在急性缺血性中风后隐性癌症发病率的时间模式:通过中风病因学的比较研究
Mi Sun Oh1, Kyung-Ho Yu1, Byung-Chul Lee1
1Department of Neurology, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Republic of Korea.
概括
隐性癌症的发病率在急性缺血性中风 (AIS) 后的第一个月是最高的,特别是在未确定中风病因 (USE) 的人群中. 脑卒中后的早期癌症查至关重要,特别是对于USE患者.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 急性缺血性中风 (AIS) 的幸存者面临着更高的隐性癌症风险.
- 了解中风后的癌模式对于早期检测至关重要.
研究的目的:
- 在AIS幸存者中调查隐性癌症发病率的时间模式.
- 根据中风病因 (未确定的与已确定的) 分析癌症发病率的变化.
主要方法:
- 对AIS患者的未来注册和索赔数据分析 (2011-2013).
- 分类为未识别的中风病因学 (USE) 和已识别的中风病因学 (ISE) 组.
- 普森回归用于评估癌症发病率的时间和病因变化,调整为共变量.
主要成果:
- 在9759名AIS患者中,5.8%的人被诊断出隐性癌症.
- 在中风后的第一个月内观察到的最高癌症发病率 (8.3/1000人月总体,USE 14.3,ISE 7.6).
- 与以后的时期相比,在中风后的第一个月显著增加癌症风险 (整体IRR7.1,USE17.6)
结论:
- 隐性癌症的发病率在AIS后的早期达到顶峰,特别是在USE患者中.
- 建议在中风后立即进行警的癌症查,特别是在USE病例中.
- 与一般人群相比,AIS队列的年龄标准化发病率高出1.6倍.
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