摘要

Purpose In the recent years, the mortality rates attributed to pyogenic liver abscess (PLA) have decreased substantially on account of advancements in antibiotics and surgical techniques. It is thus important to better understand the risks associated with the increased number of survivors. This population-based study was designed to estimate the risk of stroke during a 1 year period following diagnosis with PLA, compared to individuals who did not suffer from PLA. Methods Data were obtained from the Taiwan National Health Insurance Research Database. A total of 9,977 patients receiving ambulatory with a diagnosis of PLA were included, together with 49,885 non-PLA patients as our comparison group. Each individual was followed for 1 year, with check-ups at 30 days, 90 days, and 1 year post diagnosis to identify the subsequent occurrence of stroke. Cox proportional hazards regressions were performed for the analysis. Results During the 1 year follow-up period, 475 (4.76%) strokes occurred among the PLA patients and 1,713 (3.43%) patients in the non-PLA comparison cohort. The diagnosis of PLA was independently associated with 1.99 (95% confidence interval (CI) 1.68-2.34), 1.72 (95% CI 1.52-1.97), and 1.43 (95% CI 1.28-1.59) times greater risks of stroke during the 30 days, 90 days, and 1 year follow-up periods, respectively, after adjusting for urbanization level, geographic region, monthly income, hypertension, diabetes, coronary heart diseases, renal diseases, heart failure, hyperlipidemia, atrial fibrillation, obesity, and alcohol abuse/alcohol-dependence syndrome. Conclusions We suggest a need for more intensive medical monitoring following PLA infection, especially during the first few months. However, data regarding smoking were unavailable in our dataset and may have biased our findings.
原文英語
頁(從 - 到)801-808
頁數8
期刊Hepatology International
6
發行號4
DOIs
出版狀態已發佈 - 十月 2012

指紋

Pyogenic Liver Abscess
Stroke
Population
Liver Abscess
Confidence Intervals
Alcoholism
Urbanization
National Health Programs
Hyperlipidemias
Taiwan
Atrial Fibrillation
Coronary Disease
Survivors
Heart Failure
Obesity
Smoking
Databases
Anti-Bacterial Agents
Hypertension
Kidney

ASJC Scopus subject areas

  • Hepatology

引用此文

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title = "Risk of stroke following diagnosis with pyogenic liver abscess: A nationwide population-based study",
abstract = "Purpose In the recent years, the mortality rates attributed to pyogenic liver abscess (PLA) have decreased substantially on account of advancements in antibiotics and surgical techniques. It is thus important to better understand the risks associated with the increased number of survivors. This population-based study was designed to estimate the risk of stroke during a 1 year period following diagnosis with PLA, compared to individuals who did not suffer from PLA. Methods Data were obtained from the Taiwan National Health Insurance Research Database. A total of 9,977 patients receiving ambulatory with a diagnosis of PLA were included, together with 49,885 non-PLA patients as our comparison group. Each individual was followed for 1 year, with check-ups at 30 days, 90 days, and 1 year post diagnosis to identify the subsequent occurrence of stroke. Cox proportional hazards regressions were performed for the analysis. Results During the 1 year follow-up period, 475 (4.76{\%}) strokes occurred among the PLA patients and 1,713 (3.43{\%}) patients in the non-PLA comparison cohort. The diagnosis of PLA was independently associated with 1.99 (95{\%} confidence interval (CI) 1.68-2.34), 1.72 (95{\%} CI 1.52-1.97), and 1.43 (95{\%} CI 1.28-1.59) times greater risks of stroke during the 30 days, 90 days, and 1 year follow-up periods, respectively, after adjusting for urbanization level, geographic region, monthly income, hypertension, diabetes, coronary heart diseases, renal diseases, heart failure, hyperlipidemia, atrial fibrillation, obesity, and alcohol abuse/alcohol-dependence syndrome. Conclusions We suggest a need for more intensive medical monitoring following PLA infection, especially during the first few months. However, data regarding smoking were unavailable in our dataset and may have biased our findings.",
keywords = "Epidemiology, Pyogenic liver abscess, Stroke",
author = "Keller, {Joseph J.} and Kang, {Jiunn Horng} and Sheu, {Jau Jiuan} and Lin, {Herng Ching}",
year = "2012",
month = "10",
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language = "English",
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pages = "801--808",
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TY - JOUR

T1 - Risk of stroke following diagnosis with pyogenic liver abscess

T2 - A nationwide population-based study

AU - Keller, Joseph J.

AU - Kang, Jiunn Horng

AU - Sheu, Jau Jiuan

AU - Lin, Herng Ching

PY - 2012/10

Y1 - 2012/10

N2 - Purpose In the recent years, the mortality rates attributed to pyogenic liver abscess (PLA) have decreased substantially on account of advancements in antibiotics and surgical techniques. It is thus important to better understand the risks associated with the increased number of survivors. This population-based study was designed to estimate the risk of stroke during a 1 year period following diagnosis with PLA, compared to individuals who did not suffer from PLA. Methods Data were obtained from the Taiwan National Health Insurance Research Database. A total of 9,977 patients receiving ambulatory with a diagnosis of PLA were included, together with 49,885 non-PLA patients as our comparison group. Each individual was followed for 1 year, with check-ups at 30 days, 90 days, and 1 year post diagnosis to identify the subsequent occurrence of stroke. Cox proportional hazards regressions were performed for the analysis. Results During the 1 year follow-up period, 475 (4.76%) strokes occurred among the PLA patients and 1,713 (3.43%) patients in the non-PLA comparison cohort. The diagnosis of PLA was independently associated with 1.99 (95% confidence interval (CI) 1.68-2.34), 1.72 (95% CI 1.52-1.97), and 1.43 (95% CI 1.28-1.59) times greater risks of stroke during the 30 days, 90 days, and 1 year follow-up periods, respectively, after adjusting for urbanization level, geographic region, monthly income, hypertension, diabetes, coronary heart diseases, renal diseases, heart failure, hyperlipidemia, atrial fibrillation, obesity, and alcohol abuse/alcohol-dependence syndrome. Conclusions We suggest a need for more intensive medical monitoring following PLA infection, especially during the first few months. However, data regarding smoking were unavailable in our dataset and may have biased our findings.

AB - Purpose In the recent years, the mortality rates attributed to pyogenic liver abscess (PLA) have decreased substantially on account of advancements in antibiotics and surgical techniques. It is thus important to better understand the risks associated with the increased number of survivors. This population-based study was designed to estimate the risk of stroke during a 1 year period following diagnosis with PLA, compared to individuals who did not suffer from PLA. Methods Data were obtained from the Taiwan National Health Insurance Research Database. A total of 9,977 patients receiving ambulatory with a diagnosis of PLA were included, together with 49,885 non-PLA patients as our comparison group. Each individual was followed for 1 year, with check-ups at 30 days, 90 days, and 1 year post diagnosis to identify the subsequent occurrence of stroke. Cox proportional hazards regressions were performed for the analysis. Results During the 1 year follow-up period, 475 (4.76%) strokes occurred among the PLA patients and 1,713 (3.43%) patients in the non-PLA comparison cohort. The diagnosis of PLA was independently associated with 1.99 (95% confidence interval (CI) 1.68-2.34), 1.72 (95% CI 1.52-1.97), and 1.43 (95% CI 1.28-1.59) times greater risks of stroke during the 30 days, 90 days, and 1 year follow-up periods, respectively, after adjusting for urbanization level, geographic region, monthly income, hypertension, diabetes, coronary heart diseases, renal diseases, heart failure, hyperlipidemia, atrial fibrillation, obesity, and alcohol abuse/alcohol-dependence syndrome. Conclusions We suggest a need for more intensive medical monitoring following PLA infection, especially during the first few months. However, data regarding smoking were unavailable in our dataset and may have biased our findings.

KW - Epidemiology

KW - Pyogenic liver abscess

KW - Stroke

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U2 - 10.1007/s12072-011-9317-4

DO - 10.1007/s12072-011-9317-4

M3 - Article

AN - SCOPUS:84864669117

VL - 6

SP - 801

EP - 808

JO - Hepatology International

JF - Hepatology International

SN - 1936-0533

IS - 4

ER -