨折的复合结局风险显著更高 (aHRs在1.222至1.502之间).
- 新吸烟者也表现出任何骨折和部骨折的风险增加 (aHR分别为1.218和1.772).
- 超过8%的研究人口在中风后出现骨折.
结论:
- 缺血性中风后继续吸烟 (持续吸烟者) 与脊椎和关节骨折风险增加有关.
- 在中风后开始吸烟 (新吸烟者) 也会增加部骨折的风险.
- 医生应建议中风患者戒烟,以减轻中风后骨折风险并帮助康复.
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