Association of substance use with stroke in heart failure by community socioeconomic distress
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Le résumé fourni par la source
INTRODUCTION: Substance use is common among individuals with heart failure (HF) and is linked to cardiotoxic effects and adverse outcomes. Given the increased vulnerability of HF patients to ischemic stroke, understanding how substance use and community distress contribute to this risk is vital for optimizing clinical prevention strategies. This study examined whether substance use increases stroke risk among HF patients and whether this association differs by community distress level. METHODS: We conducted a multicenter study using data from HF patients treated at WVU Medicine and Charleston Area Medical Center (CAMC) in West Virginia between 2017 and 2023. Multivariable logistic regression assessed the association between substance use and ischemic stroke, stratified by community distress level and adjusted for demographics and comorbidities. RESULTS: Among 33,663 individuals with HF in the WVU Medicine cohort, 2651 (7.88 %) experienced a stroke. Among 8050 in the CAMC cohort, 900 (11.18 %) experienced a stroke. Overall, among both cohorts, patients with substance use disorder diagnoses had greater odds of stroke. WVU (aOR, 1.36; 95 % CI, 1.14-1.63) and CAMC (aOR, 3.50; 95 % CI, 2.85-4.55). In distressed communities, the association was stronger: WVU (aOR, 1.68; 95 % CI, 1.34-2.09) and CAMC (aOR, 3.70; 95 % CI, 3.03-4.52). In non-distressed communities, only the CAMC cohort showed a significant association (aOR, 1.80; 95 % CI, 1.63-2.09). CONCLUSIONS AND RELEVANCE: Substance use is linked to higher stroke risk among HF patients, especially in socioeconomically distressed communities. Addressing both clinical and structural factors is essential for effective stroke prevention in this population.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Association of substance use with stroke in heart failure by community socioeconomic distress
- Date Crossref
- 01/11/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Clemson University West Virginia Clinical and Translational Science Institute pays non établi dans la noticeUniversité ou école supérieure
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Charleston Area Medical Center pays non établi dans la noticeÉtablissement de santé
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West Virginia University pays non établi dans la noticeUniversité ou école supérieure
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West Virginia University Hospitals pays non établi dans la noticeÉtablissement de santé
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West Virginia School of Osteopathic Medicine West Virginia Clinical and Translational Science Institute pays non établi dans la noticeUniversité ou école supérieure
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West Virginia Clinical and Translational Science Institute pays non établi dans la noticeStructure de recherche
West Virginia Clinical and Translational Science Institute — Clemson University, Charleston Area Medical Center et West Virginia University, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.