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Association between statin use and intracerebral hemorrhage: a systematic review and meta‐analysis
Author(s) -
Lei C.,
Wu B.,
Liu M.,
Chen Y.
Publication year - 2014
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/ene.12273
Subject(s) - medicine , statin , intracerebral hemorrhage , meta analysis , odds ratio , confidence interval , cochrane library , medline , atorvastatin , political science , subarachnoid hemorrhage , law
Background and purpose Accumulating evidence suggests that statins exert neuroprotective effects, but whether their use affects the outcomes of intracerebral hemorrhage ( ICH ) remains controversial. Therefore, we performed a systematic review and meta‐analysis to investigate whether statin use before spontaneous ICH affects unfavorable functional outcome or mortality. Methods We searched the Cochrane Library, MEDLINE , EMBASE and China National Knowledge Infrastructure databases for studies examining the effects of pre‐ ICH statin use on unfavorable functional outcome, mortality or neuroimaging outcomes in consecutively recruited patients with spontaneous ICH , regardless of the duration or dose of statin treatment. Results A total of 12 studies were included that examined the effects of pre‐ ICH statin use on post‐ ICH outcomes in 1652 subjects in the favors pre‐statin group and 5309 in the favors no pre‐ ICH statin group. Meta‐analysis of 11 studies suggested that pre‐ ICH statin use did not significantly affect mortality across all three time points tested [in‐hospital, 30 days, 90 days; odds ratio ( OR ) 0.85, 95% confidence interval ( CI ) 0.70–1.03]. However, meta‐analysis of seven studies showed that pre‐ ICH statin use did significantly decrease 90‐day mortality ( OR 0.72, 95% CI 0.59–0.88). Meta‐analysis of six studies showed that pre‐ ICH statin use was not associated with significant changes in unfavorable functional outcome. Moreover, pre‐ ICH statin use did not significantly affect admission hematoma volume ( standardized mean difference 7.75, 95% CI −5.59 to 21.09). Conclusion Available evidence suggests that statin use before spontaneous ICH does not increase short‐term mortality, unfavorable functional outcome or post‐ ICH hematoma volume at admission.