High Mortality in Cirrhotic Patients Following Hemorrhagic Stroke

doi:10.1016/j.jocn.2014.12.009

淡江大學機構典藏 > 理學院 > 數學學系暨研究所 > 期刊論文 > Item 987654321/105926

Please use this identifier to cite or link to this item: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/105926

Title:	High Mortality in Cirrhotic Patients Following Hemorrhagic Stroke
Authors:	Hung, T. H.;Hsieh, Y. H.;Tseng, K. C.;Tseng, C. W.;Lee, H. F.;Tsai, C. C.;Tsai, C. C.
Keywords:	Cirrhosis;Epidemiology;Hemorrhagic stroke;Mortality;Subarachnoid hemorrhage
Date:	2015/03/24
Issue Date:	2016-04-22 13:11:14 (UTC+8)
Publisher:	ELSEVIER
Abstract:	The impact of hemorrhagic stroke (HS) on the mortality of cirrhotic patients is unknown. To evaluate the morality risk of HS in cirrhotic patients, we used the Taiwan National Health Insurance Database to evaluate cirrhotic patients with HS who were discharged between 1 January and 31 December 2007. In total, there were 321 cirrhotic patients with HS. We randomly selected 3210 cirrhotic patients without HS as a comparison group. The 30 and 90 day mortality rates were 29.6% and 43.0% in the HS group, and 9.1% and 17.7% in the comparison group, respectively (p<0.001). After Cox proportional hazard regression model adjustment of patients' sex, age, and other comorbid disorders, the hazard ratio (HR) for 90 day mortality in the HS group was 3.89 (95% confidence interval [CI] 3.20-4.71, p<0.001), compared to the comparison group. In the subgroup analysis, the HR for 90 day mortality in the subarachnoid hemorrhage and other HS groups were 7.93 (95% CI 5.23-12.0, p<0.001) and 3.51 (95% CI 2.85-4.32, p<0.001), respectively, compared to the comparison group. In conclusion, HS is associated with a very high 90 day mortality risk in cirrhotic patients, in whom subarachnoid hemorrhage can also increase the risk of mortality eight-fold.
Relation:	Journal of Clinical Neuroscience 22(6), pp.995–997
DOI:	10.1016/j.jocn.2014.12.009
Appears in Collections:	[數學學系暨研究所] 期刊論文

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