国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

《国家中心数据管理与共享系统操作说明书 —— 研究者部分》

Inpatient statin use and stroke recurrence in patients with or without diabetes mellitus

第一作者：Zhang Xing,Li Shuya

通讯作者：Wang Yongjun

Acute ischaemic stroke diabetes mellitus inpati

基本信息

2019-07-21

已发表文章

发表杂志：Neurological Research

发表类型: Article

影响因子(IF): 2.448

PMID: 31328681 Pubmed原文链接 全文下载

主要研究背景及目的

Although statin therapy is associated with lower recurrence in patients with acute ischaemic stroke, data-evaluating associations between inpatient statin use and stroke recurrence in diabetic patients after acute stroke onset are limited.

方法

This study was based on population data from the Chinese National Stroke Registry. Patients with acute ischaemic stroke and no history of statin therapy were selected. Individuals treated regularly with any type or dosage of statins during acute hospitalization were defined as having inpatient statin therapy. The subjects were divided into two groups according to statin use status during acute hospitalization. Multivariate logistic regression analysis was used to analyse the associations between statin use and stroke recurrence in patients with or without diabetes.

结论

Inpatient statin use was associated with lower stroke recurrence in non-diabetic patients after acute ischaemic stroke, but no definite association between inpatient statin use and stroke recurrence in patients with diabetes mellitus was found.

主要结果

A total of 11,429 patients, 2341 (20.48%) with diabetes, were selected for analysis. Statin therapy during hospitalization was documented in 4982 (43.59%). Logistic analysis showed no significant associations between inpatient statin use and stroke recurrence in diabetic subjects at 3 months (OR = 0.90, 95% CI = 0.69–1.16, P = 0.40) or 1 year (OR = 0.92, 95% CI = 0.74–1.16, P = 0.48), but statin use was significantly associated with lower recurrence in non-diabetic patients at both 3 months (OR = 0.80, 95% CI = 0.69–0.92, P = 0.002) and 1 year (OR = 0.82, 95% CI = 0.72–0.93, P = 0.002) after discharge.