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27 October 2020 : Clinical Research  

Stroke Incidence in Survivors of Carbon Monoxide Poisoning in South Korea: A Population-Based Longitudinal Study

Hyuk-Hoon Kim1ABCE, Sangchun Choi1ADEF*, Yoon Seok Jung1CD, Young-Gi Min1AC, Dukyong Yoon2BC, Sung Eun Lee1DF

DOI: 10.12659/MSM.926116

Med Sci Monit 2020; 26:e926116

Table 2 Serial annual incidence rate of stroke types after carbon monoxide (CO) poisoning.

Time after CO poisoningTotal stroke (I60–64)Ischemic stroke (I63)Hemorrhagic stroke (I60–62)Intracranial hemorrhage (I61)Subarachnoid hemorrhage (I60)
First yearObs. (Exp.)582 (29.89)494 (20.60)88 (8.80)59 (5.08)20 (3.03)
SIR (95% CI)19.47 (17.92–21.12)23.99 (21.92–26.20)10.05 (8.06–12.39)11.62 (8.84–14.99)6.60 (4.03–10.20)
First quarterObs. (Exp.)427 (7.47)371 (5.27)56 (2.34)40 (1.17)11 (0.88)
SIR (95% CI)57.14 (51.86–62.84)70.34 (63.37–77.88)23.89 (18.05–31.02)34.13 (24.38–46.47)12.51 (6.24–22.39)
Second quarterObs. (Exp.)72 (7.26)61 (5.14)11 (2.31)6 (1.15)3 (0.87)*
SIR (95% CI)9.92 (7.76–12.49)11.87 (9.08–15.25)4.77 (2.38–8.53)5.20 (1.90–11.32)3.46 (0.70–10.12)
Third quarterObs. (Exp.)42 (6.99)34 (4.95)8 (2.23)4 (1.1)* 4 (0.84)*
SIR (95% CI)6.00 (4.33–8.12)6.87 (4.76–9.60)3.59 (1.55–7.08)3.59 (0.97–9.19)4.78 (1.28–12.24)
Fourth quarterObs. (Exp.)41 (6.66)28 (4.72)13 (2.12)9 (1.06)3 (0.80)*
SIR (95% CI)6.15 (4.41–8.35)7.21 (4.99–10.07)6.12 (3.25–10.46)8.46 (3.86–16.07)3.75 (0.76–10.98)
Second yearObs. (Exp.)140 (24.82)107 (17.32)33 (7.46)19 (4.29)14 (2.57)
SIR (95% CI)5.64 (4.75–6.66)6.18 (5.06–7.47)4.42 (3.04–6.21)4.37 (2.62–6.85)5.59 (3.08–9.33)
Third yearObs. (Exp.)98 (20.07)79 (14.02)19 (6.06)16 (3.49)3 (2.09)*
SIR (95% CI)4.88 (3.96–5.95)5.63 (4.46–7.02)3.14 (1.89–4.90)4.52 (2.57–7.37)1.62 (0.37–4.48)
Fourth yearObs. (Exp.)82 (15.41)65 (10.78)17 (4.70)14 (2.69)2 (1.61)*
SIR (95% CI)5.32 (4.23–6.60)6.03 (4.65–7.69)3.64 (2.12–5.82)5.20 (2.84–8.73)1.24 (0.14–4.49)
Fifth yearObs. (Exp.)50 (10.85)40 (7.60)10 (3.30)3 (1.90)* 3 (1.14)*
SIR (95% CI)4.61 (3.42–6.07)5.26 (3.76–7.17)3.03 (1.45–5.57)1.31 (0.20–4.20)2.19 (0.35–7.02)
Sixth yearObs. (Exp.)26 (6.32)22 (4.43)4 (1.94)* 3 (1.12)* 1 (0.67)*
SIR (95% CI)4.11 (2.69–6.03)4.97 (3.11–7.52)2.07 (0.56–5.29)2.48 (0.45–7.54)1.50 (0.02–8.33)
Seventh yearObs. (Exp.)6 (2.63)6 (1.85)0 (0.81)0 (0.28)0 (0.47)
SIR (95% CI)2.28 (0.83–4.96)3.25 (1.19–7.07)
CO – carbon monoxide; Obs – observed; Exp – expected; SIR – standardized incidence rate; CI – confidence interval.
* Exact confidence interval calculated using mid- exact test.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750