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Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan

Background: Nurses are typically required to address patient emergencies, and they experience high stress levels in their work, which may expose them to a higher risk of stroke. This cohort study compared the risk of stroke between nurses and the general population. Methods: We used the Taiwan Natio...

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Autores principales: Liao, Hui-Chuan, Peng, Yi-Hao, Chen, Yu-Pei, Huang, Li-Chi, Liang, Wen-Miin, Hsu, Chung Y., Kao, Chia-Hung, Tseng, Chun-Hung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313420/
https://www.ncbi.nlm.nih.gov/pubmed/30469533
http://dx.doi.org/10.3390/ijerph15122615
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author Liao, Hui-Chuan
Peng, Yi-Hao
Chen, Yu-Pei
Huang, Li-Chi
Liang, Wen-Miin
Hsu, Chung Y.
Kao, Chia-Hung
Tseng, Chun-Hung
author_facet Liao, Hui-Chuan
Peng, Yi-Hao
Chen, Yu-Pei
Huang, Li-Chi
Liang, Wen-Miin
Hsu, Chung Y.
Kao, Chia-Hung
Tseng, Chun-Hung
author_sort Liao, Hui-Chuan
collection PubMed
description Background: Nurses are typically required to address patient emergencies, and they experience high stress levels in their work, which may expose them to a higher risk of stroke. This cohort study compared the risk of stroke between nurses and the general population. Methods: We used the Taiwan National Health Insurance database to conduct our retrospective cohort study, and we identified 83,641 individuals in the nurse group and 334,564 individuals in the control group. For the nurse group and the control group, we used the chi-square test in addition to applying Student’s t-test, in order to compare the distribution differences for the continuous variables. We estimated the hazard ratios (HRs) and 95% confidence intervals (CIs) for ischemic stroke and hemorrhagic stroke through univariate and multivariate Cox proportional-hazards regression models, with stratification according to age, sex, and comorbidity. Results: The nurse group had a lower risk of ischemic stroke and hemorrhagic stroke in the crude model (HR = 0.66, 95% CI = 0.58–0.75; HR = 0.58, 95% CI = 0.47–0.72). After adjusting the prevalent variables, the nurse group still had a lower risk of stroke (HR = 0.68, 95% CI = 0.60–0.77; HR = 0.59, 95% CI = 0.48–0.73). Conclusion: The risks of both stroke types were lower in the nurse group than in the control. For stroke prevention, more frequent physical examinations are needed in order to enhance the health and well-being of people, including the nurses.
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spelling pubmed-63134202019-06-17 Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan Liao, Hui-Chuan Peng, Yi-Hao Chen, Yu-Pei Huang, Li-Chi Liang, Wen-Miin Hsu, Chung Y. Kao, Chia-Hung Tseng, Chun-Hung Int J Environ Res Public Health Article Background: Nurses are typically required to address patient emergencies, and they experience high stress levels in their work, which may expose them to a higher risk of stroke. This cohort study compared the risk of stroke between nurses and the general population. Methods: We used the Taiwan National Health Insurance database to conduct our retrospective cohort study, and we identified 83,641 individuals in the nurse group and 334,564 individuals in the control group. For the nurse group and the control group, we used the chi-square test in addition to applying Student’s t-test, in order to compare the distribution differences for the continuous variables. We estimated the hazard ratios (HRs) and 95% confidence intervals (CIs) for ischemic stroke and hemorrhagic stroke through univariate and multivariate Cox proportional-hazards regression models, with stratification according to age, sex, and comorbidity. Results: The nurse group had a lower risk of ischemic stroke and hemorrhagic stroke in the crude model (HR = 0.66, 95% CI = 0.58–0.75; HR = 0.58, 95% CI = 0.47–0.72). After adjusting the prevalent variables, the nurse group still had a lower risk of stroke (HR = 0.68, 95% CI = 0.60–0.77; HR = 0.59, 95% CI = 0.48–0.73). Conclusion: The risks of both stroke types were lower in the nurse group than in the control. For stroke prevention, more frequent physical examinations are needed in order to enhance the health and well-being of people, including the nurses. MDPI 2018-11-22 2018-12 /pmc/articles/PMC6313420/ /pubmed/30469533 http://dx.doi.org/10.3390/ijerph15122615 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liao, Hui-Chuan
Peng, Yi-Hao
Chen, Yu-Pei
Huang, Li-Chi
Liang, Wen-Miin
Hsu, Chung Y.
Kao, Chia-Hung
Tseng, Chun-Hung
Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
title Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
title_full Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
title_fullStr Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
title_full_unstemmed Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
title_short Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
title_sort reduced risks of both ischemic and hemorrhagic strokes in nurses: a population-based cohort study in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313420/
https://www.ncbi.nlm.nih.gov/pubmed/30469533
http://dx.doi.org/10.3390/ijerph15122615
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