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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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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. |
format | Online Article Text |
id | pubmed-6313420 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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