Increased Risk of Stroke After a Herpes Zoster Attack
Author(s) -
JiunnHorng Kang,
JauDer Ho,
YiHua Chen,
HerngChing Lin
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.562017
Subject(s) - medicine , stroke (engine) , cohort , herpes zoster ophthalmicus , hazard ratio , attack rate , varicella zoster virus , proportional hazards model , population , cohort study , retrospective cohort study , confounding , shingles , surgery , pediatrics , epidemiology , confidence interval , virus , immunology , mechanical engineering , environmental health , engineering
Varicella zoster virus-induced vasculopathy and postherpes zoster attack stroke syndromes have been reported previously; nevertheless, data regarding the exact prevalence and risk of stroke occurring postherpes zoster attack are still lacking. This study aims to investigate the frequency and risk of stroke after a herpes zoster attack using a nationwide, population-based study of a retrospective cohort design. Method- A total of 7760 patients who had received treatment for herpes zoster between 1997 and 2001 were included and matched with 23 280 randomly selected subjects. A 1-year stroke-free survival rate was then estimated using the Kaplan-Meier method. After adjusting for potential confounders, Cox proportional hazard regressions were carried out to compute the adjusted 1-year survival rate.
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