Publicação
Risk of stroke or myocardial infarction hospitalisation following hospitalisation for community-acquired pneumonia in Portugal
| Resumo: | Objectives We aimed to assess the risk of cardiovascular hospitalisations (stroke or myocardial infarction (MI)) following a community-acquired pneumonia (CAP) hospitalisation in a large Portuguese administrative dataset. Design Self-controlled case series study. Setting We used hospitalisation data from National Health Service hospitals across Portugal between 2010 and 2018. Participants Adults hospitalised for both CAP and stroke/MI in Portugal during the 2010-2018 period (n=13 494, of which 10 400 with stroke and 3094 with MI). Primary and secondary outcome measures We considered CAP hospitalisation as the exposure (14-, 28- and 91-day exposure periods) and acute cardiovascular (stroke or MI) hospitalisations as the outcome. Incidence rate ratios (IRR) were computed using a conditional Poisson regression (overall and by sex and age subgroups). Results Patients were mostly male and above 75 years. Stroke/MI hospitalisation incidence was higher following CAP, compared with the baseline period. Largest differences were observed in the 14-day period after discharge (IRR for stroke: 2.55, 95% CI: 2.33–2.80; IRR for MI: 3.23, 2.78–3.75), compared with the 28-day (IRR for stroke: 2.06, 1.92–2.22; IRR for MI: 2.62, 2.32–2.95) and 91-day periods (IRR for stroke: 1.37, 1.30–1.44; IRR for MI: 1.75, 1.60–1.91). A similar trend was observed for sex and age subgroups. Conclusions Our study shows an increased risk of stroke/MI for CAP patients, particularly during the first 2 weeks after being discharged. Effective postdischarge monitoring and follow-up, combined with efforts to prevent CAP occurrence, could improve patient outcomes. |
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| Autores principais: | Carneiro, Joana |
| Outros Autores: | Leite, Andreia; Lahuerta, Maria; Catusse, Julie; Ali, Mohammad; Teixeira, Rita; Lopes, Silvia |
| Assunto: | Cardiovascular Disease Respiratory infections Risk Factors General Medicine SDG 3 - Good Health and Well-being |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade Nova de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Institucional da UNL |
| Resumo: | Objectives We aimed to assess the risk of cardiovascular hospitalisations (stroke or myocardial infarction (MI)) following a community-acquired pneumonia (CAP) hospitalisation in a large Portuguese administrative dataset. Design Self-controlled case series study. Setting We used hospitalisation data from National Health Service hospitals across Portugal between 2010 and 2018. Participants Adults hospitalised for both CAP and stroke/MI in Portugal during the 2010-2018 period (n=13 494, of which 10 400 with stroke and 3094 with MI). Primary and secondary outcome measures We considered CAP hospitalisation as the exposure (14-, 28- and 91-day exposure periods) and acute cardiovascular (stroke or MI) hospitalisations as the outcome. Incidence rate ratios (IRR) were computed using a conditional Poisson regression (overall and by sex and age subgroups). Results Patients were mostly male and above 75 years. Stroke/MI hospitalisation incidence was higher following CAP, compared with the baseline period. Largest differences were observed in the 14-day period after discharge (IRR for stroke: 2.55, 95% CI: 2.33–2.80; IRR for MI: 3.23, 2.78–3.75), compared with the 28-day (IRR for stroke: 2.06, 1.92–2.22; IRR for MI: 2.62, 2.32–2.95) and 91-day periods (IRR for stroke: 1.37, 1.30–1.44; IRR for MI: 1.75, 1.60–1.91). A similar trend was observed for sex and age subgroups. Conclusions Our study shows an increased risk of stroke/MI for CAP patients, particularly during the first 2 weeks after being discharged. Effective postdischarge monitoring and follow-up, combined with efforts to prevent CAP occurrence, could improve patient outcomes. |
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