Risk of ischemic stroke in patients with polymyositis and dermatomyositis: a systematic review and meta-analysis

被引：24

作者：

Ungprasert, Patompong ^{[1
]}

Cheungpasitporn, Wisit ^{[2
]}

Wijarnpreecha, Karn ^{[3
,4
]}

Ahuja, Wasin ^{[5
]}

Ratanasrimetha, Praveen ^{[6
]}

Thongprayoon, Charat ^{[2
]}

机构：

[1] Mayo Clin, Div Rheumatol, Dept Med, Rochester, MN 55905 USA

[2] Mayo Clin, Div Nephrol & Hypertens, Dept Med, Rochester, MN USA

[3] Chiang Mai Univ, Cardiac Electrophysiol Unit, Dept Physiol, Chiang Mai 50000, Thailand

[4] Chiang Mai Univ, Cardiac Electrophysiol Res & Training Ctr, Fac Med, Chiang Mai 50000, Thailand

[5] Chiang Mai Univ, Fac Med, Dept Internal Med, Chiang Mai 50000, Thailand

[6] Mahidol Univ, Dept Internal Med, Fac Med, Siriraj Hosp, Bangkok 10700, Thailand

来源：

RHEUMATOLOGY INTERNATIONAL | 2015年 / 35卷 / 05期

关键词：

Meta-analysis; Ischemic stroke; Idiopathic inflammatory myositis; Dermatomyositis; Polymyositis; RHEUMATOID-ARTHRITIS; METABOLIC SYNDROME; INFLAMMATION; DISEASE; ATHEROSCLEROSIS; EVENTS;

D O I：

10.1007/s00296-014-3166-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Several chronic inflammatory disorders, such as rheumatoid arthritis and systemic lupus erythematosus, have been demonstrated to increase ischemic stroke risk, but the data on polymyositis (PM) and dermatomyositis (DM) remain unclear. We conducted a systematic review and meta-analysis of observational studies that reported odds ratio, relative risk, hazard ratio or standardized incidence ratio comparing ischemic risk in patients with PM/DM versus non-PM/DM participants. Pooled risk ratio and 95 % confidence intervals were calculated using a random-effect, generic inverse variance method of DerSimonian and Laird. Three cohort studies were identified and included in our data analysis. The pooled risk ratio of ischemic stroke in patients with PM/DM was 1.61 (95 % CI 1.28-2.02). The statistical heterogeneity of this meta-analysis was insignificant with an I (2) of 0 %. Our study demonstrated a statistically significant increased ischemic stroke risk among patients with PM/DM.

引用

页码：905 / 909

页数：5

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