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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Alcohol-Related Hospital Encounters Trigger Thrombotic and Hemorrhagic Vascular Events
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Alcohol-Related Hospital Encounters Trigger Thrombotic and Hemorrhagic Vascular Events

机译：与酒精相关的医院遇到触发血栓形成和出血性血管事件

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Background and Purpose: We investigated the associations between alcohol-related emergency department visits and hospitalizations and vascular events including acute ischemic stroke, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage. Methods: The New York State Inpatient and Emergency Department Databases were examined (2006-2013). Validated International Classification of Diseases 9th edition definitions identified index vascular hospitalizations and alcohol abuse encounters. We used case cross-over analysis with conditional logistic regression to estimate odds ratios (OR) for the association between alcohol-related encounters during 6 case periods (7, 14, 30, 60, 90, and 120 days before index event) compared to control periods (1 year before). Multivariate logistic regression was used to examine the association between an alcohol-related encounter within 6 months before index admission and 30-day readmission after discharge. Results: An alcohol encounter before index admission was associated with acute ischemic stroke (OR = 1.765 within 60 days, 1.418 within 90 days, and 1.287 within 120 days) and subarachnoid hemorrhage (OR = 2.375 within 90 days), but not ICH. Alcohol-related encounters within 6 months before index vascular events increased the likelihood of 30-day readmission after index admission. Conclusion: We found that a recent alcohol-related counter was associated with occurrence of vascular events, but not ICH, as well as worse outcomes after index admission.
机译：背景和目的：我们调查了与急性缺血性中风，脑出血（ICH）和蛛网膜下腔出血，包括急性缺血性脑卒中和血管事件之间的协会。方法：审查了纽约州住院病人和急诊部门数据库（2006-2013）。经过验证的国际疾病分类第9版定义确定了指标血管住院和酒精滥用遭遇。我们在与控制期（前一年）。多变量逻辑回归用于检查在食物入院前6个月内与醇相关的遭遇相关的关联和出院后30天的入院。结果：在指数入院前的酒精遭遇与急性缺血性卒中（或在60天内的= 1.765，1.418内，120天内，1.287）和蛛网膜下腔出血（或90天内= 2.375），但不是Ich。在指数血管事件前6个月内与饮酒有关的遭遇会增加索引录取后30天的入住可能性。结论：我们发现最近的饮酒相关计数器与血管事件发生的发生相关，但在指数入学后的结果以及更糟糕的结果。

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