Abstract | BACKGROUND: METHODS: RESULTS: Among 39 trials (287,651 participants), lipid lowering therapy was not associated with a statistically significant increased risk of intracerebral hemorrhage (ICH) in primary and secondary prevention trials combined (odds ratio [OR], 1.12; 95% confidence interval [CI], .98-1.28). Lipid lowering was associated with an increased risk of ICH in secondary prevention trials (OR, 1.18; 95% CI, 1.00-1.38), but not in primary prevention trials (OR, 1.01; 95% CI, .78-1.30), but the test for interaction was not significant (P for interaction = .31). Meta-regression of baseline LDL or difference in LDL reduction between active and control did not explain significant heterogeneity between studies for ICH risk. Of 1000 individuals treated for 1 year for secondary prevention, we estimated 9.17 (95% CI, 5.78-12.66) fewer ischemic strokes and .48 (95% CI, .06-1.02) more ICH, and a net reduction of 8.69 in all stroke per 1000 person-years. CONCLUSIONS:
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Authors | Conor Judge, Sarah Ruttledge, Maria Costello, Robert Murphy, Elaine Loughlin, Alberto Alvarez-Iglesias, John Ferguson, Sarah Gorey, Aoife Nolan, Michelle Canavan, Martin O'Halloran, Martin J O'Donnell |
Journal | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
(J Stroke Cerebrovasc Dis)
Vol. 28
Issue 6
Pg. 1703-1709
(Jun 2019)
ISSN: 1532-8511 [Electronic] United States |
PMID | 30878368
(Publication Type: Journal Article, Meta-Analysis, Systematic Review)
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Copyright | Copyright © 2019 Elsevier Inc. All rights reserved. |
Chemical References |
- Biomarkers
- Hypolipidemic Agents
- Lipoproteins, LDL
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Topics |
- Biomarkers
(blood)
- Brain Ischemia
(blood, diagnosis, epidemiology, prevention & control)
- Cerebral Hemorrhage
(chemically induced, diagnosis, epidemiology)
- Dyslipidemias
(blood, diagnosis, drug therapy, epidemiology)
- Humans
- Hypolipidemic Agents
(adverse effects)
- Lipoproteins, LDL
(blood)
- Primary Prevention
(methods)
- Protective Factors
- Randomized Controlled Trials as Topic
- Risk Assessment
- Risk Factors
- Secondary Prevention
(methods)
- Stroke
(blood, diagnosis, epidemiology, prevention & control)
- Time Factors
- Treatment Outcome
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