Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studies
Abstract Objective To understand the related risk factors of occurrence and recurrence of hypertension and provide scientific basis for relevant departments to better guide prevention and control work. Methods From September 2017 to September 2018, a prospective follow‐up study was performed on pati...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-10-01
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| Series: | Brain and Behavior |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/brb3.2770 |
| _version_ | 1811251248040509440 |
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| author | Yuelong Jin Minmin Jiang Na Pan Yan Chen Weiwei Chang Lijun Zhu Zhengmei Fang Shizao Fei Zixuan Zhou Siyun Zhou Lianping He Yingshui Yao |
| author_facet | Yuelong Jin Minmin Jiang Na Pan Yan Chen Weiwei Chang Lijun Zhu Zhengmei Fang Shizao Fei Zixuan Zhou Siyun Zhou Lianping He Yingshui Yao |
| author_sort | Yuelong Jin |
| collection | DOAJ |
| description | Abstract Objective To understand the related risk factors of occurrence and recurrence of hypertension and provide scientific basis for relevant departments to better guide prevention and control work. Methods From September 2017 to September 2018, a prospective follow‐up study was performed on patients with hypertension who visited the Second People's Hospital of Wuhu City, Anhui Province. Multivariate Cox regression was used to analyze influencing factors of stroke occurrence and recurrence in follow‐up of hypertensive patients. Results A total of 769 hypertensive patients were enrolled in this study. The average age of hypertensive patients was 65.66 ± 11.70 years old and the BMI index was 24.99 ± 4.17. In this study, 769 patients with hypertension were followed up for 1 year, and the incidence of stroke was 14.69%. This study found that higher levels of blood glucose (RR = 2.027, 95% CI: 1.195–3.438), HCY (RR = 5.928,95% CI: 1.438–24.440), aggravated extent of carotid artery stenosis (RR = 2.620, 95% CI: 1.532–4.481), and drinking (RR = 3.867, 95% CI: 2.038–7.339) were risk factors, and maintaining exercise (RR = 0.325, 95% CI: 0.117–0.907) was a protective factor for stroke occurrence; however, aggravated extent of carotid artery stenosis (RR = 3.158, 95% CI: 1.797–5.550) and smoking (RR = 2.271, 95% CI: 1.142–4.517) were risk factors for stroke recurrence for hypertensive patients. Conclusions For people with high blood pressure, it is necessary to exercise properly, control body weight, avoid obesity, quit smoking, reduce alcohol consumption, and reasonably control blood pressure, blood sugar, and blood lipid. |
| first_indexed | 2024-04-12T16:16:53Z |
| format | Article |
| id | doaj.art-d813639e3fad4ce9894c296bb7b8746d |
| institution | Directory Open Access Journal |
| issn | 2162-3279 |
| language | English |
| last_indexed | 2024-04-12T16:16:53Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj.art-d813639e3fad4ce9894c296bb7b8746d2022-12-22T03:25:42ZengWileyBrain and Behavior2162-32792022-10-011210n/an/a10.1002/brb3.2770Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studiesYuelong Jin0Minmin Jiang1Na Pan2Yan Chen3Weiwei Chang4Lijun Zhu5Zhengmei Fang6Shizao Fei7Zixuan Zhou8Siyun Zhou9Lianping He10Yingshui Yao11School of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaSchool of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaSchool of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaSchool of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaSchool of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaSchool of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaSchool of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaThe Second People's Hospital Wuhu 241001 Anhui ChinaSchool of Medicine Taizhou University Jiaojiang 318000 Zhejiang ChinaSchool of Medicine Taizhou University Jiaojiang 318000 Zhejiang ChinaSchool of Medicine Taizhou University Jiaojiang 318000 Zhejiang ChinaSchool of Public Health Institute of Chronic Disease Control and Prevention, Wannan Medical College Wuhu 241002 Anhui ChinaAbstract Objective To understand the related risk factors of occurrence and recurrence of hypertension and provide scientific basis for relevant departments to better guide prevention and control work. Methods From September 2017 to September 2018, a prospective follow‐up study was performed on patients with hypertension who visited the Second People's Hospital of Wuhu City, Anhui Province. Multivariate Cox regression was used to analyze influencing factors of stroke occurrence and recurrence in follow‐up of hypertensive patients. Results A total of 769 hypertensive patients were enrolled in this study. The average age of hypertensive patients was 65.66 ± 11.70 years old and the BMI index was 24.99 ± 4.17. In this study, 769 patients with hypertension were followed up for 1 year, and the incidence of stroke was 14.69%. This study found that higher levels of blood glucose (RR = 2.027, 95% CI: 1.195–3.438), HCY (RR = 5.928,95% CI: 1.438–24.440), aggravated extent of carotid artery stenosis (RR = 2.620, 95% CI: 1.532–4.481), and drinking (RR = 3.867, 95% CI: 2.038–7.339) were risk factors, and maintaining exercise (RR = 0.325, 95% CI: 0.117–0.907) was a protective factor for stroke occurrence; however, aggravated extent of carotid artery stenosis (RR = 3.158, 95% CI: 1.797–5.550) and smoking (RR = 2.271, 95% CI: 1.142–4.517) were risk factors for stroke recurrence for hypertensive patients. Conclusions For people with high blood pressure, it is necessary to exercise properly, control body weight, avoid obesity, quit smoking, reduce alcohol consumption, and reasonably control blood pressure, blood sugar, and blood lipid.https://doi.org/10.1002/brb3.2770hypertensioninfluence factorsoccurrencerecurrencestroke |
| spellingShingle | Yuelong Jin Minmin Jiang Na Pan Yan Chen Weiwei Chang Lijun Zhu Zhengmei Fang Shizao Fei Zixuan Zhou Siyun Zhou Lianping He Yingshui Yao Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studies Brain and Behavior hypertension influence factors occurrence recurrence stroke |
| title | Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studies |
| title_full | Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studies |
| title_fullStr | Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studies |
| title_full_unstemmed | Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studies |
| title_short | Influencing factors of stroke occurrence and recurrence in hypertensive patients: A prospective follow‐up studies |
| title_sort | influencing factors of stroke occurrence and recurrence in hypertensive patients a prospective follow up studies |
| topic | hypertension influence factors occurrence recurrence stroke |
| url | https://doi.org/10.1002/brb3.2770 |
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