Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study

Peng Wang,1,&ast; Shuang Luo,1,&ast; Shuwen Cheng,1 Yaxin Li,2 Weizheng Song1 1Department of Neurosurgery, Chengdu Fifth People’s Hospital/Affiliated Chengdu No.5 People’s Hospital of Chengdu University of TCM, Chengdu, People’s Republic of China; 2West China Fourth Hospital/West China Schoo...

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Autores principales:	Wang P, Luo S, Cheng S, Li Y, Song W
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	intracerebral hemorrhage risk ambient temperature medication adherence Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f3902bd8d9cb47c798dee00f8a6b82da
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spelling	oai:doaj.org-article:f3902bd8d9cb47c798dee00f8a6b82da2021-11-09T18:40:35ZOptimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study1177-889Xhttps://doaj.org/article/f3902bd8d9cb47c798dee00f8a6b82da2021-11-01T00:00:00Zhttps://www.dovepress.com/optimal-antihypertensive-medication-adherence-reduces-the-effect-of-am-peer-reviewed-fulltext-article-PPAhttps://doaj.org/toc/1177-889XPeng Wang,1,&ast; Shuang Luo,1,&ast; Shuwen Cheng,1 Yaxin Li,2 Weizheng Song1 1Department of Neurosurgery, Chengdu Fifth People’s Hospital/Affiliated Chengdu No.5 People’s Hospital of Chengdu University of TCM, Chengdu, People’s Republic of China; 2West China Fourth Hospital/West China School of Public Health, Sichuan University, Chengdu, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Weizheng SongDepartment of Neurosurgery, Chengdu Fifth People’s Hospital/Affiliated Chengdu No.5 People’s Hospital of Chengdu University of TCM, Chengdu, 611130, People’s Republic of ChinaTel/Fax +86 28 82726171Email song_cdutcm@126.comBackground and Purpose: The role of antihypertensive medication adherence in reducing the effect of ambient temperature (TEM) on intracerebral hemorrhage (ICH) pathogenesis is unclear. We aimed to study the influence of ambient TEM on the ICH occurrence in hypertensive patients with different medication adherence.Methods: We enrolled consecutive ICH patients with a definite history of hypertension in a teaching hospital over a period of six years. Medication adherence was calculated using the proportion of prescription days covered (PDC) to antihypertensive mediation in the last month before the ICH attack. Optimal medication adherence (OMA) was the PDC > 80%, and non-optimal medication adherence (non-OMA) was ≤ 80%. Daily ambient TEM and its variation were collected as the explanatory variables, and dominant air pollutants were gathered as covariates. We adopted a time-stratified case-crossover approach to minimize individual confounders. Conditional logistic regression was conducted to calculate the odds ratio (OR) of daily ambient TEM on ICH occurrence.Results: We recruited a total of 474 patients in this study. The number of participants with OMA and non-OMA was 249 and 225. Daily mean and max TEM in lag0 to lag2, as well as daily min TEM in lag0 to lag1, were significantly related to ICH onset in all enrolled patients and non-OMA cases. However, only daily TEM in lag0 was meaningfully associated with ICH onset in the OMA cases. The risk of ICH in OMA patients, respectively, changed by 7.9% (OR = 0.921, [0.861, 0.985]) or 6.3% (OR = 0.937, [0.882, 0.995]) when daily mean or max TEM was altered by 1°C in lag0, but the change raised by 10.4% (OR = 0.896, [0.836, 0.960]) or 7.5% (OR = 0.925, [0.868, 0.986]) in non-OMA patients. And the risk varied (OR = 0.933, [0.882, 0.988]) only in non-OMA patients when daily min TEM was altered by 1°C in lag1.Conclusion: Our results indicate that OMA to antihypertensive drugs reduces the influence of ambient TEM on ICH occurrence in hypertensive patients.Keywords: intracerebral hemorrhage, risk, ambient temperature, medication adherenceWang PLuo SCheng SLi YSong WDove Medical Pressarticleintracerebral hemorrhageriskambient temperaturemedication adherenceMedicine (General)R5-920ENPatient Preference and Adherence, Vol Volume 15, Pp 2489-2496 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intracerebral hemorrhage risk ambient temperature medication adherence Medicine (General) R5-920
spellingShingle	intracerebral hemorrhage risk ambient temperature medication adherence Medicine (General) R5-920 Wang P Luo S Cheng S Li Y Song W Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study
description	Peng Wang,1,&ast; Shuang Luo,1,&ast; Shuwen Cheng,1 Yaxin Li,2 Weizheng Song1 1Department of Neurosurgery, Chengdu Fifth People’s Hospital/Affiliated Chengdu No.5 People’s Hospital of Chengdu University of TCM, Chengdu, People’s Republic of China; 2West China Fourth Hospital/West China School of Public Health, Sichuan University, Chengdu, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Weizheng SongDepartment of Neurosurgery, Chengdu Fifth People’s Hospital/Affiliated Chengdu No.5 People’s Hospital of Chengdu University of TCM, Chengdu, 611130, People’s Republic of ChinaTel/Fax +86 28 82726171Email song_cdutcm@126.comBackground and Purpose: The role of antihypertensive medication adherence in reducing the effect of ambient temperature (TEM) on intracerebral hemorrhage (ICH) pathogenesis is unclear. We aimed to study the influence of ambient TEM on the ICH occurrence in hypertensive patients with different medication adherence.Methods: We enrolled consecutive ICH patients with a definite history of hypertension in a teaching hospital over a period of six years. Medication adherence was calculated using the proportion of prescription days covered (PDC) to antihypertensive mediation in the last month before the ICH attack. Optimal medication adherence (OMA) was the PDC > 80%, and non-optimal medication adherence (non-OMA) was ≤ 80%. Daily ambient TEM and its variation were collected as the explanatory variables, and dominant air pollutants were gathered as covariates. We adopted a time-stratified case-crossover approach to minimize individual confounders. Conditional logistic regression was conducted to calculate the odds ratio (OR) of daily ambient TEM on ICH occurrence.Results: We recruited a total of 474 patients in this study. The number of participants with OMA and non-OMA was 249 and 225. Daily mean and max TEM in lag0 to lag2, as well as daily min TEM in lag0 to lag1, were significantly related to ICH onset in all enrolled patients and non-OMA cases. However, only daily TEM in lag0 was meaningfully associated with ICH onset in the OMA cases. The risk of ICH in OMA patients, respectively, changed by 7.9% (OR = 0.921, [0.861, 0.985]) or 6.3% (OR = 0.937, [0.882, 0.995]) when daily mean or max TEM was altered by 1°C in lag0, but the change raised by 10.4% (OR = 0.896, [0.836, 0.960]) or 7.5% (OR = 0.925, [0.868, 0.986]) in non-OMA patients. And the risk varied (OR = 0.933, [0.882, 0.988]) only in non-OMA patients when daily min TEM was altered by 1°C in lag1.Conclusion: Our results indicate that OMA to antihypertensive drugs reduces the influence of ambient TEM on ICH occurrence in hypertensive patients.Keywords: intracerebral hemorrhage, risk, ambient temperature, medication adherence
format	article
author	Wang P Luo S Cheng S Li Y Song W
author_facet	Wang P Luo S Cheng S Li Y Song W
author_sort	Wang P
title	Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study
title_short	Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study
title_full	Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study
title_fullStr	Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study
title_full_unstemmed	Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study
title_sort	optimal antihypertensive medication adherence reduces the effect of ambient temperature on intracerebral hemorrhage occurrence: a case-crossover study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/f3902bd8d9cb47c798dee00f8a6b82da
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_version_	1718440895914704896

Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study

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