@文章{Levine914，作者= {Levine, Deborah A. and Langa, Kenneth M. and Rogers, Mary A.M.}，标题={急性感染有助于脑卒中死亡率的种族差异}，卷={82}，数={11}，页数={914—921}，年份= {2014}，doi = {10.1212/WNL。0000000000000214}，出版商= {Wolters Kluwer Health, Inc.代表美国神经病学学会}，摘要={目的:目前尚不清楚暴露于中风急性诱发因子，特别是感染方面的种首页族差异是否导致了中风死亡率的种族差异。方法:在具有全国代表性的健康和退休研究的参与者中，我们使用相关的医疗保险数据(1991年2007年)进行了一项病例交叉研究，采用内部比较来研究急性感染后缺血性中风死亡和住院风险的种族/民族差异。结果:964例成人缺血性脑卒中住院。急性感染增加了缺血性卒中死亡(5.82倍)和缺血性卒中住院(1.87倍)的30天风险。在非西班牙裔黑人中，急性感染是急性缺血性中风死亡更有力的诱因(优势比[OR] 39.21;95%可信区间[CI] 9.26{\textendash}166.00)高于非西班牙裔白人(OR 4.50;95% CI 3.14{\textendash}6.44)或西班牙裔(or 5.18;95% CI 1.34{\textendash}19.95)(比赛-冲程相互作用，p = 0.005)。经心房颤动调整后，感染与黑人中风死亡率(OR 34.85)的相关性仍高于白人(OR 3.58)和西班牙裔(OR 3.53)。急性感染增加了突发中风的短期风险，在种族/民族群体中也是如此。 Infection occurred often before stroke death in non-Hispanic blacks, with 70\% experiencing an infection in the 30 days before stroke death compared to a background frequency of 15\%.Conclusions: Acute infection disproportionately increases the risk of stroke death for non-Hispanic blacks, independently of atrial fibrillation. Stroke incidence did not explain this finding. Acute infection appears to be one factor that contributes to the black{\textendash}white disparity in stroke mortality.BMI=body mass index; CI=confidence interval; CMS=Centers for Medicare \& Medicaid Services; HRS=Health and Retirement Study; ICD-9=International Classification of Diseases, 9th revision; NDI=National Death Index; OR=odds ratio}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/82/11/914}, eprint = {//www.ez-admanager.com/content/82/11/914.full.pdf}, journal = {Neurology} }