Does non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.

<h4>Background</h4>Previous studies on the association between tuberculosis and the risk of developing ischemic stroke have generated inconsistent results. We therefore performed a population-based, propensity score-matched longitudinal follow-up study to investigate whether contracting...

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Autores principales: Chueh-Hung Wu, Li-Sheng Chen, Ming-Fang Yen, Yueh-Hsia Chiu, Ching-Yuan Fann, Hsiu-Hsi Chen, Shin-Liang Pan
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:0b644f7a9a694c18bbaac995b493c1d12021-11-25T06:07:44ZDoes non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.1932-620310.1371/journal.pone.0098158https://doaj.org/article/0b644f7a9a694c18bbaac995b493c1d12014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25048551/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Previous studies on the association between tuberculosis and the risk of developing ischemic stroke have generated inconsistent results. We therefore performed a population-based, propensity score-matched longitudinal follow-up study to investigate whether contracting non-central nervous system (CNS) tuberculosis leads to an increased risk of ischemic stroke.<h4>Methods</h4>We used a logistic regression model that includes age, sex, pre-existing comorbidities and socioeconomic status as covariates to compute the propensity score. A total of 5804 persons with at least three ambulatory visits in 2001 with the principal diagnosis of non-CNS tuberculosis were enrolled in the tuberculosis group. The non-tuberculosis group consisted of 5804, propensity score-matched subjects without tuberculosis. The three-year ischemic stroke-free survival rates for these 2 groups were estimated using the Kaplan-Meier method. The stratified Cox proportional hazards regression was used to estimate the effect of tuberculosis on the occurrence of ischemic stroke.<h4>Results</h4>During three-year follow-up, 176 subjects in the tuberculosis group (3.0%) and 207 in the non-tuberculosis group (3.6%) had ischemic stroke. The hazard ratio for developing ischemic stroke in the tuberculosis group was 0.92 compared to the non-tuberculosis group (95% confidence interval: 0.73-1.14, P = 0.4299).<h4>Conclusions</h4>Non-CNS tuberculosis does not increase the risk of subsequent ischemic stroke.Chueh-Hung WuLi-Sheng ChenMing-Fang YenYueh-Hsia ChiuChing-Yuan FannHsiu-Hsi ChenShin-Liang PanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 7, p e98158 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Chueh-Hung Wu
Li-Sheng Chen
Ming-Fang Yen
Yueh-Hsia Chiu
Ching-Yuan Fann
Hsiu-Hsi Chen
Shin-Liang Pan
Does non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.
description <h4>Background</h4>Previous studies on the association between tuberculosis and the risk of developing ischemic stroke have generated inconsistent results. We therefore performed a population-based, propensity score-matched longitudinal follow-up study to investigate whether contracting non-central nervous system (CNS) tuberculosis leads to an increased risk of ischemic stroke.<h4>Methods</h4>We used a logistic regression model that includes age, sex, pre-existing comorbidities and socioeconomic status as covariates to compute the propensity score. A total of 5804 persons with at least three ambulatory visits in 2001 with the principal diagnosis of non-CNS tuberculosis were enrolled in the tuberculosis group. The non-tuberculosis group consisted of 5804, propensity score-matched subjects without tuberculosis. The three-year ischemic stroke-free survival rates for these 2 groups were estimated using the Kaplan-Meier method. The stratified Cox proportional hazards regression was used to estimate the effect of tuberculosis on the occurrence of ischemic stroke.<h4>Results</h4>During three-year follow-up, 176 subjects in the tuberculosis group (3.0%) and 207 in the non-tuberculosis group (3.6%) had ischemic stroke. The hazard ratio for developing ischemic stroke in the tuberculosis group was 0.92 compared to the non-tuberculosis group (95% confidence interval: 0.73-1.14, P = 0.4299).<h4>Conclusions</h4>Non-CNS tuberculosis does not increase the risk of subsequent ischemic stroke.
format article
author Chueh-Hung Wu
Li-Sheng Chen
Ming-Fang Yen
Yueh-Hsia Chiu
Ching-Yuan Fann
Hsiu-Hsi Chen
Shin-Liang Pan
author_facet Chueh-Hung Wu
Li-Sheng Chen
Ming-Fang Yen
Yueh-Hsia Chiu
Ching-Yuan Fann
Hsiu-Hsi Chen
Shin-Liang Pan
author_sort Chueh-Hung Wu
title Does non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.
title_short Does non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.
title_full Does non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.
title_fullStr Does non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.
title_full_unstemmed Does non-central nervous system tuberculosis increase the risk of ischemic stroke? A population-based propensity score-matched follow-up study.
title_sort does non-central nervous system tuberculosis increase the risk of ischemic stroke? a population-based propensity score-matched follow-up study.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/0b644f7a9a694c18bbaac995b493c1d1
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