Association between heat stroke and ischemic heart disease: A national longitudinal cohort study in Taiwan

Min Feng Tseng, Chu Lin Chou, Chi Hsiang Chung, Wu Chien Chien, Ying Kai Chen, Hsiu Chien Yang, Pauling Chu

研究成果: 雜誌貢獻文章

1 引文 斯高帕斯(Scopus)

摘要

The purpose of this study is to determine the relationship between heat stroke and ischemic heart disease (IHD), in a nationwide population using a longitudinal approach. We retrospectively examined the data from the National Health Insurance Research Database (NHIRD) in Taiwan, for patients examined between 2000 and 2013. In total, 628 patients with a heat stroke episode were enrolled and matched with 1256 patients without any history of a heat stroke episode by propensity score matching at a ratio of 1:2. The mean follow-up years of the heat stroke group was 11.89 years and the mean follow up of the control group was 11.51 years. An association between heat stroke episodes and IHD (log-rank p <.001) was found in a univariate cox regression analysis. After multivariate adjustment, age, comorbidities (hypertension, diabetes, stroke), and lower insurance premiums were associated with IHD events in patients who had a heat stroke. IHD was independently associated with heat stroke following cox multivariate regression analysis and patients with a heat stroke episode had a higher incidence of IHD events compared to those without any heat stroke episode (2598.41/105 person-years vs. 1286.14/105 person-years, adjusted hazard ratio 3.527, 95% CI: 2.078–4.032, p <.001). The onset of IHD in patients who suffered a heat stroke was earlier than in those without a heat stroke episode (2.08 ± 3.45 vs. 3.61 ± 3.25 years, p <.001). In conclusion, clinicians should be aware about evaluating the IHD risk following a heat stroke episode in a patient.
原文英語
頁(從 - 到)97-103
頁數7
期刊European Journal of Internal Medicine
59
DOIs
出版狀態已發佈 - 一月 1 2019
對外發佈Yes

ASJC Scopus subject areas

  • Internal Medicine

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