Jian Wan, Xuan Wang, Yu Jie Zhang, Yue Yin, Zhuo Wang, Xiao Che, Min Chen, Jie Liang, Kai Chun Wu
{"title":"炎症性肠病患者脑血管意外的发病率和疾病相关危险因素：系统综述和荟萃分析。","authors":"Jian Wan, Xuan Wang, Yu Jie Zhang, Yue Yin, Zhuo Wang, Xiao Che, Min Chen, Jie Liang, Kai Chun Wu","doi":"10.1111/1751-2980.13232","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Risk of cerebrovascular accidents (CVAs) in patients with inflammatory bowel disease (IBD) remains inconclusive. In this systematic review and meta-analysis, we aimed to estimate the incidence of and identify the risk factors for CVA in patients with IBD.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>PubMed, EMBASE and Web of Science were searched for articles published up to January 13, 2023 to identify those reported the incidence of CVA in IBD patients, along with the total person-years or related data to calculate it. The main outcomes were the incidence of and risk factors for CVA in IBD.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Based on the analysis of 10 studies, the pooled incidence of CVA in IBD patients was 2.74 per 1000 person-years (95% confidence interval [CI] 1.83–4.10 person-years; <i>I</i><sup>2</sup> = 99.2%), which was higher than that in the general population (incidence rate ratio [IRR] 1.21, 95% CI 1.09–1.34, <i>P</i> = 0.0002; <i>I</i><sup>2</sup> = 84.8%). Risk factors for CVA in IBD patients were age (significance in different definitions), ulcerative colitis (IRR 1.214, 95% CI 1.000–1.474, <i>P</i> = 0.0499; <i>I</i><sup>2</sup> = 81.9%), disease flares (IRR 1.699, 95% CI 1.359–2.122, <i>P</i> < 0.0001; <i>I</i><sup>2</sup> = 28.7%) and chronic activity (IRR 2.202, 95% CI 1.378–3.519, <i>P</i> = 0.0010; <i>I</i><sup>2</sup> = 83.0%).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The risk of CVA modestly increased in IBD patients. Both the traditional and IBD-related risk factors should be managed to prevent CVA in these patients. Since the effects of risk factors were derived from pooled results of only 2–3 studies, further research is needed to confirm our results.</p>\n </section>\n </div>","PeriodicalId":15564,"journal":{"name":"Journal of Digestive Diseases","volume":"24 10","pages":"504-515"},"PeriodicalIF":2.3000,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Incidence and disease-related risk factors for cerebrovascular accidents in patients with inflammatory bowel diseases: A systematic review and meta-analysis\",\"authors\":\"Jian Wan, Xuan Wang, Yu Jie Zhang, Yue Yin, Zhuo Wang, Xiao Che, Min Chen, Jie Liang, Kai Chun Wu\",\"doi\":\"10.1111/1751-2980.13232\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>Risk of cerebrovascular accidents (CVAs) in patients with inflammatory bowel disease (IBD) remains inconclusive. In this systematic review and meta-analysis, we aimed to estimate the incidence of and identify the risk factors for CVA in patients with IBD.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>PubMed, EMBASE and Web of Science were searched for articles published up to January 13, 2023 to identify those reported the incidence of CVA in IBD patients, along with the total person-years or related data to calculate it. The main outcomes were the incidence of and risk factors for CVA in IBD.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Based on the analysis of 10 studies, the pooled incidence of CVA in IBD patients was 2.74 per 1000 person-years (95% confidence interval [CI] 1.83–4.10 person-years; <i>I</i><sup>2</sup> = 99.2%), which was higher than that in the general population (incidence rate ratio [IRR] 1.21, 95% CI 1.09–1.34, <i>P</i> = 0.0002; <i>I</i><sup>2</sup> = 84.8%). Risk factors for CVA in IBD patients were age (significance in different definitions), ulcerative colitis (IRR 1.214, 95% CI 1.000–1.474, <i>P</i> = 0.0499; <i>I</i><sup>2</sup> = 81.9%), disease flares (IRR 1.699, 95% CI 1.359–2.122, <i>P</i> < 0.0001; <i>I</i><sup>2</sup> = 28.7%) and chronic activity (IRR 2.202, 95% CI 1.378–3.519, <i>P</i> = 0.0010; <i>I</i><sup>2</sup> = 83.0%).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The risk of CVA modestly increased in IBD patients. Both the traditional and IBD-related risk factors should be managed to prevent CVA in these patients. Since the effects of risk factors were derived from pooled results of only 2–3 studies, further research is needed to confirm our results.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15564,\"journal\":{\"name\":\"Journal of Digestive Diseases\",\"volume\":\"24 10\",\"pages\":\"504-515\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2023-10-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Digestive Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/1751-2980.13232\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Digestive Diseases","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1751-2980.13232","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Incidence and disease-related risk factors for cerebrovascular accidents in patients with inflammatory bowel diseases: A systematic review and meta-analysis
Objectives
Risk of cerebrovascular accidents (CVAs) in patients with inflammatory bowel disease (IBD) remains inconclusive. In this systematic review and meta-analysis, we aimed to estimate the incidence of and identify the risk factors for CVA in patients with IBD.
Methods
PubMed, EMBASE and Web of Science were searched for articles published up to January 13, 2023 to identify those reported the incidence of CVA in IBD patients, along with the total person-years or related data to calculate it. The main outcomes were the incidence of and risk factors for CVA in IBD.
Results
Based on the analysis of 10 studies, the pooled incidence of CVA in IBD patients was 2.74 per 1000 person-years (95% confidence interval [CI] 1.83–4.10 person-years; I2 = 99.2%), which was higher than that in the general population (incidence rate ratio [IRR] 1.21, 95% CI 1.09–1.34, P = 0.0002; I2 = 84.8%). Risk factors for CVA in IBD patients were age (significance in different definitions), ulcerative colitis (IRR 1.214, 95% CI 1.000–1.474, P = 0.0499; I2 = 81.9%), disease flares (IRR 1.699, 95% CI 1.359–2.122, P < 0.0001; I2 = 28.7%) and chronic activity (IRR 2.202, 95% CI 1.378–3.519, P = 0.0010; I2 = 83.0%).
Conclusions
The risk of CVA modestly increased in IBD patients. Both the traditional and IBD-related risk factors should be managed to prevent CVA in these patients. Since the effects of risk factors were derived from pooled results of only 2–3 studies, further research is needed to confirm our results.
期刊介绍：
The Journal of Digestive Diseases is the official English-language journal of the Chinese Society of Gastroenterology. The journal is published twelve times per year and includes peer-reviewed original papers, review articles and commentaries concerned with research relating to the esophagus, stomach, small intestine, colon, liver, biliary tract and pancreas.
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