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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/31747


    標題: Increased risk for diabetes mellitus in patients with carbon monoxide poisoning
    作者: Huang, Chien-Cheng
    Ho, Chung-Han
    Chen, Yi-Chen
    Lin, Hung-Jung
    Hsu, Chien-Chin
    Wang, Jhi-Joung
    Su, Shih-Bin
    Guo, How-Ran
    貢獻者: Chi Mei Med Ctr, Dept Emergency Med
    Natl Cheng Kung Univ, Dept Environm & Occupat Hlth
    Southern Taiwan Univ Sci & Technol, Bachelor Program Senior Serv
    Chi Mei Med Ctr, Dept Geriatr & Gerontol
    Chi Mei Med Ctr, Dept Occupat Med
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Pharm
    Southern Taiwan Univ Sci & Technol, Dept Biotechnol
    Taipei Med Univ, Dept Emergency Med
    Southern Taiwan Univ Sci & Technol, Dept Leisure Recreat & Tourism Management
    Natl Cheng Kung Univ Hosp, Dept Occupat & Environm Med
    關鍵字: brain
    carbon monoxide
    endocrine
    diabetes mellitus
    poisoning
    日期: 2017-09-08
    上傳時間: 2018-11-30 15:55:11 (UTC+8)
    出版者: Impact Journals Llc
    摘要: Carbon monoxide poisoning (COP) causes hypoxic injury and inflammatory and immunological reactions in the brain and local organs including the pancreas. Therefore, it is plausible that COP may increase the risk for developing diabetes mellitus (DM), but studies on this possible association are limited. We conducted a nationwide study in Taiwan to fill the data gap. We used the Nationwide Poisoning Database and the Longitudinal Health Insurance Database 2000 to identify all COP patients diagnosed between 1999 and 2012 (the study cohort) and then construct a comparison cohort of patients without COP through matching at 1: 3 by the index date and age. The risk for DM between the two cohorts was compared by following up until 2013. We also investigated the independent predictors for DM in all the patients. During the study period, 22,308 COP patients were identified, and 66,924 non-COP patients were included in the comparison cohort accordingly. Patients with COP had an increased risk for DM with an adjusted hazard ratio (AHR) of 1.92 (95% confidence interval [CI]: 1.79-2.06) after adjusting for age, sex, comorbidities, and monthly income, especially in the subgroups of age <35 years, age >= 65 years, female sex, and comorbidities with congestive heart failure, hyperthyroidism, and polycystic ovary syndrome. Cox proportional hazard regression analysis showed that the increased risk for DM was highest in the first month after COP (AHR=3.38; 95% CI: 2.29-4.99) and lasted even after 4 years (AHR=1.82; 95% CI: 1.62-2.04). We found that COP, older age, male sex, hypertension, hyperlipidemia, hyperuricemia, and low monthly income were independent predictors for DM. Intervention studies are needed to validate the results and delineate the detailed mechanisms.
    關聯: Oncotarget, v.8, n.38, pp.63680-63690
    Appears in Collections:[藥學系(所)] 期刊論文

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