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https://ir.cnu.edu.tw/handle/310902800/34086
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| 標題: | Autoimmune Connective Tissue Disease Following Carbon Monoxide Poisoning: A Nationwide Population-Based Cohort Study |
| 作者: | Huang, Chien-Cheng
Ho, Chung-Han
Chen, Yi-Chen
Hsu, Chien-Chin
Lin, Hung-Jung
Wang, Jhi-Joung
Guo, How-Ran |
| 貢獻者: | Chi Mei Med Ctr, Dept Emergency Med
Natl Cheng Kung Univ, Coll Med, Dept Environm & Occupat Hlth
Southern Taiwan Univ Sci & Technol, Dept Senior Serv
Chi Mei Med Ctr, Dept Med Res
Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
Southern Taiwan Univ Sci & Technol, Dept Biotechnol
Taipei Med Univ, Dept Emergency Med
Southern Taiwan Univ Sci & Technol, Allied AI Biomed Ctr
Natl Cheng Kung Univ Hosp, Dept Occupat & Environm Med
Natl Cheng Kung Univ Hosp, Occupat Safety Hlth & Med Res Ctr |
| 關鍵字: | autoimmune
carbon monoxide poisoning
connective tissue disease
hypoxia
inflammation
oxidative stress |
| 日期: | 2020 |
| 上傳時間: | 2022-11-18 11:23:19 (UTC+8) |
| 出版者: | Dove Medical Press Ltd |
| 摘要: | Background: In addition to hypoxia, oxidative stress and inflammation due to carbon monoxide (CO) poisoning cause adverse health effects. These mechanisms are related to the occurrence of autoimmune connective tissue disease, but studies on the association between CO poisoning and autoimmune connective tissue disease are limited. We conducted a study to evaluate the occurrence of autoimmune connective tissue disease following CO poisoning. Methods: We identified participants with CO poisoning diagnosed between 1999 and 2012 from the Nationwide Poisoning Database and selected participants without CO poisoning from the Taiwan National Health Insurance Research Database with matching age and index dates at a 1:3 ratio. Sex, underlying comorbidities, and monthly income were also included in the analyses. We followed up the participants until 2013 and made comparison of the risk of autoimmune connective tissue disease between participants with and without CO poisoning. Results: The 23,877 participants with CO poisoning had a higher risk for autoimmune connective tissue disease than the 71,631 participants without CO poisoning (adjusted hazard ratio [AHR], 3.5; 95% confidence interval [CI], 3.1-3.9) after adjustment for sex, diabetes, Lyme disease, herpes zoster, infectious mononucleosis, hepatitis, HIV infection, liver disease, renal disease, non-CO poisoning or drug abuse, malignancy, hypertension, hyperlipidemia, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, and monthly income. An increased risk was observed even after 4 years of followup (AHR, 3.6; 95% CI, 3.0-4.4). Conclusion: The risk of autoimmune connective tissue disease increased following CO poisoning. Close follow-up of the patients with CO poisoning for the development of connective tissue disease is recommended, and further investigation of the detailed mechanisms is warranted. |
| 關聯: | Clinical Epidemiology, v.12, pp.12 |
| 顯示於類別: | [醫務管理系(所)] 期刊論文
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