Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis
Background: Stroke recurrence is increasing in the working-age population. This study aimed to summarize and evaluate the risk factors for recurrent stroke among the working-age population. Methods: Relevant studies were extracted from several databases following Preferred Reporting Items for System...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
|
| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023011568 |
| _version_ | 1797851931681488896 |
|---|---|
| author | Araya Chiangkhong Charin Suwanwong Yupha Wongrostrai |
| author_facet | Araya Chiangkhong Charin Suwanwong Yupha Wongrostrai |
| author_sort | Araya Chiangkhong |
| collection | DOAJ |
| description | Background: Stroke recurrence is increasing in the working-age population. This study aimed to summarize and evaluate the risk factors for recurrent stroke among the working-age population. Methods: Relevant studies were extracted from several databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Fixed- or random-effects estimates of the pooled odds ratio (OR) and 95% confidence interval (CI) of risk factors for recurrent stroke were generated based on heterogeneity. Subgroup and publication bias analyses were also performed. Results: Seventeen studies were included in the meta-analysis. Pooled effects results revealed that the risk of recurrent stroke in the working-age group was as follows: Diabetes (OR = 1.85, 95% CI: 1.47, 2.32), hypertension (OR = 1.27, 95% CI: 1.12, 1.44), smoking (OR = 1.52, 95% CI: 1.27, 1.81), history of cardiac disease (OR = 2.86, 95% CI: 2.22, 3.67), history of stroke (OR = 2.45, 95% CI: 1.81, 3.31), and National Institutes of Health stroke severity score (OR = 1.09, 95% CI: 1.03, 1.15). Conclusion: These findings suggest that several factors, such as diabetes, hypertension, smoking, history of cardiac disease and stroke, and severity of a stroke, are potential risk factors for recurrent stroke in the working-age group. Therefore, strategies to reduce those risk factors should be adopted and attention paid to prevent recurrent stroke among working-age populations. |
| first_indexed | 2024-04-09T19:24:47Z |
| format | Article |
| id | doaj.art-ac90de768e3e4a93bb810dbcbea64e12 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-09T19:24:47Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-ac90de768e3e4a93bb810dbcbea64e122023-04-05T08:19:48ZengElsevierHeliyon2405-84402023-03-0193e13949Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysisAraya Chiangkhong0Charin Suwanwong1Yupha Wongrostrai2Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, ThailandBehavioral Science Research Institute, Srinakharinwirot University, Bangkok, ThailandKuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand; Corresponding authorBackground: Stroke recurrence is increasing in the working-age population. This study aimed to summarize and evaluate the risk factors for recurrent stroke among the working-age population. Methods: Relevant studies were extracted from several databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Fixed- or random-effects estimates of the pooled odds ratio (OR) and 95% confidence interval (CI) of risk factors for recurrent stroke were generated based on heterogeneity. Subgroup and publication bias analyses were also performed. Results: Seventeen studies were included in the meta-analysis. Pooled effects results revealed that the risk of recurrent stroke in the working-age group was as follows: Diabetes (OR = 1.85, 95% CI: 1.47, 2.32), hypertension (OR = 1.27, 95% CI: 1.12, 1.44), smoking (OR = 1.52, 95% CI: 1.27, 1.81), history of cardiac disease (OR = 2.86, 95% CI: 2.22, 3.67), history of stroke (OR = 2.45, 95% CI: 1.81, 3.31), and National Institutes of Health stroke severity score (OR = 1.09, 95% CI: 1.03, 1.15). Conclusion: These findings suggest that several factors, such as diabetes, hypertension, smoking, history of cardiac disease and stroke, and severity of a stroke, are potential risk factors for recurrent stroke in the working-age group. Therefore, strategies to reduce those risk factors should be adopted and attention paid to prevent recurrent stroke among working-age populations.http://www.sciencedirect.com/science/article/pii/S2405844023011568Recurrent strokeRisk factorsMeta-analysisWorking-age group |
| spellingShingle | Araya Chiangkhong Charin Suwanwong Yupha Wongrostrai Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis Heliyon Recurrent stroke Risk factors Meta-analysis Working-age group |
| title | Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis |
| title_full | Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis |
| title_fullStr | Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis |
| title_full_unstemmed | Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis |
| title_short | Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis |
| title_sort | lifestyle clinical and occupational risk factors of recurrent stroke among the working age group a systematic review and meta analysis |
| topic | Recurrent stroke Risk factors Meta-analysis Working-age group |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023011568 |
| work_keys_str_mv | AT arayachiangkhong lifestyleclinicalandoccupationalriskfactorsofrecurrentstrokeamongtheworkingagegroupasystematicreviewandmetaanalysis AT charinsuwanwong lifestyleclinicalandoccupationalriskfactorsofrecurrentstrokeamongtheworkingagegroupasystematicreviewandmetaanalysis AT yuphawongrostrai lifestyleclinicalandoccupationalriskfactorsofrecurrentstrokeamongtheworkingagegroupasystematicreviewandmetaanalysis |