Document Detail


Retinal Artery Occlusion and the 3-Year Risk of Stroke in Taiwan: A Nationwide Population-Based Study.
MedLine Citation:
PMID:  22809785     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To verify the association between retinal artery occlusion (RAO) and stroke with a large-scale nationwide study. DESIGN: Retrospective nationwide population-based administrative database study. METHODS: Data were collected from the Longitudinal Health Insurance Database 2000 (LHID2000), which contains claim data from 1 million randomly selected beneficiaries among Taiwan's 23 million residents. The study cohort consisted of all patients with a diagnosis of RAO from January 1999 through December 2006 (n = 464). The control group consisted of randomly selected patients (n = 2748) matched with the study group by age, sex, date of index medical care, and comorbid hypertension. Patients were tracked from their index date for 3 years. The Kaplan-Meier method was used to compute the stroke-free survival rate. Cox proportional hazard regressions were used to compute the adjusted stroke-free survival rate after adjusting for possible confounding factors. RESULTS: Ninety-one RAO patients (19.61%) and 280 controls (10.05%) had a stroke (P < .0001) during the 3-year follow-up period. Compared with the controls, the incidence rate ratios of stroke in RAO patients were 9.46 at 0-1 month, 5.57 at 1-6 months, and 2.16 at 0-3 years after RAO (P < .0001). After adjusting for age, sex, and selected comorbid disorders, the hazard ratio of having a stroke for RAO patients was still 2.07 times higher than that of controls and 3.34 times higher in the ≤60-year-old subgroup. CONCLUSIONS: RAO increases the risk for subsequent stroke. Early neurologic evaluation and secondary prevention for stroke are recommended for RAO patients.
Authors:
Yuh-Shin Chang; Ren-Long Jan; Shih-Feng Weng; Jhi-Joung Wang; Chung-Ching Chio; Fu-Tsung Wei; Chin-Chen Chu
Related Documents :
1512775 - Atypical eosinophilic fasciitis localized to the hands and feet: a report of four cases.
22419235 - Trends in the incidence of intestinal perforation in us dialysis patients (1992-2005).
22744505 - How to measure kyphosis in everyday clinical practice: a reliability study on different...
16130135 - Sentinel lymph node mapping and molecular staging in nonsmall cell lung carcinoma.
24350005 - Study of oxidative stress in peripheral blood of indian vitiligo patients.
12530575 - Fundic gland polyps (elster's cysts) of the gastric mucosa. a marker for colorectal epi...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-16
Journal Detail:
Title:  American journal of ophthalmology     Volume:  -     ISSN:  1879-1891     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Department of Ophthalmology, Chi Mei Medical Center, Tainan, Taiwan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Monovision Correction for Small-Angle Diplopia.
Next Document:  Prioritization of chemicals in the aquatic environment based on risk assessment: Analytical, modelin...