Risk of hemorrhagic stroke in Asian American ethnic groups

Risk of hemorrhagic stroke in Asian American ethnic groups
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DOI:
10.1159/000085310
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发表时间:
2005-01-01
期刊:
影响因子:
5.7
通讯作者:
Armstrong, MA
Armstrong, MA
中科院分区:
医学3区
文献类型:
--
作者:
Klatsky, AL;Friedman, GD;Armstrong, MA

文献摘要

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由于亚裔美国人族群中出血性中风(HS)风险的前瞻性数据稀少,因此在1978-1985年的健康检查中对128,934名自我分类的种族进行了调查。随后,431人因HS住院; 31%的人因蛛网膜下腔出血(SAH)住院,69%的人因脑出血(ICH)住院。HS的种族预测因素采用7个协变量的考克斯比例风险模型进行研究。以白人为参考,所有亚洲人HS的校正相对风险(95% CI)为1.6(1.1-2.3,p = 0.01),这主要是由于日本人SAH和菲律宾人ICH的风险增加。这些数据要求在这些群体中强调预防措施。版权所有(C)2005 S,Karger AG,巴塞尔。
The sparseness of prospective data about hemorrhagic stroke (HS) risk among Asian American ethnic groups led to the investigation of 128,934 persons with self-classified ethnicity at health examinations in 1978-1985. Subsequently, 431 persons were hospitalized for HS; 31% for subarachnoid hemorrhage (SAH) and 69% for intracerebral hemorrhage (ICH). Ethnic predictors of HS were studied by Cox proportional hazard models with 7 covariates. With whites as reference, the adjusted relative risk (95% CI) of all Asians for HS was 1.6 (1.1-2.3, p = 0.01), due substantially to increased risks of SAH in Japanese people and ICH in Filipinos. These data mandate emphasis upon preventive measures in these groups. Copyright (C) 2005 S, Karger AG, Basel.